Alight, Inc. logo

Claims Operations Director- Appeals-Alight Leave Solutions

Job Overview

Location

US-IL-Illinois-Virtual

Job Type

Full-time

Category

Operations

Date Posted

April 15, 2026

Full Job Description

📋 Description

  • Lead the Appeals service team within Absence Management, overseeing LOA, STD, ADA, and LTD appeals processes to ensure accurate, compliant, and timely resolution of claims.
  • Develop and execute strategic business plans that align with market needs, drive process improvements, and anticipate future trends in claims and appeals management.
  • Collaborate with cross-functional teams and external partners to identify gaps, integrate technology solutions, and enhance service delivery across platforms.
  • Manage departmental budget, performance metrics, and team development for a team of approximately 40 professionals, fostering accountability, trust, and continuous improvement.
  • Ensure regulatory compliance and internal controls are maintained by partnering with Risk and Compliance teams to uphold legal and procedural standards.
  • Contribute to Alight’s mission of building a healthier, more financially secure workforce by advancing excellence in absence management and claims operations.
  • Join a recognized leader in flexible work and workplace culture, honored as a ‘Great Place to Work’ for seven consecutive years and a top remote employer.

🎯 Requirements

  • Minimum 10 years of experience in claims and appeals management.
  • At least 7 years of leadership experience in absence management.
  • Demonstrated expertise in healthcare, rehabilitation, or a related medical field.
  • Lean Six Sigma certification or formal training in operations strategy.
  • Proven experience leading a team of managers, overseeing a workforce of approximately 40 professionals.

🏖️ Benefits

  • Comprehensive health, dental, and vision coverage effective from day one.
  • Retirement plans with company matching contributions.
  • Generous paid time off, parental leave, and wellbeing programs.
  • Access to continuing education and career development opportunities.
  • Flexible work arrangements, including remote eligibility, as part of a top-ranked flexible workplace.

Skills & Technologies

Angular
Remote

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About Alight, Inc.

Alight, Inc. is a leading cloud-based provider of integrated benefits solutions. The company offers a comprehensive suite of services designed to help employers manage their employee benefits programs effectively. These services include health and wellbeing solutions, retirement plan administration, payroll services, and financial wellbeing tools. Alight focuses on leveraging data and technology to personalize employee experiences, improve health outcomes, and drive financial security for individuals and their families. They serve a diverse range of clients, from small businesses to large enterprises, aiming to simplify complex benefits landscapes and empower employees to make informed decisions about their health, wealth, and wellbeing.

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