Remote Claims Operations Lead

Alight Solutions Ltd; Oklahoma; Remoto; USD 65.000 - 75.000; Tempo integral

Benefícios oferecidos por esta vaga

Flexible working

Health benefits

Parental leave

Retirement plan matching

Resumo da vaga

Alight Solutions Ltd in the United States is seeking a seasoned Claims Operations Manager to lead a virtual claims team and ensure service goals, SLA, quality, and client commitments are met. The role emphasizes strategic oversight, accountability, and continuous improvement, aligning corporate objectives with client expectations and team performance to drive productivity and exceptional customer outcomes.

This position requires leadership experience, strong communication skills, and proficiency

Qualificações

• Leadership experience of three or more years in STD/LTD product and claims management.
• Proven ability to manage day-to-day execution and projects to achieve business goals.
• Associate degree or equivalent professional work experience.
• Excellent communication and relationship-building abilities.

Responsabilidades

• Lead a virtual claims team and ensure service goals, SLA, quality and client commitments.
• Facilitate cross-functional communication among care, admin and clinical teams and client companies.
• Review documentation for claim approvals/denials and assist with audits.
• Provide guidance on Leave of Absence programs and ensure compliant service delivery.
• Monitor KPIs, drive productivity and oversee day-to-day operations and staff development.

Conhecimentos

Leadership

Claims management

Supervisory experience

Microsoft Office

Analytical thinking

Problem solving

Communication skills

Formação

Associate degree

Ferramentas

MS Office

Descrição da vaga

Alight Solutions Ltd in the United States is seeking a seasoned Claims Operations Manager to lead a virtual claims team and ensure service goals, SLA, quality, and client commitments are met. The role emphasizes strategic oversight, accountability, and continuous improvement, aligning corporate objectives with client expectations and team performance to drive productivity and exceptional customer outcomes.

This position requires leadership experience, strong communication skills, and proficiency