Claims Specialist Leave & Disability

Voya Financial • Minneapolis, MN

1d • $40,340 - $67,240

About The Position

The Claims Specialist guides claimants through their leave experience with empathy and clarity. The role administers Short Term Disability claims according to policy and plan provisions, as well as Family Medical Leave (FMLA) and other leaves, including state, military, and company-specific leaves. The specialist provides a high standard of customer service while maintaining compliance with regulatory requirements.

The position manages claims from start to finish, assesses eligibility using applicable leave policies and medical documentation, and documents claim decisions and case-management activity. It also involves communicating with claimants and medical providers, managing assigned work queues within service-level agreements, and working with internal and external stakeholders and clinical and vocational resources.

Requirements

• High school diploma or GED.
• 1–2 years of experience in short-term disability, FMLA, or unpaid leave claims management.
• Strong decision-making and critical-thinking skills.
• Medical and vocational management skills.
• Excellent customer-service and interpersonal abilities.
• Proficiency in Microsoft Office 365, including Outlook.
• Exceptional written and verbal communication skills.
• High attention to detail and accuracy.
• Ability to prioritize tasks and manage time effectively in a fast-paced environment.
• Collaborative mindset and ability to work cross-functionally.

Responsibilities

• Analyze FMLA, company leave policies, and short-term disability benefits to determine eligibility.
• Manage the end-to-end claim experience for the life of each claim.
• Evaluate medical documentation to determine eligibility for benefits.
• Use clinical and vocational resources to assist with claim-management strategies.
• Build and maintain relationships with internal and external stakeholders.
• Manage assigned work queues within defined service-level agreements.
• Document claim decisions and ongoing case-management activities clearly and concisely.
• Communicate professionally by phone and in written correspondence.
• Explain claim decisions and entitled benefits with empathy.
• Communicate with medical providers to obtain documentation needed for claim adjudication.

Benefits

• Health, dental, vision, and life insurance plans.
• 401(k) savings plan with company matching contributions up to 6%.
• Employer-paid Voya Retirement Plan with a 4% cash balance benefit.
• Tuition reimbursement up to $5,250 per year.
• 20 days of paid time off.
• Nine paid company holidays.
• Flexible Diversity Celebration Day.
• 40 hours of paid volunteer time per calendar year.
• Incentive opportunities, which may include annual cash incentives, sales incentives, and/or long-term incentives, depending on the role.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED