Voya
ClaimsSpecialist–Leave&Disability
“Claims Specialist – Leave & Disability at Voya. Skills: Claims Administration, Case Management, FMLA, Short Term Disability claims, customer service, communication. Administering Short Term Disability claims according to policy and plan provisions. Administering Family Medical Leave (FMLA) and other leaves, including state, military, and company-specific leaves”
What You'll Achieve.
Manage assigned work queues within defined service level agreements (SLAs)
Industry & Context.
decision-making and critical thinking skills; Critical Thinking; Thoughtful process of analyzing data and problem solving data to reach a well-reasoned solution
What They're Looking For.
Must Have
1-2 years of experience in STD, FMLA or unpaid leave claims management, 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
What You'll Do.
Administering Short Term Disability claims according to policy and plan provisions
Administering Family Medical Leave (FMLA) and other leaves
and company-specific leaves
Ensure a high standard of customer service while maintaining compliance with all regulatory requirements
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 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
How You'll Work.
Team & Collaboration
Build and maintain relationships with internal and external stakeholders; work cross-functionally; Team Mentality
Communication Scope
Exceptional written and verbal communication skills; 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
Applying for this Claims Specialist – Leave & Disability role?
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