Office/Administration - Claims Processor
Mindlance
Job-ID29506269Reference26-29506 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 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
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 Access • Understands third party benefits and administration • Strong customer service focus • Ability to work well under pressure and multi-taskEXPERIENCE:
0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications Effective immediately, OIG/GSA/OFAC Exclusion Screenings are now a mandatory requirement for all contractors supporting any brand or subsidiary of CLIENT and Eyemed. Please review the updated guidelines below and attached work instructions:- All Positions: OIG/GSA/OFAC screenings must be completed prior to placement/start date.
- Eyemed Contractors: Screenings must also be conducted monthly thereafter, by the 4th of each month, for the duration of the assignment.
EEO:
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”Vacancy posted 10 hours ago
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