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Claims Coordinator (Assignment)

EssilorLuxottica
Raleigh, NC Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 4/26/2025

Requisition ID: 877996 
Position:Full-Time

Total Rewards: Benefits/Incentive Information

 

If you’ve worn a pair of glasses, we’ve already met.

We are a global leader in the design, manufacture, and distribution of ophthalmic lenses, frames, and sunglasses. We offer our industry stakeholders in over 150 countries access to a global platform of high-quality vision care products such as the Essilor brand, with Varilux, Crizal, Eyezen, Stellest and Transitions, iconic brands that consumers love such as Ray-Ban, Oakley, Persol and Oliver Peoples, as well as a network that offers consumers high-quality vision care and best-in-class shopping experiences such as Sunglass Hut, LensCrafters, and Target Optical, and leading e-commerce platforms.

Our portfolio of more than 150 renowned brands span various categories, from frames, lenses and instruments to brick and mortar and digital distribution as well as mid-range to premium segments. Our Shared Services Team, accompany and enable others within the EssilorLuxottica collective to achieve their targets. They keep people and projects running smoothly, ensuring every part of our business is provided for and well taken care of.

Join our global community of over 200,000 dedicated employees around the world in driving the transformation of the eyewear and eyecare industry. Discover more by following us on LinkedIn!

GENERAL FUNCTION

Coordinates the day-to-day activities within the Assignment Claims Department to ensure claims are billed within the timely filing limits provided by each of our constituents (electronically or manually). This position requires significant team interaction, the ability to handle a diverse group of associates and strong analytical / problem solving skills. Back-up and support the Medicare coordinator when needed.

 

MAJOR DUTIES AND RESPONSIBILITIES

  • Monitor quantity and quality of the processes/projects and provide immediate feedback to the Supervisor / Manager
  • Coordinate daily activities to ensure KPIs are met or exceeded
  • Review, analyze and interpret reports to assure appropriate adjustments are made to processes and critical information is communicated upward to the supervisors/managers for continued success and improvement.
  • Work with clients to determine any special plan requirements
  • Ensure team is entering claims in compliance with customer requirements and HIPAA guidelines and regulations, while staying within claims department processes and guidelines
  • Maintain daily processor performance statistics as well as weekly KPI reporting
  • Process claims for more complex Payers
  • Assist Supervisor/ Manager as needed with special projects and training

 

BASIC QUALIFICATIONS

  • High school degree
  • 3 years’ experience processing Claims
  • Able to quickly grasp and retain information and concepts
  • Able to multi-task and prioritize handling of issues
  • Strong communication skills, both oral and written
  • Strong analytical skills
  • Strong customer service

 

PREFERRED QUALIFICATIONS

  • Knowledge of vision and /or insurance benefits
  • Knowledge or experience in claims processing
  • Proficient in Microsoft Excel application
  • Bachelor’s degree

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.

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