EyeMed - Claims Coordinator (Assignment)

Requisition ID: 789595
Position:Full-Time
Total Rewards: Benefits/Incentive Information

There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same. And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear. In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands. Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, and Target Optical.

If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.

GENERAL FUNCTION

Coordinates the day-to-day activities within the Assignment Claims Department to ensure claims are billed within the timely filing limits provided by each of our constituents (electronically or manually). This position requires significant team interaction, the ability to handle a diverse group of associates and strong analytical / problem solving skills. Back-up and support the Medicare coordinator when needed.

MAJOR DUTIES AND RESPONSIBILITIES

• Monitor quantity and quality of the processes/projects and provide immediate feedback to the Supervisor / Manager
• Coordinate daily activities to ensure KPIs are met or exceeded
• Review, analyze and interpret reports to assure appropriate adjustments are made to processes and critical information is communicated upward to the supervisors/managers for continued success and improvement.
• Work with clients to determine any special plan requirements
• Ensure team is entering claims in compliance with customer requirements and HIPAA guidelines and regulations, while staying within claims department processes and guidelines
• Maintain daily processor performance statistics as well as weekly KPI reporting
• Process claims for more complex Payers
• Assist Supervisor/ Manager as needed with special projects and training

BASIC QUALIFICATIONS

• High school degree
• 3+ years’ experience processing Claims
• Able to quickly grasp and retain information and concepts
• Able to multi-task and prioritize handling of issues
• Strong communication skills, both oral and written
• Strong analytical skills
• Strong customer service

PREFERRED QUALIFICATIONS

• Knowledge of vision and /or insurance benefits
• Knowledge or experience in claims processing
• Proficient in Microsoft Excel application
• Bachelor’s degree

Upon request and consistent with applicable laws, Luxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process. To request a reasonable accommodation, please call the Luxottica Ethics Compliance Hotline at 1-888-887-3348 (be sure to provide your name and contact information so that we may follow up in a timely manner).

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 receive preference in accordance with Tribal Law.