Complex Claims Coordinator – Benefits & Rework

EssilorLuxottica; Mason (OH); On-site; USD 42,000 - 54,000; Full time

Job summary

EyeMed in Mason, OH is seeking a Claims Coordinator to accurately process all types of manual claims, including complex and benefit-related cases. The role emphasizes meeting KPIs for productivity, cycle time, and quality, with collaboration across EyeMed Account Managers, Operations, IT, and client representatives.

The position requires a high school diploma (or equivalent) and 3+ years of data entry experience, plus proficiency with Microsoft Office.

Qualifications

• High School diploma or equivalent work experience.
• 3+ years data entry experience.
• Proficiency in Microsoft Office (Outlook, Word, Excel).
• Ability to multitask and work under pressure.
• Flexibility to work in team and individually.

Responsibilities

• Process complex manual claims accurately.
• Consistently meet KPIs for production, cycle time, and quality.
• Participate in claims projects including rework and payment integrity.
• Adapt quickly to plan changes, benefit designs, and regulatory updates.
• Maintain strong customer service with EyeMed stakeholders.

Skills

Data entry

MS Office

Time management

Communication

Teamwork

Adaptability

Education

High School diploma or equivalent

Bachelor's degree (preferred)

Tools

Facets

EyeRoute

Filebound

Job description

EyeMed in Mason, OH is seeking a Claims Coordinator to accurately process all types of manual claims, including complex and benefit-related cases. The role emphasizes meeting KPIs for productivity, cycle time, and quality, with collaboration across EyeMed Account Managers, Operations, IT, and client representatives.

The position requires a high school diploma (or equivalent) and 3+ years of data entry experience, plus proficiency with Microsoft Office.