Claims Coordinator

Requisition ID: 868515 
Position:Full-Time

We are EssilorLuxottica, a global leader in the design, manufacture and distribution of ophthalmic lenses, frames and sunglasses. The Company brings together the complementary expertise of two industry pioneers, one in advanced lens technologies and the other in the craftsmanship of iconic eyewear, to create a vertically integrated business that is uniquely positioned to address the world’s evolving vision needs and the global demand of a growing eyewear industry.
 

With over 180,000 dedicated employees in 150 countries driving our iconic brands, our people are creative, entrepreneurial and celebrated for their unique perspectives and individuality. Committed to vision, we enable people to “see more and be more” thanks to our innovative designs and lens technologies, exceptional quality and cutting-edge processing methods. Every day we impact the lives of millions by changing the way people see the world.

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.

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.