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Claims Technical Lead

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Aflac

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Location:
United States

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Category:

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Contract Type:
Not provided

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Salary:

75000.00 - 95000.00 USD / Year
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Job Description:

We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all…The Aflac Way. Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known brands. Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there’s a home, and a flourishing career for you at Aflac.

Job Responsibility:

  • Acts as a main point of contact for claims specific questions for the case managers
  • Serves as a mentor for new hires as well as supports new hiring training
  • Takes an active role in refresher training and development of existing staff
  • Ensures case managers are utilizing appropriate risk management skills to secure the appropriate claim outcome
  • Conducts manager reviews/audits of claims as necessary to ensure overall quality
  • Provides the appropriate coaching and feedback to case managers as needed
  • Monitors KPIs and reports to ensure service levels and commitments are met, working with case managers as needed
  • Monitors and adjusts workload balancing for case managers
  • Provides support to management in facilitating team meetings/ huddles
  • May periodically manage complex cases and customer escalations
  • Elevates any trends and/or coaching opportunities to the leadership team
  • Completes special projects and/or ad hoc assignments as requested by leadership
  • Performs other related duties as required

Requirements:

  • Bachelor's Degree In business, management or a related field
  • 4 or more years job related experience
  • 2 years STD/LTD case management experience
  • Ability to influence and champion change
  • Excellent critical thinking and decision-making skills
  • Strong leadership and organizational skills
  • Excellent Communication skills (verbal, written & presentation)
  • Strong understanding of contracts, plans and products
  • Strong knowledge of best practices and effective case management skills

Nice to have:

LTD experience preferred

What we offer:
  • medical, dental, and vision coverage
  • prescription drug coverage
  • health care flexible spending
  • dependent care flexible spending
  • Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee)
  • 401(k) plans
  • annual bonuses
  • opportunity to purchase company stock
  • 11 paid holidays
  • up to 20 days PTO
  • state-mandated sick leave
  • other leaves of absence

Additional Information:

Job Posted:
February 10, 2026

Expiration:
February 10, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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