LEILANI MEDINA
Prosper,TX
Summary
Benefits and leave operations professional with 13+ years in STD/FMLA case management and 4+ years in benefits enrollment and configuration data analysis. Experienced validating enrollment elections against employer plan rules, auditing benefit builds for accuracy, and partnering with vendors/internal teams to resolve configuration defects. Recognized for strong documentation, confidentiality/PHI handling, and delivering accurate, audit-ready outcomes in fully remote environments.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Data Analyst, Benefits Enrollment & Configuration
Symetra
Remote
01.2023 - 01.2026
- Reviewed employer benefit enrollments and validated elections against employer policy requirements, eligibility rules, and plan provisions.
- Audited benefit configuration/builds and identified discrepancies between plan setup and approved employer requirements; verified corrections after updates.
- Partnered with vendors and internal stakeholders to resolve build and enrollment errors; documented issues, actions, and outcomes to support repeatable fixes.
- Tracked requests and defects in Salesforce; maintained clear audit trails, status updates, and implementation documentation.
- Developed/updated job aids and process documentation to standardize validation steps and reduce downstream rework.
- Disability Case Manager, STD/FMLA/ADA | Oct 2021 – 2023
Disability Case Manager
ReedGroup
Remote
12.2019 - 10.2021
- Served as subject matter resource for client-specific absence plans; ensured complete, accurate documentation and consistent claim handling.
- Applied clinical guidelines to support duration and recovery expectations; participated in medical roundtables and quality discussions.
- Supported timely case progression through proactive follow-up, stakeholder coordination, and strong attention to detail.
Disability Case Manager
Aon Hewitt / Randstad
Orlando, FL
08.2013 - 09.2020
- Supported compliant leave administration and return-to-work planning; coordinated handoffs across case teams and stakeholders.
- Maintained confidential records and updated external resource listings; ensured consistent documentation practices.
- Contributed to workflow monitoring and delivered support/training to maintain service levels and standardized processes.
Short-Term Disability Case Manager (Human Resources)
Hewitt
Orlando, FL
10.2011 - 07.2013
- Reviewed medical documentation and coordinated with providers to evaluate claim eligibility and care requirements.
- Prepared disability management reports and completed required paperwork in compliance with plan and regulatory guidelines.
Education
Bachelor’s Studies - Leadership, Human Resources & Accounting
University of Central Florida (UCF)
Orlando, FL05.2021
Skills
- Benefits enrollment validation; Benefit configuration auditing; Eligibility & plan-rule interpretation; Data quality checks & reconciliation; Root-cause analysis; Defect tracking & resolution; Implementation support; SOP/job-aid documentation; Vendor & carrier coordination; STD/FMLA/ADA claim adjudication; Return-to-work coordination; Compliance (HIPAA/PHI, FMLA, ADA)
- Salesforce; Patriot; Microsoft Excel (formulas, PivotTables, lookups); Word; PowerPoint; Outlook; Teams/Zoom; claims/absence platforms; virtual collaboration tools
Certification
- FMLA Certification | 2024
- Insurance Adjuster License (Multi-State; including NY & CA) | 2022
- Customer Service Certification
Timeline
Data Analyst, Benefits Enrollment & Configuration
Symetra
01.2023 - 01.2026
Disability Case Manager
ReedGroup
12.2019 - 10.2021
Disability Case Manager
Aon Hewitt / Randstad
08.2013 - 09.2020
Short-Term Disability Case Manager (Human Resources)
Hewitt
10.2011 - 07.2013
Bachelor’s Studies - Leadership, Human Resources & Accounting
University of Central Florida (UCF)