Stop Loss Claims Support

godirect; United States; Teletrabalho; USD 45 000 - 75 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health, dental, vision and life保险

401(k) Savings plan - with generous匹配

Voya Retirement Plan - employer paid

Tuition reimbursement up to $5,250/y

Paid time off - 20 days + holidays

Paid volunteer time - 40 hours/yr

Resumo da oferta

Voya Financial is seeking a claims professional to review complex claims and provide direction for excess risk scenarios. You will respond to inquiries from managers, brokers, and administrators while mentoring junior staff and conducting audits.

The role emphasizes leadership, analytical problem-solving, and strong communication. A flexible, remote-friendly schedule is available across locations.

Qualificações

• Minimum 3-5 years of claims or insurance experience.
• Knowledge of industry related claim systems and practices.
• Must be proficient in MS Excel (macros, pivots and formulas).
• Proven analytical and problem-solving skills and attention to detail.
• Demonstrated leadership skills.
• Excellent interpersonal and negotiation skills.
• Excellent written and oral communication skills.

Responsabilidades

• Review complex claims and/or situations and make informed decisions that may require judgment by providing directions on excess risk claims.
• Respond to internal and external claim or reporting inquiries from managers, brokers, general agents, and administrators.
• Provide direction, develop, train, and mentor less experienced claims staff, including completing audits and providing feedback.
• Manage claim suspense accounts to ensure accurate claim processing and financial reporting.
• Manage mid-policy period and year end audit.
• Assist in developing and implementing process improvement.
• Participate in department projects and special initiatives.
• Stop Loss Claims Systems Testing.
• Other duties and projects as assigned.

Conhecimentos

Claims experience

MS Excel

Analytical skills

Leadership

Communication skills

Negotiation skills

Formação académica

High School Diploma or GED

Bachelor's degree preferred

Ferramentas

Industry claim systems

Descrição da oferta de emprego

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.

Get to Know the Opportunity:

• Review complex claims and/or related situations. Makes decisions that may require deviating from normal guidelines. Must use discretion and critical thinking in decision-making.

Please Note: Work location for this role is FLEXIBLE! This position allows 100% remote work from home or allows work to be performed in any of our major office locations with a hybrid schedule.

The Contributions You'll Make:

• Review complex claims and/or situations and make informed decisions that may require judgment by providing directions on excess risk claims.
• Respond to internal and external claim or reporting inquiries from managers, brokers, general agents, and administrators.
• Responsible for providing direction, developing, training, and mentoring less experienced claims staff, including completing audits and providing feedback.
• Manage claim suspense accounts that will ensure accurate claim processing, appropriate financial reporting, and controls.
• Manage mid-policy period and year end audit.
• Assist in developing and implementing process improvement.
• Participate and/or facilitate various department and/or company project and special initiatives
• Stop Loss Claims Systems Testing
• Other duties and projects as assigned

Minimum Knowledge & Experience:

• High School Diploma or GED
• Minimum 3-5-years claims or insurance experience
• Knowledge of industry related claim systems and practices
• Must be proficient in MS Excel (macros, pivots and formulas)
• Proven analytical and problem-solving skills and attention to detail
• Demonstrated leadership skills
• Excellent interpersonal and negotiation skills
• Excellent written and oral communication skills

Preferred Knowledge & Experience:

• Bachelor's degree preferred

#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.

$45,180 - $75,300 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

At Voya, we have identified the following critical skills which are key to success in our culture: Customer Fo