Sr Consult, Claims Resolution

Salary Range:  $110,000 - $150,000 Job Posting End Date: August 21, 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 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 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

Bachelor's 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