Remote Claims Operations Leader

Alight Solutions Ltd; Tennessee; Híbrido; USD 65.000 - 75.000; Jornada completa

Descripción de la vacante

Alight Solutions Ltd in the United States seeks a Claims Operations Manager to oversee a claims team, aligning service goals with client commitments and driving productivity, SLA, quality, and customer satisfaction targets.

You will lead a virtual team, ensure compliance, and collaborate with Care, Administrative and Clinical teams to support STD and FMLA programs, delivering high-quality service and client value.

Formación

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

Responsabilidades

• Facilitating communication among the Customer Care, Administrative, and Clinical teams.
• Ensuring legal compliance and confidentiality by providing timely notifications.
• Reviewing documentation to support claim approvals and denials and respond to audits.
• Acting as a Subject Matter Expert for Leave of Absence programs and guiding policies.
• Leading a virtual team with defined roles and direct accountabilities.
• Providing ongoing client support with diagnostic skills to identify root causes.
• Managing team performance against KPIs and guaranteeing service levels.
• Overseeing day-to-day operations, workload, development, and goal setting.
• Responding to client inquiries with appropriate style and communication.
• Monitoring staff schedule adherence and disseminating process updates.

Conocimientos

Leadership

Communication

Supervisory experience

Analytical skills

Windows OS

Educación

Associate degree or equivalent

Herramientas

Windows OS

Microsoft Office Suite

Descripción del empleo

Alight Solutions Ltd in the United States seeks a Claims Operations Manager to oversee a claims team, aligning service goals with client commitments and driving productivity, SLA, quality, and customer satisfaction targets.

You will lead a virtual team, ensure compliance, and collaborate with Care, Administrative and Clinical teams to support STD and FMLA programs, delivering high-quality service and client value.