Claims Benefit & Disability Analyst I

About the role

Medical Mutual employees must submit their applications through MySource. This role requires working 5 days per week on-site in our Brooklyn, Ohio office. Applicants must reside within a 50-mile radius of the Brooklyn, Ohio office.

Responsibilities

• Prepares and establishes new claims files from incoming mail.
• Verifies eligibility and benefit amounts being claimed and inputs claim data into the system.
• Responds to routine customer inquiries (via email or phone) or directs them to the appropriate department.
• Manages coordination of incoming and outgoing mail.
• Dispatches reports to groups that have submitted claims.
• Opens, sorts and distributes mail, checks and files; maintains filing system.
• Determines the status of a new or continuing claim.
• Sets up claims files in claims system for all life and disability benefit types and distributes work accordingly.
• Completes claims system setup, document scanning, and worksheets.
• Manages the department's email inbox, fax, and incoming customer phone calls from the toll-free number.
• Responds to routine customer phone inquiries and emails in the shared department mail queue and routes them to the appropriate individual or area within the organization.
• Performs other duties as assigned.

Qualifications

• Bachelor’s Degree in Business or Healthcare Administration or related field preferred.
• 1 to 2 years experience with disability and/or life claims processing/customer service, preferably in group insurance, or equivalent relevant experience.
• Basic Microsoft Office, claims processing/billing/customer service applications, and document storage/workflow (OnBase) application skills.
• Knowledge of standard office procedures and equipment (multi-function copier/printer/scanner, conference phone, etc.).
• Basic knowledge of life and disability products/services.
• Basic knowledge of regulations and Company policies related to leaves of absence, disability, workers compensation, etc.
• Basic knowledge of Family and Medical Leave Act (FMLA) and Americans with Disabilities Act (ADA).

Skills

Not specified.

Benefits

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.
• Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Pay

Not specified.

Schedule

Not specified.