Claims Analyst

At EyeMed, we have a unique perspective on vision benefits. By listening and staying curious, we create innovative vision benefits that are a joy to use. Our mission is to help people see life to the fullest—and our commitment goes beyond vision benefits. Our passionate employees proudly support the OneSight EssilorLuxottica Foundation, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis. EyeMed is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions. Join our global community of over 200,000 dedicated employees around the world in driving the transformation of the eyewear and eyecare industry. Discover more by following us on LinkedIn. JOB DESCRIPTION GENERAL FUNCTION The Analyst – Payments will complete payment analytical functions to identify payment trends and monitor, triage and resolve daily payment issues. This role will also audit completed disbursements and ensure all payments are processed in a timely and satisfactory manner. The Analyst will collaborate with Claims Research, Call Center Supervisor and other cross-functional areas in the organization. This role will participate in the enhancement and oversight of the payment operations. MAJOR DUTIES AND RESPONSIBILITIES Execute and validate the integrity of payment data in the EyeMed payments system Monitor and ensure proper controls are being met in the fulfillment of EyeMed payments. Audit the integrity of payment data in the EyeMed payments system Identify and communicate payments trends, issue status and issue resolution to Management. Review, update, and approve reporting documentation to ensure appropriate controls and key compliance requirements are met. Builds and foster professional relationships with internal contacts to effectively communicate and expedite the resolution of payment issues. Work cross-functionally to research and resolve all issues accurately and in a timely manner between the Payments Team, IT and other business partners. Ensure management and team members are kept informed Identify and recommend systems/process improvements necessary to gain efficiency and effectiveness Serve as a subject matter expert on end-to- end payment lifecycle, including reconciliation. BASIC QUALIFICATIONS Bachelor’s Degree or equivalent work experience 3+ year of experience in data, financial, or disbursements processing Ability to problem solve and troubleshoot Critical thinking skills and the ability to identify trends Strong written and oral communication skills Manage multiple tasks in a fast past environment Proficient in Microsoft office products PREFERRED QUALIFICATIONS 2+ years of process management Experience in the medical insurance industry Working knowledge of Facets, SAP, and Business Objects This posting is for an existing vacancy within our business. Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts. EssilorLuxottica complies with all applicable laws related to the application and hiring process. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at View phone number on click.appcast.io (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email View email address on click.appcast.io We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law. #J-18808-Ljbffr EssilorLuxottica