Remote Claims Tech Lead — Mentor & Drive Outcomes

Communicorp Inc; Columbus (GA); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Medical insurance

401(k) plan

Paid holidays

Job summary

Aflac, a Fortune 500 company, is seeking a remote claims professional to support case managers across the continental US. You’ll influence change, coach staff, and drive quality in claims outcomes while collaborating with leadership to meet service goals.

The role requires a Bachelor’s degree in health administration or related field, 4+ years of job-related experience, and 2 years in STD/LTD or related case management. You’ll analyze contracts, manage risk, monitor KPIs, and mentor teams.

Qualifications

• Bachelor’s degree in health administration, business, or related field.
• 4+ years of job-related experience in the field.
• 2 years of case management experience in STD/LTD, Life, Absence Management, or related field.

Responsibilities

• Acts as a main point of contact for claims specific questions for the case managers.
• Mentors new hires and supports training.
• Takes an active role in refresher training and development of staff.
• Ensures case managers utilize risk management skills for appropriate claim outcomes.
• Conducts manager reviews to ensure overall quality.
• Provides coaching and feedback to case managers as needed.
• Monitors KPIs and reports to ensure service levels are met.
• Monitors and adjusts workload balancing for case managers.
• Supports management in team meetings/huddles.
• May manage complex cases and escalations.

Skills

Influence

Critical thinking

Leadership

Communication

Contracts knowledge

Case management

Education

Bachelor’s degree in health administration or related field

4+ years job-related experience

Job description

Aflac, a Fortune 500 company, is seeking a remote claims professional to support case managers across the continental US. You’ll influence change, coach staff, and drive quality in claims outcomes while collaborating with leadership to meet service goals.

The role requires a Bachelor’s degree in health administration or related field, 4+ years of job-related experience, and 2 years in STD/LTD or related case management. You’ll analyze contracts, manage risk, monitor KPIs, and mentor teams.