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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




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



Nearest Major Market: Columbus GA