Alight Inc. (NYSE: ALIT) is a leading cloud-based human capital technology and services provider
Manager, Appeals – Alight Leave Solutions
Location
Illinois
Posted
3 days ago
Salary
$80K - $90K / year
Seniority
Senior
Job Description
Manager, Appeals – Alight Leave Solutions
Alight Solutions
• 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.
Job Requirements
- Have advanced education or similar work experience, additional training, and or certification in DMEC.
- Possess experience in leadership of a team of Managers within Appeals. This position oversees a total organization of roughly 40 professionals.
- Have experience of 5 years in claims/appeals and 3 years leadership in absence management.
- Have experience, education and/or designation in a healthcare, rehabilitation, or medical field.
- Hold 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
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