Claims Processor

Tailored Management Mason, OH Fulltime

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Summary

Hybrid claims processing and data entry work on standard, non-complex claims; M-F, 8-4:30, 6-month contract. Requires adequate WFH space, remote protocol compliance, data entry test scores on resume, and 0-1 years' experience.

Highlights

Benefits
Health, dental, vision insurance
Work Arrangement
Hybrid
Schedule
Monday-Friday, 8:00am-4:30pm
Experience
0-1 years claims processing/data entry experience
Start Date
10/05/2026
Type
Contract

Job description

Title: Claims Processor/Hybrid
Location:   4000 Luxottica Place , Mason, OH 
Compensation: $22.55hr | Weekly Pay + Optional Benefits
Benefits: Paid weekly, health, dental + vision insurance available!
Schedule:  M-F/Full-Time; 8-4:30 (30-Minute lunch)
Contract Length: 6 months|  conversion pending attendance, performance, and business need
Start date: 10/05/2026

Must have adequate WFH space and follow all Luxottica remote protocols.
Data Entry Test Scores required on Resumes. If not received, the resume will be declined.


GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects.
Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.

MAJOR DUTIES & 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 & 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:
0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications

#TMCA

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