Claims Coordinator

EssilorLuxottica • Mason, OH

397d

About The Position

The Claims Coordinator at EyeMed Vision Care is responsible for overseeing the daily operations within the Assignment Claims Department. This role ensures that claims are processed within the required timelines and compliance with customer requirements and regulations. The position requires strong analytical skills, effective communication, and the ability to work collaboratively with a diverse team to meet key performance indicators (KPIs).

Requirements

• High school degree
• 3+ years' experience processing Claims
• Able to quickly grasp and retain information and concepts
• Able to multi-task and prioritize handling of issues
• Strong communication skills, both oral and written
• Strong analytical skills
• Strong customer service

Nice To Haves

• Knowledge of vision and /or insurance benefits
• Knowledge or experience in claims processing
• Proficient in Microsoft Excel application
• Bachelor's degree

Responsibilities

• Monitor quantity and quality of the processes/projects and provide immediate feedback to the Supervisor / Manager
• Coordinate daily activities to ensure KPIs are met or exceeded
• Review, analyze and interpret reports to assure appropriate adjustments are made to processes and critical information is communicated upward to the supervisors/managers for continued success and improvement
• Work with clients to determine any special plan requirements
• Ensure team is entering claims in compliance with customer requirements and HIPAA guidelines and regulations, while staying within claims department processes and guidelines
• Maintain daily processor performance statistics as well as weekly KPI reporting
• Process claims for more complex Payers
• Assist Supervisor/ Manager as needed with special projects and training

Benefits

• Health care
• Retirement savings
• Paid time off/vacation
• Various employee discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 10,001+ employees