Manager, Appeals-Alight Leave Solutions

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.

With a comprehensive total rewards package, Alight offers programs and plans that support your mind, body, wallet, and life. Benefits include health, dental and vision coverages starting Day One. Additionally, Alight colleagues enjoy wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities – all within a thriving global organization.

So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 6 years in a row.

Thanks to the work of every colleague, Alight has received multiple awards of recognition including “Great Place to Work” for the past 7 years and Fortune’s “Best Companies to Work For.”

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.

• 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.

• 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.

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…