Claims Processor

Position Overview

We are seeking detail-oriented Claims Specialists / Claims Processors to accurately and efficiently process manual claims, adjustments, and other basic claims-related activities.

In this role, you will process standard, non-complex claims while meeting established productivity, quality, and turnaround-time expectations. The ideal candidate has strong data-entry skills, excellent attention to detail, a customer-service mindset, and the ability to manage multiple priorities in a fast-paced environment.

Key Responsibilities

• Process standard claims and claim adjustments accurately and efficiently.

• Apply established processing procedures and basic claims-adjudication knowledge.

• Meet or exceed productivity, cycle-time, and quality standards.

• Quickly learn and apply processing changes related to new plans and benefit designs.

• Participate in non-complex special claims projects and network initiatives as assigned.

• Provide professional customer service and clear communication to internal and external business partners.

• Collaborate with supervisors and coworkers to support client satisfaction.

• Work with EyeMed Account Managers, Operations, Information Systems, Client Representatives, and leadership teams as needed.

• Monitor individual performance and proactively partner with supervisors to create a remediation plan when performance standards are not met.

• Maintain accurate records and complete data-entry activities in accordance with established procedures.

• Follow company policies, remote-work requirements, and information-security protocols.

Required Qualifications

• 0–1 year of experience in claims processing, data entry, healthcare administration, insurance, or a related field.

• Strong data-entry skills and attention to detail.

• Basic knowledge of claims processing, third-party benefits, or benefits administration.

• Working knowledge of personal computers and spreadsheet applications.

• Basic proficiency with Microsoft Excel and Microsoft Access.

• Strong customer-service and communication skills.

• Ability to work well under pressure and manage multiple tasks.

• Ability to consistently meet productivity, accuracy, and quality goals.

• Strong organizational skills and a willingness to learn new systems and processes.

• Data-entry test scores must be included on the resume for consideration.

Preferred Qualifications

• Experience with claims or benefits-processing systems.

• Familiarity with systems such as EyeMed, Metastorm, Exclaim, or EyeNet.

• Experience processing health, vision, insurance, or employee-benefit claims.

• Previous experience working in a high-volume administrative or data-entry environment.

Work Environment

This is a hybrid position based in Mason, Ohio , with an expectation of working in the office 2–3 days per week . Remote work requires an appropriate home-workspace setup and compliance with all applicable company remote-work protocols.

Additional Information

• Background check and OIG/GSA exclusion screenings are required.

• This is a contract-to-hire opportunity with potential for permanent employment based on business needs and performance.

• Candidates must be able to work the full Monday–Friday schedule, including a 30-minute lunch period.

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Please note: The following benefits reflect Kelly's general offerings. Eligibility may vary by assignment, location, and job type. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here (https://www.mykelly.com/help-support-working-with-kelly-us/#Benefits) for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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About Kelly

Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

Kelly may use AI-powered tools during the recruitment and hiring process. For full details, including how Kelly uses AI, your rights, and how to request a reasonable accommodation, visit the Recruitment Artificial Intelligence Notice (https://www.kellyservices.com/hubfs/myKelly/Resources/Employment\_Policies/Recruitment-Artificial-Intelligence-Notice.pdf?hsLang=en) .

Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.