Remote Claims Operations Leader

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

Benefits offered by this job

Flexible working

Remote-friendly

Wellbeing programs

Retirement plan matching

Career growth opportunities

Job summary

Alight Solutions Ltd in the United States seeks a Claims Operations Manager to lead a claims team, align client expectations with operational metrics, and drive productivity and quality. The role emphasizes strategic oversight, engagement, and continuous improvement across STD and FMLA absence programs.

You will coordinate across Customer Care, Administrative, and Clinical teams, ensure compliance, review documentation, and mentor a remote team to meet KPIs while supporting a high-quality client

Qualifications

• Leadership experience of 3+ years in STD/LTD product and claims management.
• Ability to manage day-to-day execution and projects to achieve business goals and special assignments.
• Associate degree or equivalent professional work experience.
• Excellent communication and relationship-building abilities.
• Advanced level computer skills using Windows and MS Office suite (Word, Excel, PowerPoint, Outlook).
• Strong analytical thinking and critical reasoning skills.
• Creative agility to address complex business and technical challenges.

Responsibilities

• Facilitating communication among the Customer Care, Administrative, and Clinical teams.
• Ensuring legal compliance and confidentiality by providing timely notifications to employees and client organizations.
• Reviewing documentation to support claim approvals/denials and responding to audit requests.
• Acting as a Subject Matter Expert for Alight's Leave of Absence programs and client requirements.
• Leading a virtual team, defining roles, and building talent to enable a high-quality culture.
• Providing ongoing client support with diagnostic skills to identify root causes of issues and solutions.
• Managing team performance against KPIs and ensuring service guarantees.
• Overseeing day-to-day operations including workload distribution, performance management, and staff development.
• Responding to client and internal inquiries with timely, professional communication in line with standards.
• Monitoring staff schedule adherence and communicating updates to processes and procedures.

Skills

Leadership

Communication

Supervisory

Analytical thinking

Creative agility

Education

Associate degree

Tools

Windows OS

MS Office

Job description

Alight Solutions Ltd in the United States seeks a Claims Operations Manager to lead a claims team, align client expectations with operational metrics, and drive productivity and quality. The role emphasizes strategic oversight, engagement, and continuous improvement across STD and FMLA absence programs.

You will coordinate across Customer Care, Administrative, and Clinical teams, ensure compliance, review documentation, and mentor a remote team to meet KPIs while supporting a high-quality client