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PLADS Claims Technical Specialist

The Company:  Aflac Columbus
The Location: 

Remote, US, 31999 Farmington, CT, US, 06032

The Division:  PLADS
Job Id:  3190

                                                                                                                                                                                                                                                                          

Job Summary

 

Serves as the claim and/or leave subject matter expert providing support to the Operations leadership team as well as a mentor for case managers.

 

Principal Duties & Responsibilities

 

• 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 developing 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 the manager in facilitating team meetings/ huddles

 

• May periodically manage very complex cases directly

 

• Elevates any trends and / or coaching opportunities to the leadership team

 

• May manage customer escalations

 

• Completes special projects and/or ad hoc assignments as requested by the leadership team

 

• Performs other related duties as required

 

Education & Experience Required

 

  • Minimum Required Bachelor’s Degree In a related field.
  • Minimum Required 5-year minimum industry experience
  • Minimum Required 2 years minimum experience working with employees

 

Or an equivalent combination of education and experience

 

 

Job Knowledge & Skills

 

• 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

 

Competencies

 

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

 

 


Nearest Major Market: Columbus GA