Job Summary

The Coord must be competent in all functions of a Claim Coord, Assoc and Coord, Claims in addition to more complex claim and issue resolution. Examples of complex claims may include: secondary claim coordination; customer inquiries; claims adjustments. This position is production and quality based and the Coord will be expected to achieve monthly measures.


Essential Functions

+ Process claims through on-line adjudication. May include HMO, ASO, PPO, LFO POS, or GP. Processing will include complex claims such as secondary claim coordination, customer inquiries, claim adjustments and complex issue resolution.

+ Utilize Lens Inquiry Tracking system to initiate and resolve claim related issues.

+ Detailed knowledge of operational/technical functions and software.

+ Ability to perform tasks in a high stress environment.

+ Ability to complete multiple tasks in a timely manner.

+ Ability to meet minimum p...