Claims Specialist Leave & Disability

RLI ReliaStar Life Insurance Co.; Minnesota; Ibrido; USD 40.000 - 67.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health insurance

Dental insurance

Vision insurance

Life insurance

401(k) match

Retirement plan

Tuition reimbursement

Paid time off

Volunteer time off

Descrizione del lavoro

Voya Financial, Inc. is seeking a Claims Specialist to guide claimants through their leave experiences with empathy and clarity. You will administer Short Term Disability, FMLA and other leaves, ensuring compliance and high-quality customer service.

Responsibilities include end-to-end claim management, reviewing medical documentation, and communicating decisions to claimants and providers. The role requires 1-2 years in leave claims and strong attention to detail in a fast-paced environment.

Competenze

• High School Diploma or GED.
• 1-2 years of 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.

Mansioni

• Claims Administration & Case Management for leave and disability.
• 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 for claim management strategies.
• Build and maintain relationships with internal and external stakeholders.
• Manage assigned work queues within defined SLAs.
• Document clearly to support claim decisions and ongoing case management.

Conoscenze

Customer focus

Critical thinking

Teamwork

Business acumen

Learning agility

Formazione

High School Diploma or GED

Descrizione del lavoro

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.

• 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

#LI-IB1

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.

• 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.

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

Voya Financial, Inc., is a leading retirement, employee benefits and investment management company. Voya’s services and solutions help clear the path to financial confidence and a more fulfilling life for individual, workplace and institutional clients, supporting more than 18 million customer relationships. Certified as a “Great Place to Work” by the Great Place to Work® Institute, Voya fosters a culture that values customer centricity, integrity, accountability, agility and inclusivity. Together with customers and partners, Voya employees fight for everyone's opportunity for a better financial future.

For more information visit https://www.voya.com/

Voya’s values serve as our compass, bringing together our culture, performance, brand, vision, strategy and corporate responsibility activities. Our values guide our decision-making and behaviors allowing us to deliver worth to our customers, distribution partners, shareholders and each other. With a lens on balance, health & welfare, our work environment offers flexibility. The majority of our roles have adopted a hybrid schedule — working some days in the office and some days remotely, providing flexibility for work-life balance and still allowing the benefit of in-person collaboration. Some functions will continue to be 100% on-site and others may be fully remote, depending on business needs.

We careWe do the right thingWe have customer passionWe have a winning spiritWe are the We Certified by the Great Place to Work® Institute as a Great Place to Work® for the 10th consecutive year, Voya is equally committed to conducting business in a way that is socially, environmentally, economically and ethically responsible. Voya’s culture is proudly recognized by multiple organizations. See a full listing of our awards and recognition.