Claims Processor

Position Title: Claims Processor
Location: [ Link removed ] - Click here to apply to Claims Processor
Pay Rate: $18.52/Hour | Paid Weekly
Working Hours: 8 AM - 5 PM with a 1-hour lunch, or 8 AM- 4:30 PM with a 30-minute lunch.
Assignment Length: 5+ months, potential for extension/conversion pending attendance, performance, and business need
Start Date: 9/2/2025
Hybrid/Onsite Requirements: Onsite 5 days a week for the first few months will be workplace only with a possible hybrid opportunity with 3 days in the office and 2 days remote - possible, not guaranteed

Overview:
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 in 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