Leave Management Specialist I (Temporary Assignment)

• Medical Mutual employees must submit their applications through MySource.**
• This is a temporary position in Brooklyn, OH, requiring 5 days per week on-site (Monday-Friday).**
  
  

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Job Summary

Performs the necessary intake and set-up of FMLA and ADA applications for the Specialty Group’s book of business. Maintains leave administration system records of applications and files. Responds to emailed and faxed communications. Ability to use translation applications and forms.

Responsibilities

• Performs initial intake of Family Medical Leaves (FML), Short-Term Disability (STD) and Life claims.
• Verifies eligibility of leaves.
• Initiates and maintains database of applications, within claims and leave administration systems.
• Manages the FML email box and dedicated phone lines. Responsible for language translation line and preparing non-English forms.
• Responsible for scanning of Short-Term Disability (STD) claim files for retention purposes.
• Responsible for maintaining FMLA compliance turnaround times.
• Performs other duties as assigned.
  
  

Qualifications

Education and Experience:

• Associate degree in Business Administration or any related field. Equivalent education and experience directly related to the role may substitute for a degree.
• 2 years of experience as a Leave Specialist or Absence Management administrator (FMLA, Short- or Long-Term Disability)
  
  

Professional Certification(s)

• Preferred: CLMS (Certified Leave Management Specialist) certification can be obtained within the first year of employment
  
  

Technical Skills And Knowledge

• Demonstrated knowledge of leave related rules and regulations including but not limited to FMLA, ADA, and HIPPA.
• Knowledge of Medical terminology.
• Proficiency in both oral and written communication.
• Detail oriented with the ability to remain organized and meet critical deadlines.
• Strong ability to manage multiple tasks.
• Ability to communicate effectively, both verbally and in writing.
• Ability to work in a fast-paced work environment.
• Excellent customer service skills.
  
  

About Medical Mutual

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.