Leave & Disability Claims Consultant United States-Remote

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

Profile Summary: 

Primarily engaged either in the processing of our most complex claims or in project work that supports departmental initiatives. May assist with distribution/ redistribution of work for claims team. Reviews complex claims and/or related situations. Makes decisions that may require deviating from normal guidelines. Must use discretion in decision-making ranging from contract interpretation to benefit amounts to be paid. Actively suggests and operationalizes adjustments to standard work as the need arises. 

Profile Description: 

• Participation in Claims-specific or multi-departmental project work as assigned. May be expected to facilitate or act as project manager on smaller-scale initiatives.  
• Review complex claims and/or situations and make informed decisions that may require deviation from normal guidelines and/or judgement in providing direction to other analysts or business units 
• Responsible for providing direction, developing, training, and mentoring less experienced claims staff, including completing audits and providing feedback 
• May be responsible for managing work queues for assigned team(s), providing direction, prioritization, and reassignment where needed to meet agreements and customer expectations 
• Ensures claim controls for KRI, appeal, and general claim handling agreements are followed. This includes but is not limited to process confirms, reporting team misses, second reviews, and monitoring suspense accounts for accurate claim processing and appropriate financial reporting 
• Assists or leads team in developing and implementing improvement processes 
• Refer cases to legal and/or may represent company in legal matters surrounding claims decisions  
• Other duties and projects as assigned. 

Minimum Knowledge & Experience: 

• Knowledge of industry related claim systems and practices 
• Manages a small caseload of complex claims. 
• Proven analytical and problem-solving skills and attention to detail 
• Demonstrated leadership skills 
• Excellent interpersonal and negotiation skills 
• Excellent written and oral communication skills 
• Strong ability to influence and motivate others, to include across departments, to solution for shared customers 
• Previous experience in process or system improvement projects 
• Ability to manage multiple projects and initiatives simultaneously 
• If engaged in production work: capacity to prioritize and help balance large workloads across staff 

Preferred Knowledge & Experience 

• Bachelor’s Degree preferred

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Compensation Pay Disclosure:

Voya is committed to pay that’s fair and equitable, which means comparable pay for comparable roles and responsibilities.

The below annual base salary range reflects the expected hiring range(s) for this position in the location(s) listed. In addition to base salary, Voya offers incentive opportunities (i.e., annual cash incentives, sales incentives, and/or long-term incentives) based on the role to reward the achievement of annual performance objectives. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Voya Financial is willing to pay at the time of this posting.

Actual compensation offered may vary from the posted salary range based upon the candidate’s geographic location, work experience, education, licensure requirements and/or skill level and will be finalized at the time of offer. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.

$59,970 - $74,960 USD

Be Well. Stay Well.

Voya provides the resources that can make a difference in your lives. To us, this means thriving physically, financially, socially and emotionally. Voya benefits are designed to help you do just that. That’s why we offer an array of plans, programs, tools and resources with one goal in mind: To help you and your family be well and stay well.

What We Offer

• 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

Learn more about Voya benefits (download PDF)

Critical Skills

At Voya, we have identified the following critical skills which are key to success in our culture:

• Customer Focused: Passionate drive to delight our customers and offer unique solutions that deliver on their expectations.
• Critical Thinking: Thoughtful process of analyzing data and problem solving data to reach a well-reasoned solution.
• Team Mentality: Partnering effectively to drive our culture and execute on our common goals.
• Business Acumen: Appreciation and understanding of the financial services industry in order to make sound business decisions.
• Learning Agility: Openness to new ways of thinking and acquiring new skills to retain a competitive advantage.

Learn more about Critical Skills

Equal Employment Opportunity

Voya Financial is an equal-opportunity employer. Voya Financial provides equal opportunity to qualified individuals regardless of race, color, sex, national origin, citizenship status, religion, age, disability, veteran status, creed, marital status, sexual orientation, gender identity, genetic information, or any other status protected by state or local law.