Claims Analyst

Requisition ID :   876496

Position : Full-Time

Total Rewards :   Benefits / Incentive Information

There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same.  And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear.  In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands.  Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, and Target Optical.

If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.

GENERAL FUNCTION

The Analyst – Payments will complete payment analytical functions to identify payment trends and monitor, triage and resolve daily payment issues. This role will also audit completed disbursements and ensure all payments are processed in a timely and satisfactory manner. The Analyst will collaborate with Claims Research, Call Center Supervisor and other cross-functional areas in the organization. This role will participate in the enhancement and oversight of the payment operations.

MAJOR DUTIES AND RESPONSIBILITIES

• Execute and validate the integrity of payment data in the EyeMed payments system
• Monitor and ensure proper controls are being met in the fulfillment of EyeMed payments.
• Audit the integrity of payment data in the EyeMed payments system
• Identify and communicate payments trends, issue status and issue resolution to Management.
• Review, update, and approve reporting documentation to ensure appropriate controls and key compliance requirements are met.
• Builds and fosters professional relationships with internal contacts to effectively communicate and expedite the resolution of payment issues.
• Work cross-functionally to research and resolve all issues accurately and in a timely manner between the Payments Team, IT and other business partners. Ensure management and team members are kept informed
• Identify and recommend systems / process improvements necessary to gain efficiency and effectiveness
• Serve as a subject matter expert on end-to-end payment lifecycle, including reconciliation.

BASIC QUALIFICATIONS

PREFERRED QUALIFICATIONS

Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and / or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off / vacation, and various employee discounts.

Upon request and consistent with applicable laws, EssilorLuxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process.  To request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.

We are an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.