Job Overview
Location
38 Locations
Job Type
Full-time
Category
Product Management
Date Posted
June 23, 2026
Full Job Description
đź“‹ Description
- • Serve as a Health Pro advocate for members navigating complex healthcare benefits, providing guidance on coverage, claims, deductibles, prior authorizations, and out-of-pocket costs.
- • Translate intricate benefit plan details into clear, actionable instructions for employees who are not benefits experts, ensuring informed healthcare decisions.
- • Gather comprehensive information about member needs to fully understand their healthcare concerns and own resolution of each case from initiation to closure.
- • Educate members on client-provided health benefit programs, including prescription formularies, cost-saving alternatives, and available clinical support resources.
- • Provide provider recommendations, referral guidance, and connections to employer-sponsored health and wellness programs tailored to member needs.
- • Complete accurate cost estimates and communicate claim results, denials, appeals, and escalation timelines with transparency and clarity.
- • Navigate medical bill review outcomes, identify billing errors, and translate savings findings into understandable guidance for members.
- • Draft and submit carrier and client appeals for denied healthcare services, ensuring proper documentation and adherence to procedural requirements.
- • Coordinate pre-service authorization requests and manage records transfers between providers, carriers, and employers to facilitate timely care.
- • Proactively identify unmet clinical needs and connect members with appropriate clinical support services and resources.
- • Deliver timely, empathetic updates to members via phone, email, and digital messaging systems throughout the entire case resolution process.
- • Utilize internal tools and applications to manage cases, track progress, and maintain accurate documentation of all member interactions and resolutions.
- • Partner with insurance carriers and healthcare providers via phone and email to resolve member issues, clarify coverage, and secure necessary approvals.
- • Work exclusively in a remote environment, collaborating with a distributed team while maintaining high standards of communication, accountability, and performance.
- • Apply continuous learning and feedback to improve case resolution efficiency, member satisfaction, and adherence to evolving benefit policies and procedures.
- • Maintain proficiency in MS Office suite to document cases, generate reports, and communicate effectively across digital platforms.
- • Ensure all member interactions reflect Alight’s commitment to inclusion, empathy, and exceptional client service.
🎯 Requirements
- • 2 years of billing/insurance experience, or 3 years’ experience in a billing/insurance/benefits related role
- • Ability to work effectively in a remote team environment
- • Strong problem solving, critical thinking, and analytical skills to comprehend member needs and determine resolution steps
- • Exceptional written communication skills to convey complex benefit concepts to non-experts
- • Proficiency in MS Office suite
- • Ability to efficiently organize work activities to meet deadlines
🏖️ Benefits
- • Health, dental, and vision coverage starting Day One
- • Retirement plans with contribution matching
- • Generous time off and parental leave
- • Continuing education and career growth opportunities
- • Wellbeing programs and flexible working arrangements
- • Recognition as a “Great Place to Work” and Fortune’s “Best Companies to Work For”
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
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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