Title: Claims Specialist - Leave & Disability July 2026 Location: Minneapolis United States time type Full time job requisition id JR0032600 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: - 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 #LI-IB1 #Remote 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. $44,820 - $56,030 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. Reasonable Accommodations Voya is committed to the inclusion of all qualified individuals. As part of this commitment, Voya will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please reference resources for applicants with disabilities. Misuse of Voya's name in fraud schemes

Role Description The Claims Examiner evaluates insurance claims to determine their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including policy coverage, damages, and supporting documentation provided by the policyholder. Roles & Responsibilities - Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions. - Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information. - Ensure that claims processing aligns with the company's insurance policies and relevant regulatory requirements. - Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts. - Analyze policy coverage to determine the extent of liability and benefits payable to claimants. - Evaluate the extent of loss or damage and determine the appropriate settlement amount. - Communicate with claimants, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates. - Make recommendations for claims approval, denial, or negotiation of settlements, and ensure timely processing. - Maintain accurate and organized claim files and records. - Stay updated on industry regulations and maintain compliance with legal requirements. - Provide excellent customer service, addressing inquiries and concerns from claimants and policyholders. - Strive for high efficiency and accuracy in claims processing, minimizing errors and delays. - Stay informed about industry trends, insurance products, and evolving claims management best practices. - Generate and submit regular reports on claims processing status and trends. - Perform other duties as assigned. Qualifications - High School diploma or equivalent required. - Health claims processing experience required, including use of FACETS - claims processing software and related tools. - Highly-motivated and success-driven. - Exceptional verbal and written communication and interpersonal skills, including negotiation and active-listening skills. - Exceptional analytical and problem-solving skills. - Strong attention to detail with a commitment to accuracy. - Ability to adapt to change in a dynamic fast-paced environment with fluctuating workloads. - Basic mathematical skills. - Intermediate typing skills. - Basic computer skills. - Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding, and HIPAA regulations preferred. - Knowledge of insurance policies, regulations, and best practices preferred. - Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements. - Ability to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test. Requirements - This position may work onsite or remotely from home. - Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. - Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds. Company Description Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specializes in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. - Trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India, and Mexico. - ‘Rightshore’ delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media, and Banking, Financial Services & Insurance verticals. - Clientele includes Fortune 500 and FTSE 100 companies.

Role Description Are you a detail-oriented professional with a passion for helping others and navigating complex situations? MEM Insurance is seeking a Claims Representative to join our collaborative and mission-driven Claims team. In this role, you’ll manage a caseload of moderately complex workers’ compensation claims, ensuring quality care for injured workers while protecting the financial integrity of our policyholders. You’ll work closely with internal teams, policyholders, and external partners to investigate claims, develop return-to-work strategies, and negotiate fair settlements. If you thrive in a fast-paced environment and are committed to making a meaningful impact, we’d love to hear from you. - Investigate and manage moderately complex workers’ compensation claims, ensuring compliance with state laws and MEM guidelines. - Analyze statements and records to determine compensability and communicate findings to stakeholders. - Collaborate with Nurse Case Managers and external vendors to oversee medical case management, including lifetime care planning and permanent restrictions. - Develop tailored Return-to-Work (RTW) strategies in partnership with policyholders, ensuring accommodations align with medical restrictions. - Calculate and issue accurate disability benefits in accordance with statutory requirements. - Identify and investigate potential fraud or abuse in coordination with the Special Investigation Unit. - Establish and maintain appropriate claim reserves, adjusting as needed based on evolving claim circumstances. - Negotiate settlements within authority levels and collaborate with legal counsel on litigated claims. - Ensure Medicare compliance, including coordination of Medicare Set-Aside Trusts when applicable. - Maintain thorough documentation and data accuracy in all claim files and systems. - Provide timely updates on high-exposure or high-profile claims to management. - Collaborate cross-functionally with Underwriting, Premium Consultation, and Loss Prevention teams. - Deliver exceptional service to internal and external customers, including policyholders and producers. - Participate in workflow improvement initiatives and support onboarding of new team members. - Stay current with workers’ compensation laws and best practices through ongoing training and development. Qualifications - 2–4 years of claims handling experience, with a strong preference for workers’ compensation experience. - Associate in Claims (AIC) designation preferred. - Texas All-Lines Adjuster License preferred. Benefits - Health Plans: Medical, Dental, and Vision including fertility benefits, fully paid preventative care, and adult orthodontia. - Employer-Paid Life and Disability Benefits: Life Insurance (3x base salary), AD&D, Short and Long-term Disability. - Wellness and Recognition Program: Employer-paid incentives for employees and spouses. - Flexible Spending Account and Dependent Care options. - Health Savings Account: Generous employer contribution. - Time Away from Work: Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave. - Employee Assistance Programs. - 401k Retirement Plan: Employer match and profit sharing. - Adoption Assistance and Tuition Assistance.

Role Description Investigates, evaluates, reserves and resolves Commercial Automobile, First Party Property and General Liability claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines. - Promptly investigates all assigned claims for coverage, liability, damages, subrogation and contribution. - Ensures timely disposition of all claims in accordance with client, regulatory and statutory requirements. - Within granted authority, establishes appropriate loss and expense reserves with documented rationale. - Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. - Notifies appropriate claims management and clients when exposure exceeds authority. - Negotiates claims resolution within granted authority. - Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome. - Works collaboratively with the client and internal and external business partners in investigating and reaching appropriate disposition of all claims. - Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome. - Maintains a working knowledge of regulatory and jurisdictional requirements for assigned claims territory. - Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines. - Communicates effectively with internal and external customers on claims and account issues. - Provides a high degree of customer service. - Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims. - Potential local travel. - Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Qualifications - Bachelor's degree and a minimum of 3 years of progressively responsible experience handling Commercial Automobile, First Party Property and General Liability claims required. - Experience handling NJ claims. - Familiarity with coverage, negligence principles, investigation and negotiation techniques. - Obtains and maintains state adjusting licenses, as needed. - Ensures that all state-required Continuing Education Credits are obtained as needed to maintain license. - Strong organizational skills and detail oriented. - Ability to work independently, handle multiple tasks simultaneously and exercise good judgment. - Working knowledge of Auto, Liability and Property claims handling practices. - Excellent verbal and written communication skills. - Excellent customer service skills. - Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.