<strong> Title: Claims Processor/Hybrid<br /> Location: 4000 Luxottica Place , Mason, OH <br /> Compensation: $22.55hr | Weekly Pay + Optional Benefits<br /> Benefits: Paid weekly, health, dental + vision insurance available!<br /> Schedule: M-F/Full-Time; 8-4:30 (30-Minute lunch)<br /> Contract Length: 6 months| conversion pending attendance, performance, and business need<br /> Start date: 10/05/2026</strong><br /> <strong> Must have adequate WFH space and follow all Luxottica remote protocols.</strong><br /> <strong> Data Entry Test Scores required on Resumes. If not received, the resume will be declined.</strong><br /> <br /> <br /> <strong> GENERAL FUNCTION: </strong>Accurately and efficiently processes manual claims and other simple processes such as claims projects.<br /> Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.<br /> <br /> <strong> MAJOR DUTIES & RESPONSIBILITIES:</strong> <ul> <li> Processing - Efficiently and accurately processes standard claims or adjustments</li> <li> Consistently achieves key internals with respect to production, cycle time, and quality</li> <li> May participate on non-complex special claims projects initiatives, including network efforts</li> <li> Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.</li> </ul> <br /> <br /> <strong> Drive client satisfaction</strong> - 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<br /> <br /> <strong> Drives Key Performance Indications</strong> - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy<br /> Proactively works with supervisor to develop self-remediation plan when standards are not being met<br /> <br /> <strong> KNOWLEDGE & SKILLS:</strong>
<ul> <li> Data entry and claims processing knowledge</li> <li> Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm, Exclaim and EyeNet</li> <li> Some basic working knowledge of software programs, specifically Excel and Access</li> <li> Understands third party benefits and administration</li> <li> Strong customer service focus</li> <li> Ability to work well under pressure and multi-task</li> </ul> <br /> <strong> EXPERIENCE</strong>:<br /> 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications<br /> <br /> <strong> #TMCA</strong>