Claims Processor

4 weeks ago

Mason, United States Abacus Full time

Description/Comment: BACKFILL - 40 hours a week; Must be local and able to WORK ONISTE.
Brand: Eyemed (Background Check, 5 Panel Drug Screening (OIG/GSA/OFAC) screenings.

*****Hours: M-F/Full-Time; 8-4:30 (30-Minute lunch)
• WORK ONSITE - IN OFFICE 5 DAYS A WEEK *********

Assignment through 6/30/2024- with extension

Characteristics of an ideal candidate:
• Ability to learn and adopt new processes quickly and with ease
• Ability to work remotely and autonomously
• Accustomed to working in a high-paced, high-volume environment
• Strong attention to detail
• Medium-Advance level of expertise with Microsoft Excel
• Proficient with Outlook
• Familiar with Cloud-based applications (i.e. OneDrive)
• Ability to multi-task and perform duties using multiple sources or systems; Data Entry experience preferred
• Ability to clearly articulate findings, issues or concerns requiring resolution
Value Prop for Consultant:
Provides the employee with exposure to a fast-paced, high-volume environment where they are adding value to a department that has maintained 100% client satisfaction 12 years in a row for the nation's fastest growing vision care company.
Provides a "foot in the door" at Luxottica - a company that has multiple facets and opportunities for candidates that want to work hard to succeed in multiple roles.
Job Description:
The ideal candidate will be responsible for the timely and accurate completion of key tasks supporting the successful implementation of new Small Business Clients with and/or on behalf of a team of Implementation Specialists. Responsibilities during this assignment can include:
• Execute the preliminary steps to build a new client structure for implementation requests routed through shared Salesforce queue; using standard client set-up guideline(s) and process(es)
• Initiation of and accurate and timely tracking for all completed tasks using proprietary Salesforce Implementation Tracker Project Management tool
• Benefit set-up validation in core Facets system and communicating to implementation owners any discrepancies with expected outcome
• Execution of new client online portal access set-up; includes sending the appropriate communication email templates, tracking status and reporting any identified issues.
• Monitor team shared Outlook mailbox for incoming membership documents sent from clients, brokers or Third Party Administrators (TPA's)
• Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data; includes communicating when updates are needed for successful membership enrollment and/or submission for processing.

EYEMED ONLY: As part of your contractor's compliance while working in the EyeMed department, the OIG/GSA/OFAC screening is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to by the 4th of each month and we again ask that you house each file internally for auditing purposes. EyeMed needs full screenshots where the website link and the date/time the screening was performed are all visible (this is required for all 3 types of screenings). Screenshots of completed training is required during 1st week of hire. Screenshots are to be kept in file and sent to PMO to upload into IQN. Eyemed Mandatory Training (3 for Compliance purposes and 3 for HiTrust / Security requirements) is required during first 2 weeks and completed passport to be sent to manager, supplier and Start Time: 12:00 AM Hours: 8:00am to 5:00pm Location: CINCINNATI SERVICE CENTER 4000 LUXOTTICA PL MASON OH 45040 Education: dditional Job Details: BACKFILL **LOOKING FOR CANDIDATE WITH A LOT OF EXCEL EXPERIENCE-would love someone with Medicare/Medicaid knowledge as well **PRESCREEN AND DATA ENTRY SCORE REQUIRED****PLEASE ADD DATA ENTRY SCORE AT THE TOP OF THE RESUME** PRESCREEN QUESTIONS NEEDED; Data entry scores must be 9000 ksmp before they can be considered. Anything lower will be declined ** • Hours: M-F/Full-Time; 8-4:30 (30-Minute lunch) • WORK ONSITE - IN OFFICE 5 DAYS A WEEK Job Title/Job Description: Implementation Support Budgeted Bill rate: $25.00 Work hours: 8-5 pm (Full time) Brand: EyeMed Start date: immediately. Length of assignment: 6/30/2024 with extension 5 Panel Drug Screening and Background checks required EYEMED ONLY: As part of your contractor's compliance while working in the EyeMed department, the OIG/GSA/OFAC screening is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to LUXOTTICATEMPS@kellyocg.com by the 4th of each month and we again ask that you house each file internally for auditing purposes. EyeMed needs full screenshots where the website link and the date/time the screening was performed are all visible (this is required for all 3 types of screenings). Screenshots of completed training is required during 1st week of hire. Screenshots are to be kept in file and sent to PMO to upload into IQN. Eyemed Mandatory Training (3 for Compliance purposes and 3 for HiTrust / Security requirements) is required during first 2 weeks and completed passport to be sent to manager, supplier and

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