Claims Performance Consultant jobs in United States
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Aflac ยท 7 hours ago

Claims Performance Consultant

Aflac is a Fortune 500 company and an industry leader in voluntary insurance products. The Claims Performance Consultant will act as the primary liaison for Claims data, lead reporting and discussions with leadership, and perform advanced analysis to identify trends and opportunities within Claims Operations.

FinanceFinancial ServicesHealth CareInsurance
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H1B Sponsor Likelynote

Responsibilities

Act as the primary liaison for Claims data, consolidating inputs from analysts and consultants to create a comprehensive view of Claims performance
Lead monthly reporting and discussions with leadership, delivering insights on Claims quality and financial impacts
Perform advanced analysis to identify trends, anomalies, and opportunities within Claims Operations
Conduct root cause analyses on Claims quality trends to identify behavioral and process opportunities
Assess Claims performance and its effect on company loss ratios
Create dashboards, visualizations, and reports using tools such as Tableau, Power BI, or similar platforms
Present complex data findings in a clear, non-technical manner to senior stakeholders
Collaborate with cross-functional teams to integrate analytics into broader business strategies
Ensure accuracy, consistency, and actionable recommendations in all insights delivered
Conduct organizational research and benchmarking to identify best practices and performance gaps in comparison to competitive insights
Perform other related duties as required

Qualification

Insurance claims operationsData analyticsBusiness intelligence toolsRoot cause analysisExecutive-level reportingStakeholder engagementData governanceSelf-developmentCustomer serviceCommunication skillsCollaborationAdaptability

Required

Deep knowledge of insurance claims operations, quality measures, loss ratios, and financial performance drivers
Advanced data analytics and statistical analysis skills to identify trends, anomalies, and performance opportunities
Strong capability in root cause analysis to diagnose claims quality, behavioral, and process issues
Proficiency in business intelligence and data visualization tools (e.g., Tableau, Power BI) to create dashboards and reports
Ability to synthesize and consolidate multiple data sources into a single, accurate, executive-level view of claims performance
Skills in executive-level reporting and storytelling, translating complex data into clear, actionable Insights
Strong stakeholder engagement and cross-functional collaboration skills to integrate analytics into business strategy
Demonstrated ability to assess operational and financial impacts, including effects on loss ratios and business outcomes
Knowledge of benchmarking, competitive analysis, and industry best practices to identify performance gaps
High standards for data governance, accuracy, consistency, and integrity in all analytical output topics
Bachelor's Degree In Analytics, Finance, Statistics, Mathematics, or related field
6+ years of data analytics, business intelligence, or financial analysis, preferably in claims or insurance
Or an equivalent combination of education and experience

Benefits

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
Up to 20 days PTO to be used for any reason
State-mandated sick leave
Other leaves of absence, if eligible

Company

Aflac is a company that offers individuals and companies supplemental disability insurance.

H1B Sponsorship

Aflac has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (8)
2024 (2)
2023 (3)
2022 (7)
2021 (2)

Funding

Current Stage
Public Company
Total Funding
unknown
1974-06-14IPO

Leadership Team

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JR Shamley
SVP National Accounts Business Development & Growth Solutions
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Matthew D. Owenby
SVP, Chief Human Resources Officer and Corporate Services Executive
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Company data provided by crunchbase