Claims Processor

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: $25.00 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 Essilor Luxottica and Eyemed.
Hours : 8:00am to 5:00pm
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: $25.00 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 Essilor Luxottica and Eyemed.