Director Quality
1 month ago
Our story
At Alight, we believe a company’s 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 “Be Alight.”
Our Values:
Champion People – be empathetic and help create a place where everyone belongs.
Grow with purpose – Be inspired by our higher calling of improving lives.
Be Alight – act with integrity, be real and empower others.
It’s why we’re so driven to connect passion with purpose. Our team’s 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:
·Strategic Leadership
§Direct and oversee the quality and training 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 Training and Development:
§Provide expert guidance and consultation to staff on complex claims scenarios.
§Conduct training sessions to enhance technical skills and domain knowledge.
§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).
- MasterBlack Belt is a Must Have.
·**Experience**:
- Minimum 8-10 years of managerial experience in claims operations or 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 a must have.
Benefits
We offer programs and plans for a healthy mind, body, wallet and life because it’s 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 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.
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.
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