Claims Specialist - Leave & Disability

godirect; Minneapolis (MN); Hybrid; USD 45,000 - 56,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

Job summary

Voya Financial in Minnesota is hiring a Claims Specialist to guide claimants through their leave experience with empathy and clarity, administering short-term disability, FMLA, and other leaves, while ensuring compliance with policy and plan provisions.

You will analyze policies, manage end-to-end claims, evaluate medical documentation, and communicate with providers to obtain necessary information, delivering high-quality customer service in a hybrid work setup.

Qualifications

• High School Diploma or GED is required.
• 1–2 years of STD, FMLA or unpaid leave claims experience.
• Strong decision-making and communication skills.
• Proficiency in Microsoft Office 365.
• High attention to detail and ability to work in a fast-paced environment.

Responsibilities

• Analyze FMLA and company leave policies to determine eligibility.
• Manage end-to-end claim experience for the life of the claim.
• Evaluate medical documentation to ensure eligibility for benefits.
• Communicate with medical providers to obtain necessary documentation for adjudication.
• Document clearly to support claim decisions and ongoing case management.

Skills

Leave claims

Empathy

Customer service

Communication

Decision making

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.

Are you ready to join a company with a strong purpose and a winning culture?

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.

Location:

Hybrid ( Must reside near a Voya location)

• 250 Marquette Ave, Ste 900; Minneapolis, MN
• One Orange Way, Windsor CT
• Power Ferry Road; Atlanta, GA
• 100 Benefitfocus Way; Charleston, SC

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.

$44,820 - $56,030 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 com