Remote Claims Operations Leader (STD/LTD)

Alight Solutions Ltd; New Hampshire; Híbrido; USD 65.000 - 75.000; Jornada completa

Descripción de la vacante

Alight Solutions is seeking a Claims Operations Manager to oversee a claims team, ensuring service goals, KPIs, and client commitments are met. This role emphasizes strategic oversight, accountability, engagement, and continuous improvement, aligning client expectations with team performance.

The position involves leading a virtual team, providing expert guidance on Leave of Absence programs, and ensuring compliant service delivery. Occasional travel to office locations may be required.

Formación

• Leadership experience of three or more years in STD/LTD product and claims management knowledge.
• 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.
• Previous supervisory experience and the ability to prioritize and assign work.
• Advanced computer skills using Windows and Microsoft Office.
• Technical proficiency with data, technology, and business tools to foster innovation and customer experience.
• Analytical thinking skills with strong business acumen.
• Creative agility to address complex business and technical challenges.

Responsabilidades

• Facilitating communication among the Customer Care, Administrative, and Clinical teams and with employees, client companies, providers, and partners.
• Ensuring legal compliance and confidentiality by providing timely notifications to employees and client organizations.
• Reviewing documentation to support claim approvals and denials and responding to audit requests.
• Acting as a Subject Matter Expert for Alight's Leave of Absence programs and guiding policies and processes.
• Leading a virtual team, defining roles and responsibilities, and establishing direct accountabilities.
• Providing ongoing client support with diagnostic skills to identify root causes and propose solutions.
• Managing team performance against KPIs and ensuring service guarantees are met.
• Overseeing day-to-day operations including workload, performance management, and development.
• Responding to client and internal inquiries with appropriate communication style and attending meetings.
• Monitoring staff schedules and communicating process updates.

Conocimientos

Leadership

Claims management

Communication

Supervisory experience

Microsoft Office

Analytical thinking

Technical adaptability

Creative problem solving

Educación

Associate degree

Herramientas

Windows

Microsoft Office

Descripción del empleo

Alight Solutions is seeking a Claims Operations Manager to oversee a claims team, ensuring service goals, KPIs, and client commitments are met. This role emphasizes strategic oversight, accountability, engagement, and continuous improvement, aligning client expectations with team performance.

The position involves leading a virtual team, providing expert guidance on Leave of Absence programs, and ensuring compliant service delivery. Occasional travel to office locations may be required.