What are the responsibilities and job description for the Claims Coordinator position at Aptivacorp?
Job Title: Claims Coordinator
Location: Mason, OH (Hybrid)
Duration: 9 Months
Work hours: 8-5 pm
Brand: EyeMed
Reason For Request: Temporary Resource to support a Medically Necessary Contacts Processing
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
EDUCATION: High school mandatory
Job Types: Full-time, Contract
Pay: $15.00 - $20.00 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Day shift
Work Location: In person
Salary : $15 - $20
