Strategic Claims Operations Manager (Remote)

Alight Solutions Ltd; Missouri; On-site; USD 65,000 - 75,000; Full time

Job summary

Alight Solutions is seeking a Claims Operations Manager to oversee a claims team, align client expectations with performance, and drive productivity and quality. The role emphasizes strategic oversight, accountability, and continuous improvement across service levels.

You will lead cross-functional collaboration, manage KPIs, and ensure compliant, high-quality service delivery while supporting client needs and organizational goals.

Qualifications

• Leadership experience of 3+ years in STD/LTD product and claims management.
• 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 ability to prioritize and assign work.
• Advanced level computer skills using Windows and MS Office suite (Word, Excel, PowerPoint, Outlook).
• Strong analytical thinking and business acumen with technical proficiency.

Responsibilities

• Facilitate communication among Customer Care, Administrative, and Clinical teams and external partners.
• Ensure legal compliance and confidentiality in notifications to employees and client organizations.
• Review documentation to support claim approvals/denials and respond to audits.
• Act as Subject Matter Expert for Leave of Absence programs and advise on policies and processes.
• Lead a virtual team, define roles, and build talent to meet business goals and culture.
• Provide ongoing client support and diagnose issues to prevent recurrence.
• Manage team performance against KPIs and ensure service guarantees are met.
• Oversee day-to-day operations including workload distribution, development, and goal setting.
• Respond to client and internal inquiries promptly with professional communication.
• Monitor schedule adherence and communicate process changes.

Skills

Leadership

Communication

Supervisory

MS Office

Analytical thinking

Tech savvy

Creative problem solving

Education

Associate degree

Tools

Windows OS

Microsoft Office

Job description

Alight Solutions is seeking a Claims Operations Manager to oversee a claims team, align client expectations with performance, and drive productivity and quality. The role emphasizes strategic oversight, accountability, and continuous improvement across service levels.

You will lead cross-functional collaboration, manage KPIs, and ensure compliant, high-quality service delivery while supporting client needs and organizational goals.