Claims Consultant Leave & Disability

Voya Financial; Tennessee Ridge (TN); On-site; USD 63,000 - 106,000; Full time

Benefits offered by this job

Health, dental, vision and life plans

401(k) Savings plan with company match

Voya Retirement Plan

Tuition reimbursement

Paid time off including holidays

Volunteer time

Job summary

Voya Financial is seeking a Claims Consultant to serve as a technical expert for complex leave claims (STD, FMLA, PFL) within the Leave Management department. You will be the SME for leave policies and act as a legal liaison in depositions/arbitrations, guiding staff with development and consistent claim handling.

You will analyze claim data, maintain SLA, and support improvement initiatives while communicating with internal and external stakeholders to enhance client satisfaction.

Qualifications

• High School diploma or GED.
• 5 years of experience in claim management (STD, FMLA, PPL, PFL).
• 2 years of experience with Client Escalation – Resolution strategies.
• Ability to analyze data and provide actionable insights based on client needs.
• Strong decision making and critical thinking skills.
• Excellent customer service and interpersonal abilities.
• Proficiency in Microsoft Office 365, including Outlook.
• Strong written and oral communication capabilities.

Responsibilities

• Represent the company in depositions and arbitrations.
• Manage complex/non-complex disability and leave claims with accuracy and timeliness.
• Provide mentorship and guidance to claim staff, supporting development and consistency in claim handling.
• Serve as a SME on leave policies and procedures.
• Analyze claim data to identify trends and provide actionable insights.
• Maintain service level agreements (SLA).
• Support continuous improvement initiatives and special projects across the department.
• Communicate professionally with internal and external stakeholders via phone and email.

Skills

Data analysis

Customer service

Communication

Outlook

MS Office 365

Cross-functional collaboration

Problem solving

Education

High School diploma or GED

Bachelor Degree

Tools

Outlook

Microsoft Office 365

Job description

Together we fight for everyone’s opportunity for a better financial future.

We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future. We know that reaching this future depends on our actions today.

Like our Purpose Statement, Voya believes in being bold and committed to action. We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully bringing our differences together to positively influence our culture, serve our clients and enrich our communities is essential to our vision.

Get To Know The Opportunity

As a Claims Consultant supporting the Voya Leave Management (VLM) department, you will serve as a technical expert for complex claims. You will need to be a Subject Matter Expert in STD, Statutory, FMLA and other paid/unpaid leave policies. You will be considered a Legal Liaison and representative for depositions/arbitrations. You will need to proactively develop action plans to help improve process gaps.

The Contributions You’ll Make

• Legal Liaison Duties
  • Represent the company in depositions and arbitrations
  • Act as a bridge between legal teams and claims operations
• Claims Expertise
  • Manage complex/non-complex disability and leave claims with accuracy and timeliness
  • Provide mentorship and guidance to claim staff, supporting development and consistency in claim handling
  • Serve as a SME on leave policies and procedures
• Operational Excellence
  • Analyze claim data to identify trends and provide actionable insights
  • Maintain service level agreements (SLA)
  • Support continuous improvement initiatives and special projects across the department
• Communication & Relationship Management
  • Communicate professionally with internal and external stakeholders via phone and email
  • Build and maintain strong relationships to support client satisfaction and operational goals.

Knowledge & Experience

• High School diploma or GED
• 5 years of experience in claim management (STD, FMLA, PPL, PFL)
• 2 years of experience with Client Escalation – Resolution strategies
• Ability to analyze data and provide actionable insights based on client needs
• Strong decision making and critical thinking skills
• Excellent customer service and interpersonal abilities
• Ability to analyze data and provide actionable insights based on client needs
• Proficiency in Microsoft Office 365, including Outlook.
• Strong written and oral communication capabilities
• Proven critical thinking and problem solving
• High attention to detail and accuracy
• Ability to prioritize tasks and manage time effectively in a fast-paced environment.
• Collaborative mindset with the ability to work cross-functionally.

Preferred Knowledge & Experience

• Bachelor Degree

Compensation Pay Disclosure

Voya is committed to pay that’s fair and equitable, which means comparable pay for comparable roles and responsibilities.

The below annual base salary range reflects the expected hiring range(s) for this position in the location(s) listed. In addition to base salary, Voya offers incentive opportunities (i.e., annual cash incentives, sales incentives, and/or long-term incentives) based on the role to reward the achievement of annual performance objectives. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Voya Financial is willing to pay at the time of this posting.

Actual compensation offered may vary from the posted salary range based upon the candidate’s geographic location, work experience, education, licensure requirements and/or skill level and will be finalized at the time of offer. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.

$63,470 - $105,800 USD

Be Well. Stay Well.

Voya provides the resources that can make a difference in your lives. To us, this means thriving physically, financially, socially and emotionally. Voya benefits are designed to help you do just that. That’s why we offer an array of plans, programs, tools and resources with one goal in mind: To help you and your family be well and stay well.

What We Offer

• Health, dental, vision and life insurance plans
• 401(k) Savings plan – with generous company matching contributions (up to 6%)
• Voya Retirement Plan – employer paid cash balance retirement plan (4%)
• Tuition reimbursement up to $5,250/year
• Paid time off – including 20 days paid time off, nine paid company holidays and a flexible Diversity Celebration Day.
• Paid volunteer time — 40 hours per calendar year

Learn More About Voya Benefits (download PDF)

Critical Skills

• Customer Focused: Passionate drive to delight our customers and offer unique solutions that deliver on their expectations.
• Critical Thinking: Thoughtful process of analyzing data and problem solving data to reach a well-reasoned solution.
• Team Mentality: Partnering effectively to drive our culture and execute on our common goals.
• Business Acumen: Appreciation and understanding of the financial services industry in order to make sound business decisions.
• Learning Agility: Openness to new ways of thinking and acquiring new skills to retain a competitive advantage.

Learn More About Critical Skills

Equal Employment Opportunity

Voya Financial is an equal-opportunity employer. Voya Financial provides equal opportunity to qualified individuals regardless of race, color, sex, national origin, citizenship status, religion, age, disability, veteran status, creed, marital status, sexual orientation, gender identity, genetic information, or any other status protected by state or local law.

Reasonable Accommodations

Voya is committed to the inclusion of all qualified individuals. As part of this commitment, Voya will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please reference resources for applicants with disabilities.

Misuse of Voya's name in fraud schemes