Office/Administration - Claims Processor#26-26128

Mason, OH

Onsite Job Description

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 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 & 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

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

EEO:

"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."