Claims Processor Job at Tailored Management, Mason, OH

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  • Tailored Management
  • Mason, OH

Job Description

Position Title: Claims Processor
Location: 4000 LUXOTTICA PL, Mason, OH 45040
Pay Rate: $18.52/Hour | Paid Weekly
Working Hours: 8 AM - 5 PM with a 1-hour lunch, or 8 AM- 4:30 PM with a 30-minute lunch.
Assignment Length: 5+ months, potential for extension/conversion pending attendance, performance, and business need
Start Date: 9/2/2025
Hybrid/Onsite Requirements: Onsite 5 days a week for the first few months will be workplace only with a possible hybrid opportunity with 3 days in the office and 2 days remote - possible, not guaranteed

Overview:
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 in 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
EDUCATION: High school mandatory

#TM1

Job Tags

Weekly pay, Work at office, Remote work,

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