Coordinator- Claims

EssilorLuxottica Group•Mason, OH

6d•Onsite

About The Position

At EyeMed, we have a unique perspective on vision benefits. By listening and staying curious, we create innovative vision benefits that are a joy to use. Our mission is to help people see life to the fullest—and our commitment goes beyond vision benefits. Our passionate employees proudly support the OneSight EssilorLuxottica Foundation, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis. EyeMed is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions. Join our global community of over 200,000 dedicated employees around the world in driving the transformation of the eyewear and eyecare industry. Discover more by following us on LinkedIn.

Requirements

High School diploma or equivalent work experience
3+ year(s) of data entry experience
Knowledge and experience in Microsoft Office Products (Outlook, Word, Excel)
Ability to work well under pressure and multi-task
Flexibility working in both a team and individual environments
Ability to quickly grasp and retain information and concepts

Nice To Haves

Bachelor's degree
Claims processing experience
Strong customer service focus
Good verbal & written communication skills
Able to quickly grasp and retain information and concepts
Able to multi-task and prioritize issues
Strong attention to details
Knowledge of Medicare/Medicaid business
Understand and honor high level of confidentiality
Knowledge of vision benefits and/or insurance industry
Working knowledge of interface systems that include: claims data entry processing system (Facets), workflow tools (Filebound and EyeRoute).

Responsibilities

Efficiently and accurately processes complex claims
Consistently achieves key performance indicators with respect to production, cycle time, and quality
Participates on claims project initiatives, including rework and/or payment integrity efforts
Understands and quickly operationalizes process changes resulting from new plans, benefit designs, regulatory changes, etc.
Works with manager and co-workers to provide strong customer service and communication with key customer interfaces that include: EyeMed Account Managers, Operations, IT, Client Representatives and EyeMed leadership team
Frequent communication with internal associates and claims management. Ensure upward and downward communication to keep management and team members properly informed.
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.