Claims Compliance Coord I

Opportunity: Claims Compliance Coord I

Job Posting End Date: 10/17/2025

We’ve Got You Under Our Wing

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. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com.

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.

Worker Designation – This role is hybrid. This means you will be expected to report to one of our Aflac offices located in Columbus, GA or Columbia, SC for at least 60% of the work week. You will work from your home (within the continental US) for the remaining portion of the work week. Details of this schedule will be discussed with your leadership. 

Work Designation. Depending on your location within the continental US, this role may be hybrid. 

• If you live within 50 miles of the Aflac offices located in Columbus, GA or Columbia, SC, this role will be hybrid. This means you will be expected to work in the office for at least 60% of the work week. You will work from your home (within the continental US) for the remaining portion of the work week. Details of this schedule will be discussed with your leadership. 

What does it take to be successful at Aflac?

• Acting with Integrity
• Communicating Effectively
• Pursuing Self-Development
• Serving Customers
• Supporting Change
• Supporting Organizational Goals
• Working with Diverse Populations

What does it take to be successful in this role?

• Knowledge of company operations, products, and services 
• Fundamental knowledge of auditing process and quantitative and qualitative risk assessment methodologies 
• Proficiency using Microsoft Office software, including Excel, Word, and PowerPoint 
• Excellent oral, written, and interpersonal communication skills

Education & Experience Required

• Bachelor's Degree In a related field
• Up to 2 years of job related experience

Or an equivalent combination of education and experience

Principal Duties & Responsibilities

• Assists with conducting proactive market conduct reviews to identify and address nonconformance to insurance laws and regulations; works with management to determine the regulatory impact to Aflac’s policies and services related to claims processing; assists with ongoing audits reviewing existing department processes and procedures to identify compliance or quality issues; works closely with Compliance and other departments to recommend changes or enhancements that streamline activities or enhance service turnaround times, productivity, and quality 
• Serves as a liaison between Compliance and Claims; tracks, researches, and responds to Department of Insurance complaints within established time frames; assists in the research and coordination of responses to regulatory inquiries; resolves issues, answers questions, and clarifies interpretations of laws and regulations or potential changes in business practices 
• Assesses, analyzes, and improves the effectiveness and efficiency of governance and operational control processes; identifies process risks and ensures compliance with state and federal laws and regulations; implements appropriate control, design, and risk mitigation methods; monitors implementation and revises for effectiveness; conducts continuous improvement audits to ensure that corrective actions are followed 
• Coordinates with departmental teams such as Research and Resolution, Critical, and Fraud to gather, analyze and implement process flow changes related to all claims risk activities; serves as a claims subject matter expert for current and upcoming legislation proposals that may impact Aflac; participates in project review sessions and coordinates with Information Technology regarding any system changes 
• Reviews, documents, and acts as a point of contact for Aflac Trust on processes involving policyholder claims management at the associate level; provides quarterly closure reporting of death claims; researches and resolves regulatory questions, reporting discrepancies, and interest calculations; assists with completing reports of external audit examinations as necessary; collaborates with Regulatory Compliance to initiate state emergency order procedures and reporting; develops reports for market conduct exams and mitigation activities; reviews accuracy of incoming reports related to claims information 
• Drives an ongoing awareness and understanding of applicable regulatory requirements, policies, procedures, and compliance processes; forwards more complex initiatives to a more experienced compliance coordinator for guidance and/or action 
• Performs other tasks as required

Total Rewards

The salary range for this job is $45,000 to $65,000. This range is specific to the job and salary offers consider a wide range of factors that are considered in making compensation decisions, including, but not limited to: education, experience, licensure, certifications, geographic location, and peer compensation. The range has been created in good faith based on information known to Aflac at the time of the posting. 

At Aflac, it is not typical for an individual to be hired at or near the top of the range for the role to allow for future and continued salary growth, and compensation decisions are dependent on the circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information will be provided separately when appropriate.

In addition to the base salary, we offer an array of benefits to meet your needs including 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, and an opportunity to purchase company stock.  On an annual basis, you’ll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked) and other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being. Aflac complies with all applicable leave laws, including, but not limited to, sick and safe leave, and adoption and parental leave, in all states and localities.