Analyst - Quality
Alight · Indiana
📍 IN-HR-Gurgaon-US Holidays-DLF Cyber Greensvia workday
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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.
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