Remote Claims Operations Manager (STD/LTD)

Alight Solutions Ltd; South Dakota; Remote; USD 65,000 - 75,000; Full time

Benefits offered by this job

Wellbeing programs

Retirement plan with matching

Career growth opportunities

Continuing education

Job summary

Alight Solutions Ltd is seeking a Claims Operations Manager to lead a claims team, ensuring service goals, metrics, and client commitments are met. The role emphasizes oversight, accountability, and continuous improvement for productivity, SLA, quality, and customer satisfaction.

Responsibilities include guiding cross-functional teams, maintaining regulatory compliance, and driving performance through KPIs while managing day-to-day operations and staff development.

Qualifications

• 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 goals.
• Associate degree or equivalent professional work experience.

Responsibilities

• Coordinate communication among Customer Care, Administrative, and Clinical teams.
• Ensure compliance and confidentiality by informing employees and clients.
• Review documentation to support claim approvals/denials and respond to audits.

Skills

Leadership experience

Communication skills

Supervisory experience

Microsoft Office

Analytical skills

Problem solving

Education

Associate degree

Tools

Windows

Office suite

Job description

Alight Solutions Ltd is seeking a Claims Operations Manager to lead a claims team, ensuring service goals, metrics, and client commitments are met. The role emphasizes oversight, accountability, and continuous improvement for productivity, SLA, quality, and customer satisfaction.

Responsibilities include guiding cross-functional teams, maintaining regulatory compliance, and driving performance through KPIs while managing day-to-day operations and staff development.