Analyst - Quality at ALIGHT SOLUTIONS LLC

Gurgaon, haryana, India -

Full Time

Start Date

Immediate

Expiry Date

27 Aug, 26

Salary

0.0

Posted On

29 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

FMLA Regulations, STD Claims Processing, Quality Auditing, Root Cause Analysis, Stakeholder Management, Data Analysis, Reporting, MS Excel, Power BI, Compliance Monitoring, Case Management, Audit Frameworks

Industry

Human Resources Services

Description

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 Conduct detailed audits of FMLA and STD claims to assess accuracy, completeness, and compliance Review adherence to timelines, regulatory requirements, and client-specific policies Identify defects, compliance gaps, and process deviations in claims handling Perform root cause analysis to identify recurring issues and recommend corrective actions Provide structured and actionable feedback to case managers and operations teams Participate in calibration sessions to ensure audit consistency and scoring alignment Prepare audit reports, dashboards, and trend analyses for leadership and clients Support internal and external audits, including client and regulatory reviews Identify and escalate high-risk compliance issues, including missed timelines or incorrect eligibility decisions Ensure proper documentation and audit trail for all claim decisions Quality Framework & Metrics Audit claims based on predefined scorecards and quality parameters Monitor key metrics such as: Claims accuracy and decision quality Regulatory compliance adherence Turnaround time (TAT) adherence Documentation completeness Customer/employee experience impact Contribute to continuous enhancement of audit frameworks and checklists Required Skills & Competencies Strong understanding of FMLA regulations, leave of absence policies High attention to detail with strong auditing capability Ability to identify trends, risks, and root causes Effective stakeholder management Strong integrity and objectivity Ability to handle sensitive and confidential employee data Problem-solving and continuous improvement mindset Willingness to learn the entire process and undertake production on a periodic basis. Eligibility & Knowledge Graduate in listed discipline BA, B.Com, BCA ( No Gaps / Failure throughout Graduation) Overall, 6 and above years of work experience with LOA claims/ case management LOA/ STD Claim experience is preferred Ability to work evening/night shifts Data analysis and reporting proficiency Excellent written and verbal communication Ability to deliver clear, constructive, and compliance-focused feedback Understanding of the Audit the Auditor process Experience using quality audit forms 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. . About Alight Solutions Alight is a leading cloud-based human capital technology and services provider that powers confident health, wealth and wellbeing decisions for 36 million people and dependents. Our Alight Worklife® platform combines data and analytics with a simple, seamless user experience. Supported by our global delivery capabilities, Alight Worklife is transforming the employee experience for people around the world. With personalized, data-driven health, wealth, pay and wellbeing insights, Alight brings people the security of better outcomes and peace of mind throughout life’s big moments and most important decisions. Learn how Alight unlocks growth for organizations of all sizes at alight.com. Our values are the essence of who we are: Champion people. We are empathetic and have created a place where everyone belongs. And we win together. Grow with purpose. We are inspired by our higher calling. We fail forward and choose progress over perfection. We are brave, show grit and grow our whole selves. Be Alight. We are a beacon that empowers others. We act with integrity and are real. And we find ways to add joy. Our Colleague Experience At Alight Solutions, we are reimaging how people and organizations thrive. To deliver on this purpose, we do things differently. From company leaders to our newest colleagues, we all play a role in bringing our values to life. Every colleague shapes how Alight can become better, stronger and brighter – together. With technology as our catalyst and humanity at our core, we advance each day toward a better future in work and life. We understand the powerful human connections that create success for organizations. We bring an industry leader's expertise and a true partner's commitment to our benefits and administration solutions around health, wealth, HR, finance and consumer experience. Are you interested in helping us shape the future of work and life for organizations, people and their families? If so, you've come to the right place. Help us reimagine how people and organizations thrive! Our story starts with a simple, universal truth: Every business is a people business. We are Alight Solutions. Reimagining how people and organizations thrive. @AlightSolutions

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Responsibilities

The role involves auditing FMLA and STD claims to ensure accuracy, regulatory compliance, and adherence to client policies. It also requires performing root cause analysis and providing actionable feedback to operations teams to drive continuous improvement.