Claims Technical Lead

Aflac

. Acts as a main point of contact for claims specific questions for the case managers.

Posted 11/4/2026full-timeWindsor • Connecticut • United StatesSenior💰 $75,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in case management, including the ability to mentor staff, conduct audits, and influence change. Proficient in monitoring KPIs and ensuring quality outcomes in claims management.

Highest-signal resume keywords

Case Management ExperienceLeadership SkillsCritical ThinkingCommunication SkillsRisk Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AuditingKPI MonitoringRisk Management SkillsCase Management Best PracticesDecision-Making

Soft Skills

MentoringOrganizational SkillsInfluencing ChangeCoachingTeam Facilitation

Industry Keywords

Health AdministrationSTD/LTDAbsence ManagementLife InsuranceClaims Management

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Bachelor’s degree in Health administration, Business, a related field.
4 or more years job-related experience
2 years case management experience in STD/LTD, Life, Absence Management, or a related field/industry.
Or an equivalent combination of education and experience
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.

Benefits

Comp & perks

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
Opportunity to purchase company stock
11 paid holidays annually
Up to 20 days PTO to be used for any reason
State-mandated sick leave, if eligible
Other leaves of absence, if eligible, including adoption and parental leave
Support for physical, financial, and emotional well-being