Sr. Claims Consultant – Leave & Disability

Voya Financial; Minneapolis (MN); On-site; USD 79,000 - 99,000; Full time

Benefits offered by this job

Health insurance

401(k) Savings plan

Tuition reimbursement

Paid time off

Volunteer time

Job summary

Voya Financial in Minneapolis, MN seeks a senior claims professional with extensive auditing and data analysis experience. The role focuses on complex claim operations, compliance with regulations, and data-supported management insights.

The position requires 10+ years of claims experience, FINEOS proficiency, and a Bachelor's degree. You will participate in audits, drive process improvements, and collaborate across departments to optimize outcomes.

Qualifications

• High School Diploma or GED
• Hands-on experience with FINEOS
• 10+ years claims experience with strong analytical and communication skills
• Claim auditing experience for regulatory compliance
• Experience in process or system improvement projects and multi-project management
• Ability to influence and motivate across departments to improve service for shared customers
• Bachelor Degree preferred

Responsibilities

• Manage external and internal audits
• Serve as a technical and business process expert for the Claims staff and management
• Analyze claims data to support management reporting and quality control
• Conduct data analysis with recommendations on claim processing, metrics and staffing
• Troubleshoot claim transactions within administration systems with BA support
• Lead process improvements and projects in areas of expertise
• Lead small to medium projects involving processes, systems and controls
• Perform other duties as assigned

Skills

Auditing

Data analysis

Regulatory compliance

Project management

Cross-functional collaboration

Education

Bachelor Degree

Tools

FINEOS

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? Start your Voyage -

Get To Know The Opportunity

Heavily involved in advancing departmental initiatives by participating in, and sometimes leading, high-level project work as assigned. Using accumulated knowledge and experience, assist the team with complex claims, act as a liaison for internal partners, ensure compliance with regulatory requirements, assist in data gathering and analysis for internal reporting as well as market conduct and state exams. Actively suggests and operationalizes adjustments to standard work as the need arises. May be expected to assist IT through technical/process flow contributions, defining user requirements, user acceptance testing and implementing business driven solutions.

The Contributions You’ll Make

• 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 identify and validate data need for audits.
• 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.

Minimum Knowledge & Experience

• 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

Preferred Knowledge & Experience

Bachelor Degree

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.

$78,990 - $98,740 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

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.

Learn More About Critical Skills

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.