Director - Quality

Our Story

At Alight, we believe a company's success starts with its people. Alight embraces values that come directly from our people – purposeful, human, united and growth-minded – reflecting our inclusive culture and promise that our clients expect. We are passionate about connecting purpose with impact. Alight empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management.

We invite you to join our team! Learn more at careers.alight.com.

Director - Quality

Strategic Leadership

• Direct and oversee the quality function for claims operations
• Work with the Operations Leader in establishing standardized policies and procedures for the administration of insurance claims related to leave absence
• Ensure compliance with industry standards, regulations, and best practices.

Quality Assurance

• Develop and implement quality assurance processes to enhance claims handling efficiency and accuracy.
• Monitor claims processing, review outcomes, and identify areas for improvement.
• Collaborate with cross-functional teams to address quality gaps.

Performance Metrics

• Define and track key performance indicators (KPIs) related to claims quality, turnaround time, and customer satisfaction.
• Analyze data to drive continuous improvement initiatives.

Staff Development:

• Provide expert guidance and consultation to staff on complex claims scenarios.
• Foster a culture of continuous learning and professional growth.

Stakeholder Communication

• Collaborate with senior management, underwriters, and other departments to align quality goals.
• Communicate quality-related updates and initiatives to internal and external stakeholders.

Risk Management:

• Mitigate risks associated with claims processing errors, fraud, and non-compliance.
• Implement preventive measures and corrective actions.

Budgeting and Resource Allocation:

• Develop and manage budgets for quality assurance programs.
• Allocate resources effectively to achieve quality objectives.

Process Optimization:

• Identify bottlenecks and streamline claims workflows.
• Implement technology solutions to enhance efficiency through automation.

Continuous Improvement:

• Stay informed about industry trends, emerging technologies, and regulatory changes.
• Drive innovation and adapt best practices to improve claims operations.

Qualifications:

Education**

Masters/Bachelor's degree in a relevant field (e.g., Business Administration, Insurance, Quality Management).

- Master Black Belt/ certification is preferred

Experience**:

- Minimum 15 years of managerial experience in claims operations & quality management.

- Deep understanding of claims processes, insurance policies, and risk assessment.

Skills:

- Strong analytical skills and attention to detail.

- Excellent communication and leadership abilities.

- Proficiency in using claims management software and data analytics tools.

- MBB Certification in quality management (e.g., Six Sigma, Lean) is preferred.

Our commitment to Inclusion

We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.

At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future.

As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact [Confidential Information].

Equal Opportunity Policy Statement

Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans.

Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request reasonable accommodations/modifications by contacting their recruiter.

Authorization to work in the Employing Country

Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight.

Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.