Claims Processor

1 week ago


Mason, United States Cynet Systems Full time
Job Description:

Pay Range: $13hr $18hr

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 And 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.
  • bility to work well under pressure and multi-task.
Experience:
  • 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications.
Education:
  • High school mandatory.

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