Aflac

PLADS LTD Claims Technical Lead

Aflac$75K — $95K *
US-Anywhere
+ 2 other locationsRemote
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in business, management, or related field.
  • 4+ years of job-related experience.
  • 2 years of Short-term/Long-term Disability (STD/LTD) case management experience.
  • Strong understanding of contracts, plans, and products.
  • Knowledge of best practices in effective case management.

Responsibilities

  • Serve as primary contact for case managers on claims questions.
  • Mentor new hires and support their training.
  • Lead refresher training and development for existing staff.
  • Ensure case managers employ risk management skills for claim outcomes.
  • Conduct audits/reviews of claims for quality assurance.
  • Provide coaching and feedback to case managers.
  • Monitor KPIs and ensure service and commitment levels are met.

Benefits

  • Comprehensive medical, dental, and vision coverage.
  • 401(k) plans with company stock purchase options.
  • 11 paid holidays and up to 20 days PTO.
  • Flexible spending accounts for health and dependent care costs.
  • Aflac supplemental policies at no cost to employees.
Full Job Description
Salary Range: $75,000 - $95,000

Job Posting End Date: July 1st 2026

Worker Designation - This role is a remote role. This means you will be expected to work from your home, within the continental US. If the role is remote, there may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.

What does it take to be successful in this role?
• 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.

Education & Experience Required
  • 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

Education & Experience Preferred
  • LTD experience preferred


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 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.

Total Rewards

The salary range for this job is $75,000 to $95,000. 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.

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

Similar Jobs

More Jobs at Aflac

More Healthcare Jobs

Find similar PLADS LTD Claims Technical Lead jobs: