Claims Specialist – Leave & Disability

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 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 Communication & Customer Service 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 Knowledge & Experience: 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 Excellent customer service and…