Remote Voluntary Benefits Claims Leader

New York Life Insurance Co.; New York (NY); Remote; USD 47,000 - 74,000; Full time

Job summary

New York Life Insurance Co. is seeking a VB Claims Manager for a fully remote role. You will oversee a caseload across Hospital Indemnity, Accident and Critical Illness, determining eligibility and ensuring accurate, timely decisions while delivering a best-in-class service experience.

Key duties include handling inquiries, documenting notes, and collaborating with the GBS team to drive value. Requires 2+ years of Group Benefits experience and strong MS Office skills.

Qualifications

• High School diploma or GED required; BA/BS preferred.
• 2+ years of Group Benefits experience preferred.
• Experience administering GBS claims products (STD, LTD, FML/PFML, Life/AD&D).
• Proficiency with MS Office (Work, Outlook, Excel).
• Technically savvy with multiple applications and monitors.

Responsibilities

• Manage a caseload of VB claims including all VB products and Wellness offerings.
• Determine eligibility by reviewing contractual language and medical information.
• Perform multi-policy checks to assess additional VB benefits.
• Communicate with claimants, employers, and medical professionals.
• Respond to inquiries within established service protocols and meet performance guarantees.
• Document clear claims notes and rationale for determinations.
• Collaborate with VB claims team and broader GBS to deliver value.
• Adhere to NYL and corporate compliance policies and training.

Skills

Critical thinking

Analytical skills

Verbal communication

Written communication

Education

High School diploma or GED

BA/BS degree or equivalent

Tools

MS Office

Job description

New York Life Insurance Co. is seeking a VB Claims Manager for a fully remote role. You will oversee a caseload across Hospital Indemnity, Accident and Critical Illness, determining eligibility and ensuring accurate, timely decisions while delivering a best-in-class service experience.

Key duties include handling inquiries, documenting notes, and collaborating with the GBS team to drive value. Requires 2+ years of Group Benefits experience and strong MS Office skills.