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PLADS Quality Assurance Analyst
PLADS Quality Assurance Analyst
Virtual
May 19, 2024
About PLADS Quality Assurance Analyst

  PLADS Quality Assurance Analyst

  The Company: Aflac Columbus

  The Location:

  Remote, US, 31999

  The Division: PLADS

  Job Id: 5714

  Salary Range: $45,000 - $105,000

  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.

  Work Designation. Depending on your location within the continental US, this role may behybridorremote.

  If you livewithin 50 milesof the Aflac offices located in Columbus, GA or Columbia, SC, this role will behybrid.This means you will be expected to work in the office for at least 60% of the work week. You will work from your home (within the continental US) for the remaining portion of the work week. Details of this schedule will be discussed with your leadership.

  If you livemore than 50 milesfrom the Aflac offices located in Columbus, GA or Columbia, SC, this role will beremote.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?

  • Solid knowledge of regulatory compliance

  • Excellent communications and interpersonal skills

  • Ability to interact and collaborate with various internal partners including leadership

  • Ability to provide consultation and expert advice to internal partners

  • Strong writing skills

  • Must be computer literate and proficient in the use of MS Excel and Word

  • Ability to multi-task in a fast-paced environment while meeting critical deadlines

  • Ability to learn and adapt to new product lines

  • Previous experience processing absence, disability and/or life claims

  • Previous experience auditing absence, disability and/or life claims

  • Strong analytical mind, with problem-solving and investigative skills

  • Ability to effectively provide feedback to other professionals in a positive manner

  • Ability to self-motivate, self-lead and work independently with limited supervision

  • Solid understanding of claims best practices

  • Exceptional attention to detail

  • Knowledge of Salesforce or the ability to quickly learn the claim system

  • Desire to assume greater responsibilities

  • Possess a track record of excellent performance

  Education & Experience Required

  Bachelor's Degree In healthcare or a related field

  3 or more years of experience in the Quality Assurance area

  Or an equivalent combination of education and experience

  Principal Duties & Responsibilities

  • Monitors the quality indicators with strategic vision with actions to reduce detractors

  • Identifies opportunities for improvement in the processes and flows in service channels , correcting deviations and implementing improvements

  • Makes periodic report of quality volumes.

  • Examines complaints from regulators and customers in service channels , increasing customer satisfaction and product quality

  • Monitors and assists in structuring and strategy as research and as the maximization of satisfaction with our products and processes.

  • Mitigates negative impacts and loss of business

  • Supports project delivery by inputting technical process/architecture/performance expertise, to help shape project delivery in line with existing processes and best practice

  • Undertakes investigations and inspections of data, processes, and practices in accordance with established procedure to identify potential or actual compliance issues and recommend appropriate action

  • Independently collate and analyze operational data using pre-determined tools, methods and formats and make recommendations in order to support the department’s decision making process.

  • Assess and evaluate project/program deliverables and business architecture/processes in order to identify opportunities for improvement.

  • Plan and carry out regular reviews of business data (including customer service metrics) using standard methodologies in order to identify shortfalls and recommend actions to improve performance.

  • Review and interpret information and advise internal clients of appropriate action to fulfill procedural and regulatory requirements.

  • Create and maintain documentation to maintain an audit trail of activities to protect the organization and support the business in delivery standardization

  • Performs other duties as required

  Total Rewards

  This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. The range has been created in good faith based on information known to Aflac at the time of the posting. 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. The salary range for this position is $45,000 to $105,000.

  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.

  Nearest Major Market:Columbus GA

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