Coordinator - Claims (Testing)

Luxottica Group - Mason, OH3.7

Full-timeEstimated: $37,000 - $52,000 a year
EducationSkillsBenefits
Requisition ID: 81549
Position:Full-Time

There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same. And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear. In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands. Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, Target Optical and Sears Optical.

If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.

GENERAL FUNCTION

The Coordinator- Claims (Testing) will complete claims validation for client testing requests, new client implementations and system stability testing. This role will be the liaison to Testing Lead, Claims Manager, Claims Sr. Manager and other internal customers to identify claims processing discrepancies due to system setup issues that require cross functional partnership and retesting.

MAJOR DUTIES AND RESPONSIBILITIES

Develop and maintain claims testing scenario spreadsheets.
Work with internal customers to ensure proper system setup necessary for claims testing.
Validate the integrity of claims data in the claims and payments UAT systems.
Track testing defects and the status of defect resolution through re-testing
Conduct end to end testing, coordinating with both upstream and downstream departments to ensure smooth hand-offs between Claims/Payments and other teams dependent on our testing results.
Assist in driving claims testing and issue resolution processes including cross-functional communication with internal customers and IT to identify concerns, create plans to solve and ensure testing is meeting the needs of our constituents (plans, members and providers).
Analyze and report testing results with the goal of smooth transition to the Eyemed claims and payments production systems.
Maintains effective, on-going communication with key internal customers.

BASIC QUALIFICATIONS

High School Diploma
3+ years of experience in data processing
Knowledge of PCs and spreadsheet applications
Knowledge of mid-range computer applications and query reporting
Ability to effectively communicate both verbally and in writing

PREFERRED QUALIFICATIONS

Bachelor’s Degree
2 years of process management experience
Working knowledge of Facets, SAP, Business Objects
Highly effective oral and written communication skills

Upon request and consistent with applicable laws, Luxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process. To request a reasonable accommodation, please contact Talent Luxottica at 877-589-8253 (513-765-2256 outside of US) or email TalentLuxottica@luxotticaretail.com

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, religion, age, disability, sexual orientation, gender identity or expression, citizenship, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law.

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