Claims Processor needs 1 years' claims processing/data entry experience.
Claims Processor requires:
• Data entry and claims processing knowledge
• 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
Claims Processor duties:
• Efficiently and accurately processes standard claims or adjustments
• Consistently achieves key internals with respect to production, cycle time, and quality
• Participate on non-complex special claims projects initiatives, including network efforts
• Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
• Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces