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Claims Technical Lead

Technical Product ManagerTechnical Product ManagerOtherRemoteLeadTeam 10,001

Location

United States

Posted

135 days ago

Salary

$75K - $95K / year

Seniority

Lead

No structured requirement data.

Job Description

Claims Technical Lead

Aflac, Incorporated

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves supporting case managers and ensuring quality outcomes in claims management. - 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. Qualifications - Bachelor's Degree in business, management or a related field. - 4 or more years job related experience. - 2 years STD/LTD case management experience. - Or an equivalent combination of education and experience. Requirements - 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. Benefits - 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 to be used for any reason. - State-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked). - Compliance with all applicable leave laws, including sick and safe leave, and adoption and parental leave.

Job 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.
  • Or an equivalent combination of education and 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.

Benefits

  • 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 to be used for any reason.
  • State-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked).
  • Compliance with all applicable leave laws, including sick and safe leave, and adoption and parental leave.

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