Claims Processor

Company Description

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.

Job Description

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

Qualifications

Claims Processor

Additional Information

To know more about the position, please contact:

Abhinav singh

973-637-1957