Claims Operations Manager – Leave Solutions

🔥 13 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $62k - $80k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.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.

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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 and ensure service goals, operational metrics and client commitments are met • Align corporate objectives with client expectations and team performance to achieve productivity, SLA, quality and customer satisfaction targets • 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 • Serve as Subject Matter Expert for Alight Leave of Absence programs, advising on policies, processes and client requirements • Lead a virtual team, define roles and responsibilities, establish accountability, and build talent and people capability • Support clients by diagnosing root causes of issues, developing solutions and recommending preventive action • Manage team performance against KPIs and service and performance guarantees • Oversee workload distribution, performance management, employee development and goal setting • Respond to client and internal inquiries and participate in client meetings and implementations • Monitor staff schedule adherence and communicate process, procedure 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, 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 current or future visa sponsorship requirement • Successful completion of a background check, as applicable

🏖️ 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