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Claims Processor

Collabera · Ohio

📍 Mason, OH, usvia smartrecruitersPosted 2016-01-22
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Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs.  Collabera recognizes true potential of human capital and provides people the right opportunities for growth and professional excellence. Collabera offers a full range of benefits to its employees including paid vacations, holidays, personal days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance, Disability Insurance. Position Details : Industry: (Eye Wear Company) Location: Mason - OH Job Title: Claim Processor Duration: 3 Months (possible extension) Roles and Responsibilities:   • Accurately and efficiently processes manual claims and other simple processes such as matrix and bypass.  • Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.  Major duties and 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 and 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:  • Claims processing/data entry experience.  • Knowledge of PCs and spreadsheet applications.  Education:  • High school mandatory Claims Processor To know more about the position, please contact: Abhinav singh 973-637-1957

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