| Company Overview | About Voya India: Voya India (earlier VFISLK) started out as a joint venture between U.S. financial services company Voya Financial and SLK, a software services company and is head quartered at Bangalore. As of Aug 2023, we are a wholly owned subsidiary of Voya Financial. We are a dynamic technology & business process transformation company that provides world-class technology & business process management services, with an emphasis on quality, speed & optimization driven through automation. We support and deliver innovative solutions to Voya’s Retirement, Employee Benefits, and Investment Management businesses. More information about us is available at: https://www.voyaindia.com |
| Role Summary | The Claims Examiner reviews and adjudicates insurance claims in line with policy terms, regulatory requirements, and internal guidelines. The role focuses on ensuring accurate, timely, and compliant claim decisions through detailed analysis and documentation review. |
| Key Roles & Responsibilities | Claims Administration & Case Management • Manage end-to-end administration of leave FMLA (Family and Medical Leave Act) state leaves, company-sponsored leave) and disability (short-term and/or long-term) claims • Review claims for eligibility, completeness, and compliance with plan provisions and regulatory requirements • Evaluate medical documentation to determine claim approval, denial, or continuation • Track claim durations, return-to-work dates, and recertification requirements • Maintain accurate and up-to-date case documentation in claims management systems |
| 6. EDUCATION & CERTIFICATIONS | |
| Education | Graduate |
| Certifications (if any) | |
| 7. LOCATION & WORK ARRANGEMENT | |
| Work Location | Bangalore/Pune/Delhi |
| If Other, specify city/location | |
| Work Model | Hybrid |
| 8. ADDITIONAL NOTES | |
| Additional Notes / Business Justification | Should be flexible to work in night shifts and must extend when business required |
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