Remote Claims Operations Manager

Alight Solutions Ltd; New Jersey; Vor Ort; USD 65.000 - 75.000; Vollzeit

Zusammenfassung

Alight Solutions Ltd in New Jersey is seeking a Claims Operations Manager to lead a claims team, ensure service goals, operational metrics, and client commitments are met, and drive productivity and quality across the function.

The role emphasizes strategic oversight, accountability, and continuous improvement, requiring collaboration with Customer Care, Administrative, and Clinical teams, with potential travel to client sites.

Qualifikationen

• Leadership experience of 3+ years in STD/LTD product and claims.
• Ability to manage day-to-day work and projects to meet goals.
• Associate degree or equivalent professional experience.
• Excellent communication and relationship-building skills.
• Supervisory experience with ability to prioritize and assign work.
• Advanced computer skills with Windows and MS Office.
• Strong analytical and business acumen.
• Creative agility to solve complex challenges.

Aufgaben

• Coordinate cross-team communication among Care, Administrative, and Clinical teams.
• Ensure compliance and confidentiality with timely notifications.
• Review documentation to support claim decisions and audits.
• Act as subject matter expert for LOA programs and guidance.
• Lead a virtual team with defined roles and accountability.
• Develop solutions to prevent recurrence of issues.
• Monitor KPIs and ensure service guarantees.
• Oversee daily operations and staff scheduling.
• Respond to client inquiries per standards and participate in meetings.
• Communicate process updates and changes to staff.

Kenntnisse

Leadership

Claims management

Project management

Communication

Supervisory experience

MS Office

Ausbildung

Associate degree

Tools

Windows

Excel

PowerPoint

Outlook

Word

Jobbeschreibung

Alight Solutions Ltd in New Jersey is seeking a Claims Operations Manager to lead a claims team, ensure service goals, operational metrics, and client commitments are met, and drive productivity and quality across the function.

The role emphasizes strategic oversight, accountability, and continuous improvement, requiring collaboration with Customer Care, Administrative, and Clinical teams, with potential travel to client sites.