Claims Processor

Duration:0-51 day(s)

Description/Comment:

ACTUAL

JOB TITLE:

Claims Coordinator

*** BACKFILL**
* TOTAL NEED
-1

Work hours:

8 - 5pm with hour lunch, or 8-430 with 30 minute lunch.
DATA ENTRY TEST SCORES MUST BE LISTED ON THE RESUME
Bill Rate: **
* Brand:
Team Vision
Temp only position

Start date:

ASAP
Length of assignment: 12/31/2025
Location Address: 4000 LUXOTTICA PL MASON OH 45040
ONLY IN person interviews.
Onsite 5 days a week for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed
REASON FOR REQUEST:
Temporary Resource to support a Medically Necessary Contacts Processing
GENERAL FUNCTION:
Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR

DUTIES & 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 Eye Med Account Managers, Operations, Information Systems, Client Representatives and Eye Med 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 &

SKILLS:

" Data entry and claims processing knowledge
" Has a working knowledge of interface systems that include the Eye Med claims system, Metastorm, Exclaim and Eye Net
" 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:

" 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications

EDUCATION:

High school mandatory
Effective immediately, OIG/GSA/OFAC Exclusion Screenings are now a mandatory requirement for all contractors supporting any brand or subsidiary of
*** and Eyemed.

Additional Job Details:

ACTUAL

JOB TITLE:

Claims Coordinator
*** BACKFILL
* ** TOTAL NEED - 1

Work hours:

8 - 5pm with hour lunch, or 8-430 with 30 minute lunch. Bill Rate:
*** Brand:
Team Vision Temp only position

Start date:

ASAP Length of assignment: 12/31/2025 Location Address: 4000 LUXOTTICA PL MASON OH 45040 Onsite 5 days a week for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed Effective immediately, OIG/GSA/OFAC Exclusion Screenings are now a mandatory requirement for all contractors supporting any brand or subsidiary of
*** and Eyemed.