Manager, Appeals – Alight Leave Solutions

🕒 Julho 22

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $80.000 - $90.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💻 Engenheiro de Soluções

🦅 Patrocina Visto H1B

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Alight Solutions

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 2016

💼 Consultoria

🏥 Saúde

📦 Logística

Consulting • Healthcare • Logistics

A Alight Solutions é uma provedora líder de tecnologia e serviços de capital humano baseada em nuvem, atendendo algumas das maiores organizações do mundo e mais de 35 milhões de pessoas e dependentes. A empresa se concentra em transformar vidas e organizações ao melhorar a saúde, o bem-estar financeiro e no trabalho. A Alight oferece uma ampla gama de serviços, incluindo atendimento ao cliente, funções tecnológicas, consultoria, serviços de aplicação e suporte empresarial, com oportunidades para posições virtuais ou trabalho remoto. A empresa enfatiza a responsabilidade social corporativa e o impacto positivo nos clientes, colegas e comunidades.

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

• advanced education or similar work experience, additional training, and or certification in DMEC. • experience in leadership of a team of Managers within Appeals. • experience of 5 years in claims/appeals and 3 years leadership in absence management. • experience, education and/or designation in a healthcare, rehabilitation, or medical field. • 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. • flexible working arrangements.