Manager, Appeals – Alight Leave Solutions

Alight Solutions

Appeals Manager leading operations for Alight’s Disability and Absence Management Appeals team. Responsible for ensuring exceptional client service and regulatory compliance while fostering team performance.

Posted 7/22/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $90,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading Appeals teams, ensuring compliance with regulatory requirements, and driving operational efficiency through process improvements. Strong background in claims management and absence management within healthcare or rehabilitation settings.

Highest-signal resume keywords

Leadership In Appeals ManagementClaims Management ExperienceLean Six Sigma CertificationOperational Strategy ImplementationTeam Development And Coaching

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Appeals ManagementClaims ProcessingOperational Performance MonitoringProcess ImprovementRegulatory Compliance

Soft Skills

CoachingMentoringCollaborationAccountabilityEmployee Engagement

Certifications & Qualifications

Lean Six Sigma CertificationDMEC Certification

Industry Keywords

HealthcareRehabilitationAbsence ManagementEmployee ExperienceOperational Discipline

About the role

Key responsibilities & impact

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

What you’ll need

advanced education or similar work experience, additional training, and or certification in DMEC.
experience in leadership of a team of Managers within Appeals.
experience of 5 years in claims/appeals and 3 years leadership in absence management.
experience, education and/or designation in a healthcare, rehabilitation, or medical field.
Lean Six Sigma Certification and or formal Operations Strategy training.

Benefits

Comp & perks

health, dental and vision coverages starting Day One.
wellbeing programs.
retirement plans with contribution matching.
generous time off.
parental leave.
continuing education.
career growth opportunities.
flexible working arrangements.