Sr. Claims Consultant – Leave & Disability

Voya Financial, Inc.; Minnesota; Hybrid; USD 79,000 - 99,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

401(k) matching

Retirement plan

Tuition reimbursement

Paid time off

Volunteer time off

Job summary

Voya Financial in Minnesota seeks a senior claims professional to advance departmental initiatives, leading project work and providing advanced data analysis for internal reporting and audits.

You will ensure regulatory compliance, gather data for state exams, and collaborate across teams to optimize claims processes while supporting IT in requirements definition and testing.

Qualifications

• High School Diploma or GED required.
• Hands-on experience with FINEOS preferred.
• 10+ years of claims experience in an environment with strong analytical and communication skills.
• Experience with claim auditing to ensure regulatory compliance.

Responsibilities

• Lead external and internal audits; support management reporting and quality control.
• Analyze claims data and provide recommendations to management.
• Lead small to mid-sized projects involving processes, systems, and controls.
• Collaborate with IT and business partners to define requirements and testing.
• Support continuous improvement initiatives across claims processes.

Skills

High-level project work

Data gathering and analysis

Regulatory compliance

Audit support

Data analysis for management reporting

People / project leadership

Influence and motivate others

Analytical and communication skills

Education

High School Diploma or GED

Bachelor Degree

Tools

FINEOS

Job description

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

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 #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.

$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.

• 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.

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 care We do the right thing We have customer passion We have a winning spirit We 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.