Health Client Specialist - Claims and Appeals Management at Alight Solutions LLC | The Muse (2024)

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.

About the Role

The Client Manager is the main point of contact for clients ongoing delivery and ad hoc projects. They lead services, provide consulting, and manage requirements to ensure client satisfaction. This role demands dedicated focus on exceptional service delivery and nurturing client relationships.

Responsibilities

• Serving as the main point of contact for both internal and external clients and partners. Responsibilities include delivering claims and appeals services and guidance. Effective communication and understanding of claims and appeals processes are essential.

• Developing a solid understanding of our technology solutions to reduce client and customer effort. Supports the implementation of system enhancements and updates.

• Assisting with the testing and validation of platform functionality for new and transitioning clients.

• Working seamlessly with a global team of colleagues across administration and customer care.

• Acting as the subject matter expert for all service specific and common client requirements. Accountable for requirement changes and documentation.

• Leading internal and external meetings for ongoing delivery and projects, including stewardship reports.

• Managing the delivery of client reporting including non-standard client reporting needs, financial, and operational reports.

• Tracking proper investigation through a variety of information sources to draw conclusions. Able can to identify when to escalate to leadership.

• Reviewing escalated or highly sensitive cases as needed. Supports the claim processing review team by providing feedback on colleagues' research and determination notices.

Requirements

• Possess relevant work experience or bachelor's degree.

• Able to translate concepts to client requirements that drive technological and process solutions to meet client needs.

• Possess 2 years of experience in client management and project management both onsite and virtual.

• Demonstrate analytical, problem-solving, management, coaching and organizational skills.

• Experience in oral, written, and interpersonal communication skills . Able to Facilitate effective conversations with internal and external clients.

• Able to persuade, influence, and negotiate. (Must have a track record of influencing indirect parties to accomplish client objectives).

• Experience with health care claim management.

Flexible Working

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" 5 years in a row.

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.

Salary Pay Range

Minimum :
35,600 USD
Maximum :
56,600 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: https://bit.ly/Alight_Benefits

DISCLAIMER:

Nothing in this job description restricts 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.

Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.

Health Client Specialist - Claims and Appeals Management at Alight Solutions LLC | The Muse (2024)

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