GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR DUTIES & 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 & 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 " Ability to work well under pressure and multi-task
EXPERIENCE:
0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
Effective immediately, OIG/GSA/OFAC Exclusion Screenings are now a mandatory requirement for all contractors supporting any brand or subsidiary of CLIENT and Eyemed.
Please review the updated guidelines below and attached work instructions:
" All Positions: OIG/GSA/OFAC screenings must be completed prior to placement/start date.
" Eyemed Contractors: Screenings must also be conducted monthly thereafter, by the 4th of each month, for the duration of the assignment.
All Leonardo 2026 EyeMed All Eyes on You Training
EEO:
Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.