Voya
ClaimsSpecialist–Leave&Disability
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“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
Full Job Description
****_Together we fight for everyone’s opportunity for a better financial future._**** We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future. We know that reaching this future depends on our actions today. Like our Purpose Statement, Voya believes in being bold and committed to action. We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully bringing our differences together to positively influence our culture, serve our clients and enrich our communities is essential to our vision. ****Are you ready to join a company with a strong purpose and a winning culture? Start your Voyage – ********Apply Now**** **Get to Know the Opportunity:** 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. **The Contributions You’ll Make:** Claims Administration & Case Management * 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 med
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