Manager, Appeals – Alight Leave Solutions

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $80k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💻 Solutions Engineer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2016

🏢 Enterprise

👥 HR Tech

☁️ SaaS

Enterprise • HR Tech • SaaS

Alight Solutions is a leading cloud-based human capital technology and services provider serving some of the world's largest organizations and over 35 million people and dependents. The company focuses on transforming lives and organizations by enhancing health, financial, and work wellbeing. Alight offers a wide range of services, including customer care, technology roles, consulting, application services, and business support, with opportunities for virtual or work-from-home positions. The company emphasizes corporate social responsibility and providing a positive impact on clients, colleagues, and communities.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ 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.