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Job Description

Our story

At Alight, we believe a companyu2019s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and True to our name we encourage colleagues to u201CBe Alight.u201D

Our Values:

Champion People u2013 be empathetic and help create a place where everyone belongs.

Grow with purpose u2013 Be inspired by our higher calling of improving lives.

Be Alight u2013 act with integrity, be real and empower others.

Itu2019s why weu2019re so driven to connect passion with purpose. Our teamu2019s expertise in human insights and cloud technology gives companies and employees around the world the ability to power confident decisions, for life.

With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.

Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.

Learn more at careers.alight.com.

Responsibilities:

u00B7Strategic Leadership

u00A7Direct and oversee the quality function for claims operations

u00A7Work with the Operations Leader in establishing standardized policies and procedures for the administration of insurance claims related to leave absence

u00A7Ensure compliance with industry standards, regulations, and best practices.

u00B7Quality Assurance

u00A7Develop and implement quality assurance processes to enhance claims handling efficiency and accuracy.

u00A7Monitor claims processing, review outcomes, and identify areas for improvement.

u00A7Collaborate with cross-functional teams to address quality gaps.

u00B7Performance Metrics

u00A7Define and track key performance indicators (KPIs) related to claims quality, turnaround time, and customer satisfaction.

u00A7Analyze data to drive continuous improvement initiatives.

u00B7Staff Development:

u00A7Provide expert guidance and consultation to staff on complex claims scenarios.

u00A7Foster a culture of continuous learning and professional growth.

u00B7Stakeholder Communication

u00A7Collaborate with senior management, underwriters, and other departments to align quality goals.

u00A7Communicate quality-related updates and initiatives to internal and external stakeholders.

u00B7Risk Management:

u00A7Mitigate risks associated with claims processing errors, fraud, and non-compliance.

u00A7Implement preventive measures and corrective actions.

u00B7Budgeting and Resource Allocation:

u00A7Develop and manage budgets for quality assurance programs.

u00A7Allocate resources effectively to achieve quality objectives.

u00B7Process Optimization:

u00A7Identify bottlenecks and streamline claims workflows.

u00A7Implement technology solutions to enhance efficiency through automation.

u00B7Continuous Improvement:

u00A7Stay informed about industry trends, emerging technologies, and regulatory changes.

u00A7Drive innovation and adapt best practices to improve claims operations.

Qualifications:

u00B7..Education..:

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

- Master Black Belt certification is a Must Have.

u00B7..Experience..:

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

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

u00B7Skills:

- 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 a must have.

Benefits

We offer programs and plans for a healthy mind, body, wallet and life because itu2019s important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as a number of voluntary benefit options.

By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alightu2019s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.

Our commitment to Diversity and Inclusion

Alight is committed to diversity, equity, and 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.

Diversity 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 and advance in the employment of qualified minorities, women, 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 a reasonable accommodation/modification by contacting his/her 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.

We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.


DISCLAIMER:


Nothing in this job description restricts 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.

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About Company

At Alight | NGA Human Resources our mission is to make HR work better. We help organizations worldwide pioneer digital HR, master payroll, ensure compliance, unlock workforce data, and deliver best-in-class HR operations. As a result, HR leaders can create better employee experiences, save money, and transform their organizations.We enable our clients to become better employers by designing, deploying, maintaining and operating HR as a service. Our HR business process services cover workforce management, time and attendance, local and global payroll, talent administration, and people analytics.

Job ID: 143397109