Claims Operations Manager

🔥 2 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $65k - $75k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

🤝 B2B

🏥 Healthcare

☁️ SaaS

💰 $22.5M Post-IPO Secondary - Alight Solutions on 2023-08

B2B • Healthcare • SaaS

Alight Solutions is a leading benefits administration provider that delivers health, wealth, leave, and related HR point solutions for large organizations and their employees. The company helps manage benefits administration and human capital-related processes for enterprises, serving many of the world’s largest organizations and over 30 million people. Alight also emphasizes product and technology roles, corporate sustainability, total rewards, and a focus on transforming lives and organizations by maximizing health, financial and work wellbeing.

📋 Description

• Oversee a claims team to meet service goals, operational metrics, and client commitments • Facilitate communication among Customer Care, Administrative, and Clinical teams, employees, client companies, healthcare providers, and clinical partners for STD and FMLA absence programs • Ensure legal compliance and confidentiality through timely notifications to employees and client organizations • Review documentation supporting claim approvals and denials and respond to audit requests • Act as a Subject Matter Expert for Alight’s Leave of Absence programs • Provide guidance on policies, processes, and client requirements • Ensure accurate, compliant service delivery and help resolve complex cases • Lead a virtual team by defining roles, responsibilities, and accountabilities • Build talent and people capability to support a high-quality culture • Support clients by diagnosing root causes of issues and developing solutions to prevent recurrence • Manage team performance against KPIs and ensure service and performance guarantees are achieved • Oversee workload distribution, performance management, employee development, and goal setting • Respond to client and internal inquiries according to established communication standards • Participate in client meetings and implementations • Monitor staff schedule adherence and communicate new or updated processes, procedures, and operational changes

🎯 Requirements

• 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 business goals and special assignments • Associate degree or equivalent professional work experience • Excellent communication and relationship-building abilities • Previous supervisory experience and ability to prioritize and assign work • Advanced computer skills using Windows and Microsoft Office suite, including Word, Excel, PowerPoint, and Outlook • Technical proficiency using technology, data, and business tools to foster innovation, boost efficiency, support decision-making, and enhance customer experience • Expert critical thinking skills with proven analytical business acumen • Creative agility to address complex business and technical challenges • Work authorization in the employing country without requiring current or future visa sponsorship • Successful completion of applicable background checks

🏖️ Benefits

• 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 wherever possible • Occasional travel to physical office locations may be required • Competitive total rewards package • Bonus and/or incentive eligibility determined by role and level • Reasonable accommodations for persons with disabilities and sincerely held religious beliefs, practices, and observances

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume