Aflac

Mgr, Claims Operations; Hybrid - Windsor, CT

Aflac$90K — $120K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Health Administration, Business, or related field
  • 6 years of relevant work experience
  • 4 years in a leadership/senior/supervisory role
  • Extensive knowledge of claims processing and regulatory requirements
  • Strong personal computer skills, including proficiency in Windows and email software
  • Excellent communication skills for interaction with various stakeholders

Responsibilities

  • Manage daily operations of the Claims business unit and oversight of personnel
  • Analyze data reports to improve operational efficiency and customer satisfaction
  • Implement risk management and quality improvement initiatives
  • Coordinate employee training and development efforts
  • Monitor technology needs and recommend improvements for business processes
  • Control operating expenses and contribute to the annual budget planning

Benefits

  • Comprehensive medical, dental, and vision coverage
  • Prescription drug coverage and flexible spending options
  • 401(k) plans with company contributions
  • Annual bonuses and stock purchase opportunities
  • 11 paid holidays and up to 20 days PTO for any reason
  • Aflac supplemental policies provided at no cost
Full Job Description
Salary Range: $90,000 - $120,000

Job Posting End Date: July 28, 2026

Worker Designation - This role is hybrid. This means you will be expected to report to our Aflac office located in Windsor, CT 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 in this role?
• Broad knowledge of production management concepts, operating principles, and operational management methodology applicable to claims processing; a high degree of skill in applying this knowledge to the analysis and resolution of very complex or sensitive claims operational issues; ability to apply new developments and methodologies to direct the improvement in efficiencies
• Broad knowledge of federal, state, and local regulatory and industry requirements, standard concepts, practices, and procedures as they relate to the insurance industry and claims processing
• Knowledge of budgeting and expense control to plan, implement, and maximize expenditure of funds while maintaining and improving quality standards
• Knowledge of employee relations to conduct and deal with employee issues in a proactive manner
• Strong personal computer skills with experience in Windows-based software; experience using Microsoft Outlook or a similar e-mail system software
• Excellent presentation, oral, written, and interpersonal communications skills to effectively interact with senior management, and internal and external business contacts

Education & Experience Required
  • Bachelor's Degree In Health Administration, Business, or a related field.
  • 6 years of job-related work experience
  • 4 years in a leadership/senior/supervisory capacity.

Or an equivalent combination of education and experience

Education & Experience Preferred
  • Claims administration, or experience in a related field or industry.
  • Insurance or other industry designations.


Principal Duties & Responsibilities
• Manages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes data and reports that pertain to the overall operation of the Claims business unit and completes reports summarizing activities and trends; assists in strategic and tactical operational plans to ensure achievement of company and departmental goals; performs independent review of problem situations; develops solutions and implements actions to resolve problems and ensure customer satisfaction; reviews processes and procedures to streamline activities to enhance service turnaround time, productivity, and quality; coordinates overall workflow of the business unit and ensures that workflow processes facilitate effective and efficient use of corporate resources and enhance customer satisfaction
• Directs efforts to implement risk management and quality improvement initiatives; facilitates calibration sessions; uses methods such as work process studies, statistical analysis, and assessments of production area performance to establish adherence to quality standards/scorecards; remains abreast of industry trends and technology changes; incorporates best practices in the development of quality standards, policies, programs, and system changes for the department; ensures that claims are processed according to appropriate risk selection principles
• Coordinates and monitors training efforts to ensure that necessary education tools are provided to employees; identifies and communicates training needs and schedules with training department; projects staffing requirements for the business unit; guides supervisors in coaching and counseling employees; coordinates employee development and incentive initiatives
• Identifies, analyzes, and monitors business technology requirements and enhancement possibilities; recommends viable technological solutions, modifications, and applications; prepares recommendations for implementation of initiatives; takes a leadership role in managing assigned initiatives; participates in and supports companywide initiatives through Quality Circles, Focus Groups, or other project initiatives
• Monitors and controls operating expenses to ensure that corporate/divisional financial goals are met; provides input into the annual business unit budget; reviews legal files and coordinates with counsel to prepare for depositions and court hearings
• Performs other related duties as required

Total Rewards

The salary range for this job is $90,000 to $120,000. 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.

About Aflac

Aflac is a financial services company that offers supplemental and renewable insurance solutions to individuals and businesses in the United States. The company offers a range of insurance products to individuals and families, employers, brokers, and agents. Its product portfolio includes accident, cancer, critical illness, life, hospital, short-term disability, dental, and vision insurance policies. It also offers many services to employers, including cafeteria plans, policyholder change plans, COBRA administration, commuter spending accounts, HSA and HRA incentives, and enrollment solutions. Aflac was founded in 1955 and is based in Columbus, Georgia.

Aflac Careers

Joining Aflac’s dedicated team offers more than just job opportunities; it’s a chance to be part of a company known for its strong culture of care and commitment to innovation and leadership in the insurance industry. Work You’ll Do At Aflac, we’re not just about selling insurance; we’re about providing a safety net and making a real difference in people’s lives. Our team is driven by the mission to help our clients feel protected and supported. By joining our market-leading team, you will play a key role in guiding customers through their times of need with empathy and expertise. Transform your career with Aflac, where we combine your skills with our resources to foster personal and professional growth. Lead in a position where your daily efforts contribute to our reputation as a leader in supplemental insurance. Work with a diverse team of professionals who bring high levels of expertise and passion to their work. Aflac is committed to diversity training and fostering an inclusive environment where all team members can thrive. Aflac Career Opportunities We are continuously expanding our services and innovating our products, creating a variety of career paths in various departments. Whether you’re looking for a leadership role, a position in customer service, sales, or IT, Aflac offers a breadth of job opportunities. Do Innovative Work Join Aflac and contribute to our legacy of innovation by implementing solutions that push the boundaries of what insurance can do. With over 50 million people relying on us, your work at Aflac impacts lives significantly, offering you a career that is as rewarding as it is challenging. Be Part of a Great Team At Aflac, you’ll collaborate with industry experts and leaders who are eager to share their knowledge and welcome fresh ideas. Our team’s strength lies in our unity and our commitment to fostering leadership and professional development. Future-Proof Your Career Aflac supports your career ambitions with unmatched opportunities for professional growth, including comprehensive training programs, certification support, and leadership development. We ensure that your career journey is supported at every step with the tools and training you need to succeed. Explore Internship and Employment Opportunities Aflac offers a range of internship and employment opportunities designed to provide valuable industry experience and professional networking. These positions are crafted to enhance your resume and skills, preparing you for a long-term career in the insurance industry. Stay Connected Join Our Team Search open positions that match your skills and interests. We look for passionate, curious, creative, and solution-driven team players. Start your journey with Aflac today and discover how your career can flourish in an environment built on innovation and respect for diversity. Keep Up to Date Stay ahead with career tips, insider perspectives, and industry-leading insights you can put to use today—all from the people who work at Aflac. Job Alert Emails Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at Aflac.
Learn more about Aflac
Size
12,447 employees
Market Cap
$44.3 billion
Industry
Net Income
$4.7 billion
Founded
1955
5 Year Trend
-0.5%
Revenue
$22.1 billion
NASDAQ

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