About the Role

The Appeals Manager is responsible for leading the day-to-day operations of Alight's Disability and Absence Management Appeals team. This role oversees the administration and quality of appeals across Short-Term Disability and Long-Term Disability (LTD) programs. The Appeals Manager provides leadership, coaching, and operational oversight to ensure exceptional client service, regulatory compliance, quality outcomes, and team performance.

Responsibilities

• 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.

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 or 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.

Application and Interview

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 Alight's 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.

Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations.

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

Salary Pay Range

Minimum :
80,000.00 USD
Maximum :
90,000.00 USD

Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate's experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - Alight