Job Description
Requisition ID: 902582 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 The Claims Coordinator will accurately and efficiently process all types of manual claims. The Coordinator will process complex claims, which includes coordination of benefits claims, Medically Necessary claims, resubmitted claims, EyeRoute claims, standard adjustments, VIP claims, complex manual workaround processes, claims rework projects, and daily reporting processes while ensuring key deliverables are met.
Major Duties And Responsibilities - Efficiently and accurately processes complex claims
- Consistently achieves key performance indicators with respect to production, cycle time, and quality
- Participates on claims project initiatives, including rework and/or payment integrity efforts
- Understands and quickly operationalizes process changes resulting from new plans, benefit designs, regulatory changes, etc.
- Works with manager and co-workers to provide strong customer service and communication with key customer interfaces that include: EyeMed Account Managers, Operations, IT, Client Representatives and EyeMed leadership team
- Frequent communication with internal associates and claims management. Ensure upward and downward communication to keep management and team members properly informed.
- 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.
Basic Qualifications - High School diploma or equivalent work experience
- 3+ year(s) of data entry experience
- Knowledge and experience in Microsoft Office Products (Outlook, Word, Excel)
- Ability to work well under pressure and multi-task
- Flexibility working in both a team and individual environments
- Ability to quickly grasp and retain information and concepts
Preferred Qualifications - Bachelor's degree
- Claims processing experience
- Strong customer service focus
- Good verbal & written communication skills
- Able to quickly grasp and retain information and concepts
- Able to multi-task and prioritize issues
- Strong attention to details
- Knowledge of Medicare/Medicaid business
- Understand and honor high level of confidentiality
- Knowledge of vision benefits and/or insurance industry
- Working knowledge of interface systems that include: claims data entry processing system (Facets), workflow tools (Filebound and EyeRoute).
Pay Range: 21.38 - 29.02
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.
EssilorLuxottica complies with all applicable laws related to the application and hiring process. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, 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.
Job Tags
Minimum wage, Full time, Work experience placement, Work at office, Local area,