[Hiring] Director of Claims Management @Alight

Role Description

The Director of Claims Management is responsible for setting the strategic vision and leading the execution of Alight’s Disability and Absence Management Claims Services. This leader will oversee STD, LOA, ADA, and LTD claim operations, ensuring high-quality, compliant, and client-focused service delivery. The role provides leadership across a large, complex claims organization and is accountable for operational strategy, performance, regulatory compliance, financial management, continuous improvement, and organizational growth.

Responsibilities

• Leading the strategic direction and operational execution of STD, LOA, ADA, and LTD claims services, including rehabilitation and/or clinical services as applicable.
• Leading and developing a large organization of approximately 100 professionals, including managers and other leaders.
• Developing and executing business strategies that strengthen service delivery, operational capabilities, and sustainable growth.
• Establishing and monitoring performance metrics, service standards, and accountability measures to drive quality, productivity, and client satisfaction.
• Ensuring accurate and effective claims management while maintaining a strong focus on return-to-work outcomes.
• Partnering with senior leaders, clients, technology teams, vendors, and cross-functional stakeholders to identify gaps and implement effective solutions.
• Anticipating industry trends, business needs, and operational challenges and developing strategies to address emerging opportunities and risks.
• Evaluating technology, platforms, and business solutions that improve claims processes, operational efficiency, and the overall client and participant experience.
• Managing departmental budgets, workforce planning, and resources to support operational performance and responsible growth.
• Maintaining regulatory compliance, risk management, and internal controls while fostering a culture of trust, accountability, collaboration, and continuous improvement.

Qualifications

• 10+ years of experience in claims, disability, leave, absence management, or a related field.
• Minimum of 7 years of leadership experience within absence management, disability, or claims operations.
• Experience leading managers and large-scale operational teams, preferably organizations of approximately 100 or more professionals.
• Extensive knowledge of STD, LTD, LOA, ADA, disability claims, absence management, and return-to-work practices.
• Excellent understanding of regulatory compliance, risk management, internal controls, and claims administration best practices.
• Proven experience developing and executing operational and business strategies within a complex, service-oriented organization.
• Experience establishing and managing KPIs, service-level expectations, operational metrics, and performance accountability.
• Dynamic executive-level communication and relationship-management skills with the ability to partner effectively with clients, senior leaders, and cross-functional stakeholders.
• Bachelor’s degree, advanced education, or an equivalent combination of education, professional training, and relevant experience; DMEC certification or related absence/disability training preferred.
• Lean Six Sigma certification and/or formal Operations Strategy training preferred, with demonstrated strength in continuous improvement and change management.

Requirements

• 10+ years of experience in claims, disability, leave, absence management, or a related field.
• Minimum of 7 years of leadership experience within absence management, disability, or claims operations.
• Experience leading managers and large-scale operational teams, preferably organizations of approximately 100 or more professionals.
• Extensive knowledge of STD, LTD, LOA, ADA, disability claims, absence management, and return-to-work practices.
• Excellent understanding of regulatory compliance, risk management, internal controls, and claims administration best practices.
• Proven experience developing and executing operational and business strategies within a complex, service-oriented organization.
• Experience establishing and managing KPIs, service-level expectations, operational metrics, and performance accountability.
• Dynamic executive-level communication and relationship-management skills with the ability to partner effectively with clients, senior leaders, and cross-functional stakeholders.
• Bachelor’s degree, advanced education, or an equivalent combination of education, professional training, and relevant experience; DMEC certification or related absence/disability training preferred.
• Lean Six Sigma certification and/or formal Operations Strategy training preferred, with demonstrated strength in continuous improvement and change management.

Benefits

• Comprehensive total rewards package.
• Health, dental, and vision coverages starting Day One.
• Wellbeing programs.
• Retirement plans with contribution matching.
• Generous time off.
• Parental leave.
• Continuing education and career growth opportunities.
• Flexible working arrangements.