Manager, Appeals – Alight Leave Solutions

🕒 Julho 27

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $80.000 - $90.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💻 Engenheiro de Soluções

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Alight Solutions

SiteLinkedInTodas as Vagas

10.000+ funcionários

🤝 B2B

🏥 Saúde

☁️ SaaS

💰 $22.500.000 Post-IPO Secondary - Alight Solutions em 2023-08

B2B • Healthcare • SaaS

A Alight Solutions é uma fornecedora líder em administração de benefícios que oferece soluções pontuais de saúde, patrimônio, licença e relacionados a RH para grandes organizações e seus funcionários. A empresa auxilia na gestão da administração de benefícios e dos processos relacionados ao capital humano para empresas, atendendo muitas das maiores organizações do mundo e mais de 30 milhões de pessoas. A Alight também enfatiza papéis em produtos e tecnologia, sustentabilidade corporativa, recompensas totais, com foco em transformar vidas e organizações, maximizando a saúde, o bem-estar financeiro e laboral.

Descrição

• Leading and developing a team of Appeals professionals responsible for STD and LTD appeals. Promoting a positive employee experience while driving engagement, retention, and professional development. • Managing daily operations to ensure timely, accurate, and compliant appeal determinations. • Monitoring operational performance metrics, productivity, quality, service levels, and client commitments. Coaching, mentoring, and developing team members, fostering a culture of accountability, collaboration, and continuous improvement. • Identifying process improvement opportunities and partnering with leadership to implement solutions that improve efficiency and service outcomes. • Collaborating with business partners, compliance, legal, quality, client management, and operational leaders to address issues and support business objectives. • Supporting implementation of operational strategies, initiatives, and organizational priorities. • Ensuring adherence to applicable regulatory requirements, policies, procedures, and internal controls. • Conducting regular team meetings, performance discussions, and workforce planning activities. • Assisting with staffing, capacity planning, training, and onboarding activities to support business needs. Supporting budget objectives through effective resource management and operational discipline. • Managing escalated appeal cases and provide guidance on complex claim situations.

🎯 Requisitos

• Have advanced education or similar work experience, additional training, and or certification in DMEC. • Possess experience in leadership of a team of Managers within Appeals. This position oversees a total organization of roughly 40 professionals. • Have experience of 5 years in claims/appeals and 3 years leadership in absence management. • Have experience, education and/or designation in a healthcare, rehabilitation, or medical field. • Hold Lean Six Sigma Certification and or formal Operations Strategy training.

🏖️ Benefícios

• health, dental and vision coverages starting Day One • wellbeing programs • retirement plans with contribution matching • generous time off • parental leave • continuing education • career growth opportunities