Onsite for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote – possible not guaranteed

Work hours: 8 – 5pm with hour lunch, or 8-430 with 30 minute lunch.

Pay Rate:$17-$18/hr (the pay rate may differ depending on your skills, education, experience, and other qualifications).

Featured Benefits:

• Medical Insurance in compliance with the ACA
• 401(k)
• Sick leave in compliance with applicable state, federal, and local laws

Job Description:

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-task

Experience:

• 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications