Claims Processor – Vision Insurance

Claims Processor Vision Insurance (Hybrid)

• Location: Mason OH 45040
• Hybrid Schedule:
  • Onsite: Tuesday Wednesday Thursday
  • Training: 100% Onsite
• Duration: 3 Months with possible further extension
• Pay Rate: $17.86/hr. W2 All Inclusive

Work Schedule

• 40 hours/week
• 8:00 AM 5:00 PM (1-hour lunch) OR 8:00 AM 4:30 PM (30-minute lunch)

Experience Requirements

• 0 1 years of claims processing and/or data entry experience
• Experience working with PCs and spreadsheet applications

Additional Notes

• Role supports centralized routine billing operations for Team Vision
• Individual contributor role
• Focused on accuracy consistency and operational efficiency
• Designed for entry to early-mid level claims professionals

Role Overview

The Claims Processor is responsible for accurately and efficiently processing routine vision insurance claims through insurance portals. This role focuses on standard non-complex claims ensuring high levels of accuracy productivity and quality while supporting centralized billing operations for Team Vision.

This is a temp-to-perm opportunity supporting an approved centralization initiative in Mason OH.

General Function

• Accurately and efficiently processes manual and routine vision claims
• Processes standard non-complex claims requiring basic knowledge of claims adjudication
• Supports claims projects and initiatives as assigned

Major Duties & Responsibilities

• Efficiently and accurately processes standard claims or claim adjustments
• Consistently meets production cycle time and quality KPIs
• Participates in non-complex special claims projects and initiatives including network efforts
• Quickly adapts to processing changes due to new plans or benefit designs
• Works collaboratively with supervisors and peers to ensure strong customer service
• Interfaces professionally with Account Managers Operations Information Systems Client Representatives and Leadership
• Meets or exceeds agreed performance standards for productivity and accuracy
• Proactively partners with supervisor on self-remediation plans if performance gaps arise
• Maintains accuracy while working under pressure and multitasking

Required Knowledge & Skills

• Claims processing
• Data entry
• Vision / insurance claims billing
• Excel
• Spreadsheet applications
• Analytical skills
• Effective written and verbal communication
• Customer service orientation
• Claims adjudication (basic understanding)
• Third-party benefits and administration
• PC proficiency
• Multitasking
• Accuracy and attention to detail

Systems & Tools (Exposure / Working Knowledge)

• EyeMed Claims System
• Metastorm
• Exclaim
• EyeNet
• Microsoft Excel
• Microsoft Access

Education

• High School Diploma Mandatory