PLADS Claims Technical Specialist

Salary Range: $55,000 - $140,000

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 designated as a remote role. You will be expected to work from your home, within the continental US. Although this role is designated as 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 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?

• 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 a related field
• 4 years minimum STD industry experience
• 2 years minimum experience working with employees

Or an equivalent combination of education and experience

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 …