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.
(THE ROLE)
Analyst– Quality
The Claims Quality Auditor – FMLA & STD is responsible for evaluating the accuracy, compliance, and quality of leave of absence and disability claims processing. This role ensures adherence to regulatory requirements (including FMLA guidelines), client policies, and internal quality standards, while driving continuous improvement in claims handling and employee experience.
Key Responsibilities
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Conduct detailed audits of FMLA and STD claims to assess accuracy, completeness, and compliance
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Review adherence to timelines, regulatory requirements, and client-specific policies
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Identify defects, compliance gaps, and process deviations in claims handling
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Perform root cause analysis to identify recurring issues and recommend corrective actions
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Provide structured and actionable feedback to case managers and operations teams
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Participate in calibration sessions to ensure audit consistency and scoring alignment
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Prepare audit reports, dashboards, and trend analyses for leadership and clients
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Support internal and external audits, including client and regulatory reviews
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Identify and escalate high-risk compliance issues, including missed timelines or incorrect eligibility decisions
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Ensure proper documentation and audit trail for all claim decisions
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Quality Framework & Metrics
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Audit claims based on predefined scorecards and quality parameters
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Monitor key metrics such as:
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Claims accuracy and decision quality
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Regulatory compliance adherence
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Turnaround time (TAT) adherence
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Documentation completeness
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Customer/employee experience impact
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Contribute to continuous enhancement of audit frameworks and checklists
Required Skills & Competencies
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Strong understanding of FMLA regulations, leave of absence policies
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High attention to detail with strong auditing capability
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Ability to identify trends, risks, and root causes
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Effective stakeholder management
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Strong integrity and objectivity
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Ability to handle sensitive and confidential employee data
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Problem-solving and continuous improvement mindset
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Willingness to learn the entire process and undertake production on a periodic basis.
Eligibility & Knowledge
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Graduate in listed discipline BA, B.Com, BCA ( No Gaps / Failure throughout Graduation)
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Overall, 6 and above years of work experience with LOA claims/ case management
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LOA/ STD Claim experience is preferred
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Ability to work evening/night shifts
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Data analysis and reporting proficiency
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Excellent written and verbal communication
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Ability to deliver clear, constructive, and compliance-focused feedback
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Understanding of the Audit the Auditor process
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Experience using quality audit forms
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MS Excel and reporting tools (Power BI preferred)
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 know 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.
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.
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