Full-Time

Manager - Claims Operations

Plads Loa

Posted on 9/30/2025

Aflac

Aflac

10,001+ employees

Supplemental health and life insurance provider

Compensation Overview

$80k - $110k/yr

+ Incentive Pay + Annual Bonuses

Remote in USA

Remote

Candidates must be located within the continental US.

Category
Operations & Logistics (1)
Required Skills
Risk Management
Data Analysis
Requirements
  • Broad knowledge of production management concepts, operating principles, and operational management methodology applicable to claims processing; a high degree of skill in applying this knowledge to the analysis and resolution of very complex or sensitive claims operational issues; ability to apply new developments and methodologies to direct the improvement in efficiencies
  • Broad knowledge of federal, state, and local regulatory and industry requirements, standard concepts, practices, and procedures as they relate to the insurance industry and claims processing
  • Knowledge of budgeting and expense control to plan, implement, and maximize expenditure of funds while maintaining and improving quality standards
  • Knowledge of employee relations to conduct and deal with employee issues in a proactive manner
  • Strong personal computer skills with experience in Windows-based software; experience using Microsoft Outlook or a similar e-mail system software
  • Excellent presentation, oral, written, and interpersonal communications skills to effectively interact with senior management, and internal and external business contacts
  • Bachelor's Degree In business or a related field
  • 5 - 6 years of professional related work experience
  • 4 years in a supervisory/managerial capacity leading diverse work groups
  • Or an equivalent combination of education and experience
Responsibilities
  • Manages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes data and reports that pertain to the overall operation of the Claims business unit and completes reports summarizing activities and trends; assists in strategic and tactical operational plans to ensure achievement of company and departmental goals; performs independent review of problem situations; develops solutions and implements actions to resolve problems and ensure customer satisfaction; reviews processes and procedures to streamline activities to enhance service turnaround time, productivity, and quality; coordinates overall workflow of the business unit and ensures that workflow processes facilitate effective and efficient use of corporate resources and enhance customer satisfaction
  • Directs efforts to implement risk management and quality improvement initiatives; facilitates calibration sessions; uses methods such as work process studies, statistical analysis, and assessments of production area performance to establish adherence to quality standards/scorecards; remains abreast of industry trends and technology changes; incorporates best practices in the development of quality standards, policies, programs, and system changes for the department; ensures that claims are processed according to appropriate risk selection principles
  • Coordinates and monitors training efforts to ensure that necessary education tools are provided to employees; identifies and communicates training needs and schedules with training department; projects staffing requirements for the business unit; guides supervisors in coaching and counseling employees; coordinates employee development and incentive initiatives
  • Identifies, analyzes, and monitors business technology requirements and enhancement possibilities; recommends viable technological solutions, modifications, and applications; prepares recommendations for implementation of initiatives; takes a leadership role in managing assigned initiatives; participates in and supports companywide initiatives through Quality Circles, Focus Groups, or other project initiatives
  • Monitors and controls operating expenses to ensure that corporate/divisional financial goals are met; provides input into the annual business unit budget; reviews legal files and coordinates with counsel to prepare for depositions and court hearings
  • Performs other related duties as required
Desired Qualifications
  • Absence & Disability Industry Experience (LOA)
  • Industry designations such as FLMI or ALHC

Aflac provides supplemental health and life insurance products to individuals and families, operating mainly in two regions: Aflac Japan and Aflac U.S. Its policies are designed to cover out-of-pocket costs from health events and income loss, including cancer, critical illness, accidents, hospital stays, and life events. These benefits are paid directly to policyholders to help manage medical expenses not fully covered by primary insurance. The products are distributed through a network of independent agents, brokers, and financial advisors, enabling a high-volume, low-premium model that supports a large, stable customer base and ongoing revenue. Japan is its largest market, and the company uses this broad distribution and scale to differentiate itself from competitors. The goal is to provide straightforward financial protection against unexpected health-related costs while expanding its presence in the U.S. and Japanese markets.

Company Size

10,001+

Company Stage

IPO

Headquarters

Columbus, Georgia

Founded

1955

Simplify Jobs

Simplify's Take

What believers are saying

  • Japan sales jumped 25.5% to ¥17.7B in Q1 2026 from Anshin Palette success.
  • Book value per share hit $58.69, up 20.9% year-over-year in Q1 2026.
  • Vanguard boosted stake 13.4% to 10.90% ownership in Q4 2025.

What critics are saying

  • Japan lapses erode premiums, forcing negative 1-2% growth through 2026.
  • Corebridge Financial grabs share with 35.7% Q4 2025 revenue surge.
  • Repeated misses like Q1 2026 $1.75 EPS trigger analyst downgrades by Q3 2026.

What makes Aflac unique

  • Aflac leads supplemental insurance via Japan dominance and U.S. multichannel agents.
  • Innovative products like Anshin Palette and Miraito drive 25.5% Japan sales surge.
  • Administers Maine PFML program for 500,000 workers starting May 2026.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

401(k) Company Match

Unlimited Paid Time Off

Paid Holidays

Hybrid Work Options

Remote Work Options

Company News

Yahoo Finance
Feb 25th, 2026
Aflac misses Q4 revenue estimates as life insurance stocks slip 5.6%

Life insurance stocks reported a slower fourth quarter, with the 13 companies tracked beating revenue consensus estimates by 3.7% on average. However, share prices have declined 5.6% on average since the latest earnings results. Aflac reported revenues of $4.28 billion, flat year on year, missing analysts' expectations by 2.9%. The company also missed earnings per share estimates. CEO Daniel Amos said the results reflect focused efforts to create long-term shareholder value. The stock has remained flat since reporting and currently trades at $112.80. Corebridge Financial performed best in the quarter, reporting revenues of $6.34 billion, up 35.7% year on year and beating expectations by 47.3%. The company also exceeded earnings per share estimates.

Yahoo Finance
Feb 4th, 2026
Aflac reports Q4 net earnings of $1.4B, announces 5.2% dividend increase

Aflac Incorporated reported fourth quarter net earnings of $1.4 billion, or $2.64 per diluted share, down from $1.9 billion, or $3.42 per share, in the same period last year. Total revenues fell to $4.9 billion from $5.4 billion year-over-year. Adjusted earnings decreased 5.4% to $818 million, though adjusted earnings per diluted share rose 0.6% to $1.57. Net earnings included investment gains of $537 million, driven primarily by gains on derivatives and foreign currency activities. Shareholders' equity stood at $29.5 billion, or $56.85 per share, at year-end. For full-year 2025, net earnings totalled $3.6 billion with adjusted earnings of $4.0 billion. The company reaffirmed a 5.2% increase in its first quarter dividend.

Cbonds
May 28th, 2025
Aflac: Other Events, Financial Statements And Exhibits

01 Other Events.

MarketBeat
Jan 6th, 2024
BluePath Capital Management LLC Makes New Investment in Aflac Incorporated (NYSE:AFL)

BluePath Capital Management LLC purchased a new position in Aflac Incorporated (NYSE:AFL - Free Report) during the 3rd quarter, according to the company in its most recent filing with the Securities and Exchange Commission (SEC). The institutional investor purchased 66,732 shares of the financial

Slater Sentinel
Dec 3rd, 2023
Eqis Capital Management Inc. Makes New Investment in Aflac Incorporated (NYSE:AFL)

Eqis Capital Management Inc. purchased a new position in shares of Aflac Incorporated (NYSE:AFL – Free Report) in the 2nd quarter, according to the company in its most recent filing with the Securities and Exchange Commission. The fund purchased 12,152 shares of the financial services provider’s stock, valued at approximately $848,000. Several other large investors […]

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