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Insurance Claims Administrator

4 months ago

Mount Clemens, Michigan, United States SVS Vision, Inc. Full time
Job DescriptionJob Description

Since 1974, SVS Vision has helped our customers lead better lives through better vision. As a Michigan-based company with over 80+ offices in 9 states, we have grown to be one of the largest optical companies in the Midwest with the help of our devoted employees. We are a family-oriented company that takes pride in recognizing and rewarding our employees for their hard work and dedication. We trust our company philosophy makes for an exciting and fun work environment where our employees can thrive while providing the best customer service possible. Our pledge to our employees has never wavered, as seen in our remarkable longevity with the opportunities for growth within the company, above-market salaries, and exceptional benefits.

Job Description:

The Single Vision Solutions Administrator is responsible for managing various administrative tasks related to the affiliate vision program. This role requires attention to detail, strong organizational skills, and the ability to handle multiple responsibilities simultaneously. The Administrator will work closely with the affiliate providers, internal teams, and external stakeholders to ensure smooth operations and efficient processing of claims and reports.

Responsibilities:

  • Process affiliate vision and referral program claims:
  • Phone Interaction with Providers and Members regarding Policy Coverages, Eligibilities, and Authorizations.
  • Accurate and timely claim adjudication.
  • Maintaining affiliate provider relations and credentialing
  • Processing medical records requests in a timely manner.
  • Generating monthly and quarterly reports

Our team members enjoy the following:

  • Goal Driven & Team Oriented Leadership
  • Opportunities for growth & advancement within
  • Rewards and Recognition for positive/exceptional performance
  • Long standing & Family oriented company
  • Vacation and personal time off
  • 401(k) plans
  • Medical, dental and AMAZING vision benefits
  • Life and disability insurance