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Voya Financial is looking to hire a Stop Loss Support Specialist. This role will review complex claims and/or related situations, makes decisions that may require deviating from normal guidelines and must use discretion and critical thinking in decision-making.
Review complex claims and/or situations and make informed decisions that may require judgment by providing directions on excess risk claims.
Respond to internal and external claim or reporting inquiries from managers, brokers, general agents and administrators.
Responsible for providing direction, developing, training, and mentoring less experienced claims staff, including completing audits and providing feedback.
Manage claim suspense accounts that will ensure accurate claim processing, appropriate financial reporting, and controls.
Manage mid-policy period and year end audit.
Assist in developing and implementing process improvement.
Participate and/or facilitate various department and/or company project and special initiatives
Other duties and projects as assigned
Knowledge & Experience:
Bachelor's Degree or equivalent experience [Minimum 5-7 years claims or insurance experience]
Knowledge of industry related claim systems and practices
Must be proficient in MS Excel (macros, pivots and formulas)
Proven analytical and problem solving skills and attention to detail
Demonstrated leadership skills
Excellent interpersonal and negotiation skills
Excellent written and oral communication 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.