About The Position

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

Requirements

  • 2–3 years of experience in STD, FMLA or unpaid leave claims management
  • Strong decision-making and critical thinking skills
  • Medical/vocational management
  • 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 with the ability to work cross-functionally

Responsibilities

  • Analyze FMLA, company leave policies and short-term disability benefits to determine eligibility
  • Manage end-to-end claim experience for the life of the claim
  • Evaluate medical documentation to ensure eligibility for benefits
  • Utilize 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 in a clear and concise manner to support claim decisions and articulate ongoing case management activities
  • Communicate clearly and professionally via phone and in written correspondence
  • Clearly explain claim decisions and entitled benefits in a professional manner displaying a high degree of empathy
  • Communicate with medical providers to obtain necessary medical documentation to assist with claim adjudication

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

Mid Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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