Remote Claims Operations Leader

Alight Solutions Ltd; Iowa; Hybrid; USD 65,000 - 75,000; Full time

Benefits offered by this job

Health insurance

Retirement plans with matching

Generous time off

Parental leave

Continuing education

Career growth opportunities

Job summary

Alight Solutions Ltd in the United States seeks a Claims Operations Manager to lead a claims team, drive service levels, and align client expectations with performance targets. The role emphasizes strategic oversight, accountability, and continuous improvement in leave of absence programs and related processes.

You will manage a virtual team, monitor KPIs, ensure compliant service delivery, and collaborate with client companies, healthcare providers, and internal teams.

Qualifications

• Three+ years of leadership in STD/LTD product and claims management.
• Proven ability to manage day-to-day execution and projects to meet business goals.
• Associate degree or equivalent professional work experience.

Responsibilities

• Facilitate communication among Customer Care, Administrative, and Clinical teams.
• Ensure legal compliance and confidentiality in communications.
• Review documentation to support claim approvals/denials and respond to audits.

Skills

Leadership

Supervisory experience

Communication skills

Analytical skills

Project management

Leave of Absence programs knowledge

Windows / MS Office

Education

Associate degree or equivalent experience

Tools

Windows OS

Microsoft Office

Job description

Alight Solutions Ltd in the United States seeks a Claims Operations Manager to lead a claims team, drive service levels, and align client expectations with performance targets. The role emphasizes strategic oversight, accountability, and continuous improvement in leave of absence programs and related processes.

You will manage a virtual team, monitor KPIs, ensure compliant service delivery, and collaborate with client companies, healthcare providers, and internal teams.