Claims Manager - Leave & Disability
About The Position
The Leave & Disability Claims Manager oversees the administration and management of disability and leave claims within the Claims organization. This role is responsible for ensuring compliance with federal and state regulations, providing exemplary customer service, and managing a team of claims professionals. The manager will collaborate closely with internal stakeholders and global partners to ensure efficient and effective claims processing, while continuously striving to enhance processes and outcomes. This role involves strategic department and team planning, making decisions that may require deviating from normal guidelines, and aligning team goals with the broader Claim vision to ensure customer-centric claims management that enables Voya to excel in the Workplace market.
Requirements
- Bachelor’s degree in a relevant field such as Insurance, Human Resources, or related discipline.
- Minimum of 5 years’ experience in disability claims management
- Exceptional knowledge with leave related laws/regulations, FMLA; ADA; PFML, Paid Sick Leave, PWFA, and pregnancy related leaves.
- Strong background in disability management and industry best practices
- Excellent analytical and problem-solving abilities, with the ability to influence key decision makers to drive process improvements and change management.
- Strong communication and interpersonal skills to build and foster effective partnerships across the enterprise.
Nice To Haves
- Professional certifications such as Certified Disability Management Professional (CDMP), Certified Claims Professional (CCP), or similar are highly desirable.
Responsibilities
- Oversee the administration and management of disability and leave claims, ensuring compliance with federal and state regulations such as FMLA, ADA, HIPAA, and ERISA.
- Lead and manage a team of claims professionals, offering guidance, support, and development planning to ensure high performance and maintain Voya culture.
- Evaluate complex claims and situations, making informed decisions that require judgment and providing direction on disability and leave management claims.
- Deliver exemplary customer service to claimants, ensuring timely and accurate communication and resolution of claims.
- Develop, implement, and adopt claims policies and procedures to ensure consistency, efficiency, and compliance.
- Collaborate with global partners and internal stakeholders, including HR, legal, and operational teams, to align claims management with company goals and regulatory requirements.
- Monitor and report on key performance indicators (KPIs) related to claims management, providing insights and recommendations for improvement.
- Facilitate regular audits and reviews of claims processes to identify areas for improvement and implement necessary changes.
- Source opportunities for technology and process improvements from claims professionals to enhance operational efficiency and drive continuous improvement at the source.
- Manage demand and capacity to ensure optimal resource allocation.
- Stay current with industry trends and changes in regulations related to disability and leave claims.
- Perform other duties and projects as assigned.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
