Remote Claims Operations Manager

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

Benefits offered by this job

Health benefits

Dental coverage

Vision coverage

Wellbeing programs

Retirement matching

Generous PTO

Parental leave

Continuing education

Career growth

Job summary

Alight Solutions Ltd is seeking a Claims Operations Manager to lead a multidisciplinary claims team, ensuring service goals, operational metrics and client commitments are met. The role emphasizes strategic oversight, accountability and continuous improvement to align objectives with client expectations.

The manager will guide a virtual team, drive productivity, and maintain KPI performance while fostering a high-quality culture and strong client relationships.

Qualifications

• 3+ years of leadership in STD/LTD product and claims management.
• Proven ability to manage day-to-day execution and projects.
• Associate degree or equivalent experience.
• Excellent communication and relationship-building abilities.
• Previous supervisory experience and the ability to prioritize work.
• Advanced computer skills including Word, Excel, PowerPoint and Outlook.
• Technical proficiency with data, technology and business tools.

Responsibilities

• Lead a virtual team, define roles and direct accountabilities to meet KPIs and SLAs.
• Facilitate cross-functional communication among care, administrative and clinical teams.
• Ensure regulatory compliance and confidentiality with timely employee/client notifications.
• Review documentation to support claim decisions and respond to audits.
• Act as SME for Alights Leave of Absence programs and guidance on policies.
• Provide ongoing client support, diagnose root causes of issues and recommend solutions.
• Oversee daily operations including workload, performance, and development.
• Maintain staff schedule adherence and communicate process updates.
• Respond to inquiries promptly, participate in client meetings and implementations.

Skills

Leadership

Communication

Project management

Analytical thinking

Strategic planning

Team building

Education

Associate degree

Tools

Windows

MS Office

Job description

Alight Solutions Ltd is seeking a Claims Operations Manager to lead a multidisciplinary claims team, ensuring service goals, operational metrics and client commitments are met. The role emphasizes strategic oversight, accountability and continuous improvement to align objectives with client expectations.

The manager will guide a virtual team, drive productivity, and maintain KPI performance while fostering a high-quality culture and strong client relationships.