Eyemed - Claims Processor

The Luxottica Group Mason , OH 45040

Posted 1 week ago

Requisition ID: 96232

Position:Full-Time

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, Target Optical and Sears 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

The Claims Processor accurately and efficiently processes claims from source documents, maintaining compliance with the insurance plan requirements and with high regard for adhering to goals for quality and claims production rates. Also performs other simple processes requiring a basic knowledge of claims adjudication.

MAJOR DUTIES AND RESPONSIBILITIES

  • Efficiently and accurately processes a variety of vision insurance claims or adjustments.

  • Determines any special plan requirements prior to billing.

  • Reviews claims before entry for completeness and compliance with business requirements.

  • Participates on special project initiatives, including rework efforts as needed.

  • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.

  • Maintains compliance with HIPAA guidelines and regulations.

  • 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.

  • Partners with the Provider Relations team by providing information that is necessary to properly train the stores, providers and field management.

  • Contacts stores or providers (when necessary) to obtain additional information or follow up on claims.

BASIC QUALIFICATIONS

  • High School diploma or equivalent work experience
  • 1+ year(s) of data entry experience

PREFERRED QUALIFICATIONS

  • Bachelor's degree

  • Claims processing experience

  • Strong customer service focus

  • Good verbal communication skills

  • Good written communication skills

  • Able to quickly grasp and retain information and concepts

  • Able to multi-task and prioritize issues

  • Strong attention to details

  • Understand and honor high level of confidentiality

  • Knowledge of vision benefits and/or insurance industry

  • Proficient in Microsoft Word, Excel and Access

  • Working knowledge of interface systems such as EyeNet, Metastorm and ExClaim

  • 8,000 KSH data entry speed

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 contact Talent Luxottica at 877-589-8253 (513-765-2256 outside of US) or email TalentLuxottica@luxotticaretail.com

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, religion, age, disability, sexual orientation, gender identity or expression, citizenship, 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.

Call Center & Customer Service


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Warehouse Processor First Aid And Safety

Cintas Corporation

Posted 2 days ago

VIEW JOBS 3/23/2019 12:00:00 AM 2019-06-21T00:00 Title: Warehouse Processor - First Aid and Safety Location: Mason, OH, US, 45040 Requisition Number: 37318 Job Description Cintas is seeking a Warehouse Processor to receive, stock, pick and process customer orders. The position will also assist in inventory and maintain the organization of the warehouse. Skills/Qualifications Required * Ability to understand basic information and instructions in English * Ability to stand and walk for up to 8 hours with or without reasonable accommodation Preferred * Previous warehouse experience Our employee-partners enjoy: * Competitive Pay * 401(k)/Profit Sharing/ESOP * Medical, Dental and Vision Insurance Package * Disability and Life Insurance Package * Paid Time Off and Holidays * Career Advancement Opportunities Headquartered in Cincinnati, Cintas is a publicly held company traded over the Nasdaq Global Select Market under the symbol CTAS and is a component of both the Standard & Poor's 500 Index and Nasdaq-100 Index. Cintas Corporation helps more than 900,000 businesses of all types and sizes get READY™ to open their doors with confidence every day by providing a wide range of products and services that enhance our customers' image and help keep their facilities and employees clean, safe and looking their best. With products and services including uniforms, mats, mops, restroom supplies, first aid and safety products, fire extinguishers and testing, and safety and compliance training, Cintas helps customers get Ready for the Workday®. To support our growth across North America, we're seeking driven professionals with ambition to move up within our company. Our professional culture, our dedication to our employee-partners and limitless career opportunities—these are just a few benefits we're proud to offer. Our employee-partners know every job is critical, and that teamwork drives innovation. Let's talk about how you'll fit into our team and how your hard work will be recognized through competitive pay, world-class benefits and ongoing career development. Are you Ready™ for limitless opportunities at Cintas? Cintas Corporation is an EEO/Affirmative Action Employer and will make all employment-related decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Job Category: Production Hourly Organization: Global Supply Chain Employee Status: Regular Schedule: Full Time Shift: 1st Shift Nearest Major Market: Cincinnati Job Segment: Safety, Warehouse, Supply, Supply Chain, Service, Manufacturing, Operations Cintas Corporation Mason OH

Eyemed - Claims Processor

The Luxottica Group