Claims Specialist Leave & Disability

Voya Financial; Atlanta (GA); On-site; USD 40,000 - 67,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

Retirement plan

Tuition reimbursement

Paid time off

Volunteer time off

Job summary

Together we fight for everyone’s opportunity for a better financial future. Voya Financial, Inc. is hiring a Claims Specialist to guide claimants through their leave experience with empathy and clarity.

You’ll administer Short Term Disability, FMLA and other leaves while ensuring high standards of customer service and regulatory compliance. This role emphasizes ownership of end-to-end claim experience, accurate documentation, and collaboration with providers and stakeholders in a fast-paced

Qualifications

• Experience in STD, FMLA or unpaid leave claims management.
• Ability to analyze policies and determine eligibility.
• Strong written and verbal communication with empathy.

Responsibilities

• Analyze FMLA and short-term disability policies to determine eligibility.
• Manage end-to-end claim experience for the life of the claim.
• Evaluate medical documentation to ensure eligibility for benefits.
• Utilize clinical resources to assist with claim management strategies.
• Build and maintain relationships with internal and external stakeholders.
• Document in a clear manner to support decisions and case activity.

Skills

Customer Focused

Critical Thinking

Team Mentality

Business Acumen

Learning Agility

Education

High School Diploma or GED

Tools

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 Specialist you will guide claimants through their leave experience with empathy and clarity. You will be responsible for administering Short Term Disability claims according to policy and plan provisions as well as administering Family Medical Leave (FMLA) and other leaves, including state, military, and company-specific leaves. You will ensure a high standard of customer service while maintaining compliance with all regulatory requirements.

The Contributions You’ll Make

Claims Administration & Case Management

• Analyze FMLA, company leave policies and short-term disability benefits to determine eligibility
• Manage end-to-end claim experience for the life of the claim
• Evaluate medical documentation to ensure eligibility for benefits
• Utilize clinical and vocational resources to assist with claim management strategies
• Build and maintain strong relationships with internal and external stakeholders
• Manage assigned work queues within defined service level agreements (SLAs)
• Document in a clear and concise manner to support claim decisions and articulate ongoing case management activities

Communication & Customer Service

• Communicate clearly and professionally via phone and in written correspondence
• Clearly explain claim decisions and entitled benefits in a professional manner displaying a high degree of empathy
• Communicate with medical providers to obtain necessary medical documentation to assist with claim adjudication

Knowledge & Experience

• High School Diploma or GED
• 1-2 years of experience in STD, FMLA or unpaid leave claims management
• Strong decision-making and critical thinking skills
• Medical/vocational management
• Excellent customer service and interpersonal abilities
• Proficiency in Microsoft Office 365, including Outlook
• Exceptional written and verbal communication skills
• 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

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.

$40,340 - $67,240 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

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.

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.

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