Stop Loss Claims Support

Voya Financial • Boston, MA

2d • $45,180 - $75,300 • Hybrid

About The Position

The Stop Loss Claims Support role reviews complex claims and related situations, making informed decisions that may require discretion, critical thinking, and deviations from normal guidelines. The position provides direction on excess risk claims and responds to claim and reporting inquiries from internal and external stakeholders. It also supports accurate claim processing and financial controls, develops and mentors less experienced claims staff, contributes to audits and process improvements, and participates in departmental and company projects, including stop loss claims systems testing.

The position may be performed 100% remotely from home or from a major Voya office with a hybrid schedule. Voya describes its culture as purpose-driven and committed to valuing employees’ differences and fostering an inclusive work environment.

Requirements

• High school diploma or GED.
• Three to five years of claims or insurance experience.
• Knowledge of industry-related claim systems and practices.
• Proficiency in Microsoft Excel, including macros, pivot tables, 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.

Nice To Haves

• Bachelor’s degree preferred.

Responsibilities

• Review complex claims and situations, make informed decisions requiring judgment, and provide direction on excess risk claims.
• Respond to internal and external claim or reporting inquiries from managers, brokers, general agents, and administrators.
• Provide direction, training, and mentoring to less experienced claims staff; complete audits and provide feedback.
• Manage claim suspense accounts to support accurate claim processing, appropriate financial reporting, and controls.
• Manage mid-policy-period and year-end audits.
• Assist in developing and implementing process improvements.
• Participate in or facilitate departmental and company projects and special initiatives.
• Perform stop loss claims systems testing.
• Perform other duties and projects as assigned.

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, depending on the role.

What This Job Offers

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