EyeMed - Claims Coordinator (Assignment)

EssilorLuxottica • Mason, OH

400d

About The Position

The position involves coordinating day-to-day activities within the Assignment Claims Department at EssilorLuxottica, ensuring that claims are processed within the timely filing limits. The role requires strong analytical and problem-solving skills, as well as significant interaction with team members and clients to meet key performance indicators (KPIs) and maintain compliance with regulations.

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