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Claims Processor

Mindlance

Title: Data Entry - Claims Processor Location: Mason, Ohio, 45040 Work hours: 8 - 5pm with hour lunch, or 8-4.30 with 30 minute lunch. Duration: 4 months contract to begin with, possibilities of extension according to performance. Onsite: For first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed Reason for request: Temporary Resource to support a Medically Necessary Contacts Processing 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 & 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 Account Managers, Operations, Information Systems, Client Representatives and 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 Knowledge & Skills 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 AccessUnderstands third party benefits and administration Strong customer service focus Ability to work well under pressure and multi-task Experience 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications Education High school mandatory EEO Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans. #J-18808-Ljbffr

Vacancy posted 7 hours ago
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