Senior Claims Analytics & Process Lead

Socket.dev

Minnesota

On-site

USD 79,000 - 99,000

Full time

6 days ago
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Benefits offered by this job

Health Insurance
401(k) Matching
Cash Balance Retirement Plan
Tuition Reimbursement
Paid Time Off
Volunteer Time

Job summary

Voya Financial in Minnesota is seeking a senior claims professional to advance departmental initiatives, lead audits, and serve as a liaison with internal partners. You will analyze claims data, ensure regulatory compliance, and drive process improvements across multiple systems.

The role requires 10+ years of claims experience, hands-on FINEOS, and strong analytical and communication skills. The position offers a base salary in the posted range, plus incentives, comprehensive benefits, and paid

Qualifications

  • High School Diploma or GED.
  • Must have hands-on experience with FINEOS.
  • 10+ years claims experience in an environment that requires strong analytical and communication skills preferred.
  • Claim auditing experience to ensure compliance with state and federal regulations.
  • Previous experience in process or system improvement projects and ability to manage multiple projects.
  • Ability to manage multiple projects and initiatives simultaneously.
  • Strong ability to influence and motivate others, to include across departments, to solution for shared customers.

Responsibilities

  • Manage external and internal audits
  • Serves as a technical and business process expert for the staff and management of the Claims team.
  • Has a high level understanding of the claims data available and can provide analysis to support management reporting and quality control of all processes.
  • Ability to conduct data analysis with recommendations to management as it relates to claim processing, metrics and staffing.
  • Competent to work at a high level of business complexity and a good understanding of multiple administration systems.
  • Ability to troubleshoot the claim transactions within those systems. Work with system BAs to determine work around or solution.
  • Participates in process improvement and projects related to areas of expertise with a focus on Continuous Improvement.
  • Lead small to medium sized projects that may involve processes, systems and controls.
  • Other duties as assigned.

Education

High School Diploma or GED
Bachelor Degree

Tools

FINEOS

Job description

Voya Financial in Minnesota is seeking a senior claims professional to advance departmental initiatives, lead audits, and serve as a liaison with internal partners. You will analyze claims data, ensure regulatory compliance, and drive process improvements across multiple systems.

The role requires 10+ years of claims experience, hands-on FINEOS, and strong analytical and communication skills. The position offers a base salary in the posted range, plus incentives, comprehensive benefits, and paid

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