Claims Specialist Leave & Disability

Voya Financial • Minneapolis, MN

1d

About The Position

As a Claims Specialist, you will guide claimants through their leave experience with empathy and clarity. You will administer Short Term Disability (STD) claims according to policy and plan provisions, as well as Family Medical Leave (FMLA) and other leaves, including state, military, and company-specific leaves. You will provide a high standard of customer service while maintaining compliance with regulatory requirements.

The role includes evaluating claim eligibility and medical documentation, managing claims from start to finish, using clinical and vocational resources to inform claim strategies, maintaining stakeholder relationships, and communicating claim decisions and benefits clearly and empathetically. Assigned work queues must be managed within defined service level agreements, and case activities and decisions must be documented clearly and accurately.

Requirements

• High school diploma or GED.
• 1–2 years of experience in STD, FMLA, or unpaid leave claims management.
• Strong decision-making and critical-thinking skills.
• Medical/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 strong relationships with internal and external stakeholders.
• Manage assigned work queues within defined service level agreements (SLAs).
• 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 clearly and empathetically.
• 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 cash balance benefit of 4%.
• Tuition reimbursement up to $5,250 per year.
• Paid time off, including 20 days of PTO, nine paid company holidays, and a 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, based on the role and performance objectives.

What This Job Offers

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