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Claims Specialist – Leave & Disability
Voya Financial. Guide claimants through their leave experience with empathy and clarity .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in administering Short Term Disability and Family Medical Leave claims, ensuring compliance with policies while providing empathetic support to claimants. Strong communication and decision-making skills are essential for effective claim management and stakeholder collaboration.
Highest-signal resume keywords
Short Term Disability Claims ManagementFamily Medical Leave AdministrationMedical/Vocational ManagementMicrosoft Office 365 ProficiencyCustomer Service Excellence
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisEligibility DeterminationMedical Documentation EvaluationClaim Management StrategiesDocumentation Skills
Soft Skills
EmpathyCritical ThinkingInterpersonal AbilitiesAttention to DetailTime Management
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Leave PoliciesService Level AgreementsClaim AdjudicationStakeholder RelationshipsCross-Functional Collaboration
About the role
Key responsibilities & impact- Guide claimants through their leave experience with empathy and clarity
- Administer Short Term Disability claims according to policy and plan provisions
- Administer Family Medical Leave (FMLA) and other leaves, including state, military, and company-specific leaves
- Analyze FMLA, company leave policies and short-term disability benefits to determine eligibility
- Manage the 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 clearly and concisely to support claim decisions and ongoing case management
- Communicate professionally by phone and in written correspondence
- Explain claim decisions and entitled benefits with empathy
- Communicate with medical providers to obtain necessary documentation for claim adjudication
Requirements
What you’ll need- 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 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
Benefits
Comp & perks- 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
- Incentive opportunities, including annual cash incentives, sales incentives, and/or long-term incentives, based on the role and achievement of annual performance objectives