Sr Consult, Claims Resolution

Salary Range: $110,000 - $150,000

Job Posting End Date: August 28, 2026

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 Americas 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 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 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?

• Strong organizational skills to manage multiple subrogation and recovery opportunities.
• High attention to detail to ensure accuracy in documentation and reporting.
• Problem-solving skills to address obstacles.
• Strong communication and negotiation skills.
• A high degree of skill in the analysis and resolution of complex and sensitive scenarios.

Education & Experience Required

• Bachelors Degree in Management, Business Administration, Health Care Management or a related field.
• 6 or more years of professional job-related work experience.
• Strong understanding of claims processes and compliance.

Or an equivalent combination of education and experience

Travel

10%

Principal Duties & Responsibilities

• Collaborates with internal business partners to develop and monitor KPIs for subrogation and other operational vendor serviced functions; develops and executes recommendations for continuous improvement initiatives.
• Monitors results, outcomes and trends with suppliers, and ensures timely and accurate reporting for compliance and regulation purposes.
• Leads the planning, organization and implementation of projects and initiatives that impact the success of the business including achieving financial outcomes and customer commitments.
• Creates specific reporting tools and methods to capture and track critical milestones and impacts to business goals.
• Works directly with leadership to identify and build out business improvement initiatives in support of strategic business goals.
• Monitors supplier costs, tracks payments and resolves payment and expense issues while optimizing cost.
• Consults with business leaders and end users to solve vendor issues, and adheres to governance frameworks for driving provider performance.
• Responsible for monitoring and maintaining budget, and identify areas for cost savings and process improvements
• Develop and implement measures to assess and manage risks, ensuring that appropriate mitigation strategies are in place.
• Responsible for delivery of all projects and work efforts aligned to supplier initiatives.
• Collaborates with operational stakeholders to identify business improvements and efficiency opportunities.
• Leads or participates on project teams or committees assisting with the development, planning, and implementation of strategic long-range and short-range goals and objectives.
• Establishes and maintains strong working relationships with business partners as the key point of contact.
• Works with leadership in tracking the progress made on departmental goals.
• Performs other duties as needed.

Total Rewards

The salary range for this job is $110,000 - $150,000. 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.