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PROCESSING APPLICATION
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Job Requirements of Claims Processor:
-
Employment Type:
Full-Time
-
Location:
Mason, OH (Onsite)
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Claims Processor
Tailored Management Services Inc
Mason, OH (Onsite)
Full-Time
Title: Claims Coordinator
Location: 4000 LUXOTTICA PL MASON OH 45040 /hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed
Compensation: $18.79/hr on W2
Schedule: Work hours: M-F 8 - 5pm with hour lunch, or 8-430 with 30 minute lunch.| Weekly Pay + Optional Benefits
DATA ENTRY TEST SCORES MUST BE LISTED
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 AND 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.
- 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
0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
EDUCATION:
High school mandatory
#TMCS
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