Remote Claims Operations Leader

Alight Solutions Ltd; Nevada; A distancia; USD 65.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Flexible working arrangements

Wellbeing and education opportunities

Descripción de la vacante

Alight Solutions is looking for a dedicated Claims Operations Manager to guide a claims team in meeting service goals and client commitments. This role emphasizes strategic oversight, accountability, and continuous improvement across STD/LTD programs.

The position requires 3+ years of leadership in claims management, strong communication skills, and the ability to lead a virtual team while maintaining confidentiality and regulatory compliance.

Formación

• 3+ years of leadership in STD/LTD product and claims management.
• Ability to manage both day-to-day execution and projects to achieve business goals.
• Associate degree or equivalent professional work experience.
• Excellent communication and relationship-building abilities.
• Previous supervisory experience and the ability to prioritize and assign work.
• Advanced computer skills with Windows and Microsoft Office suite.
• Proven analytical thinking and business acumen.
• Creative agility to address complex business and technical challenges.

Responsabilidades

• Facilitate communication among Customer Care, Administrative, and Clinical teams and related stakeholders.
• Ensure legal compliance and confidentiality with timely employee/client notifications.
• Review documentation to support claim approvals/denials and respond to audits.
• Act as SME for Leave of Absence programs, guiding policies and processes.
• Lead a virtual team, define roles and direct accountability to meet goals.
• Provide ongoing client support with diagnostic skills to identify root causes.
• Manage team performance against KPIs and ensure service guarantees.
• Oversee day-to-day operations, workload, performance, and development.
• Respond to client/internal inquiries with appropriate style and tone.
• Monitor staff schedule adherence and communicate process updates.

Conocimientos

Leadership

Communication

Supervisory

Analytical

MS Office

Data analysis

Educación

Associate degree

Descripción del empleo

Alight Solutions is looking for a dedicated Claims Operations Manager to guide a claims team in meeting service goals and client commitments. This role emphasizes strategic oversight, accountability, and continuous improvement across STD/LTD programs.

The position requires 3+ years of leadership in claims management, strong communication skills, and the ability to lead a virtual team while maintaining confidentiality and regulatory compliance.