Claims Processor

Position Details :

Industry: (Eye Wear Company)

Location: Mason - OH

Job Title: Claim Processor

Duration: 3 Months (possible extension)

Roles and Responsibilities:

• Accurately and efficiently processes manual claims and other simple processes such as matrix and bypass.

• Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.

Major duties and responsibilities:

• Processing - Efficiently and accurately processes standard claims or adjustments

• Consistently achieves key internals with respect to production, cycle time, and quality

• May participate on non-complex special claims projects initiatives, including network efforts

• Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.

• Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include EyeMed Account Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team.

• Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy.

• Proactively works with supervisor to develop self-remediation plan when standards are not being met.

Knowledge and skills:

• Data entry and claims processing knowledge. Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm Exclaim and EyeNet. Some basic working knowledge of software programs, specifically Excel and Access.

• Understands third party benefits and administration.

• Strong customer service focus.

• Ability to work well under pressure and multi-task.

Experience:

• Claims processing/data entry experience.

• Knowledge of PCs and spreadsheet applications.

Education:

• High school mandatory

Claims Processor

To know more about the position, please contact:

Abhinav singh

973-637-1957