Director, Claims Management – Alight Leave Solutions

🔥 1 minute ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $135k - $165k / year

⏰ Full Time

🔴 Lead

👔 Director

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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

• Lead the strategic direction and operational execution of STD, LOA, ADA, and LTD claims services, including rehabilitation and/or clinical services as applicable • Lead and develop an organization of approximately 100 professionals, including managers and other leaders • Develop and execute business strategies to strengthen service delivery, operational capabilities, and sustainable growth • Establish and monitor performance metrics, service standards, and accountability measures • Ensure accurate and effective claims management with a focus on return-to-work outcomes • Partner with senior leaders, clients, technology teams, vendors, and cross-functional stakeholders to identify gaps and implement solutions • Anticipate industry trends, business needs, and operational challenges; develop strategies for emerging opportunities and risks • Evaluate technology, platforms, and business solutions to improve claims processes, operational efficiency, and client and participant experience • Manage departmental budgets, workforce planning, and resources • Maintain regulatory compliance, risk management, and internal controls while fostering continuous improvement

🎯 Requirements

• 10+ years of experience in claims, disability, leave, absence management, or a related field • Minimum of 7 years of leadership experience within absence management, disability, or claims operations • Experience leading managers and large-scale operational teams, preferably organizations of approximately 100 or more professionals • Extensive knowledge of STD, LTD, LOA, ADA, disability claims, absence management, and return-to-work practices • Understanding of regulatory compliance, risk management, internal controls, and claims administration best practices • Experience developing and executing operational and business strategies within a complex, service-oriented organization • Experience establishing and managing KPIs, service-level expectations, operational metrics, and performance accountability • Executive-level communication and relationship-management skills with clients, senior leaders, and cross-functional stakeholders • Bachelor’s degree, advanced education, or an equivalent combination of education, professional training, and relevant experience • DMEC certification or related absence/disability training preferred • Lean Six Sigma certification and/or formal Operations Strategy training preferred • Must have work authorization in the United States that does not now or in the future require visa sponsorship

🏖️ 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 • Competitive total rewards package • Continuing education and training

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