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Claims Resolution Analyst
Acosta, Inc.
Charlotte , NC 28201
Posted 4 weeks ago
RESPONSIBILITIES
- Process escalated claims, assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.+ Searches for and links invoices, contracts, and Proof of Performance to claims as needed.+ Uses systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims information.
- Processes invalid claims in accordance with set policies and guidelines.+ Corrects and resolves claims "clean passed" in error.+ Researches validation issues and recommends appropriatesolutions.+ Reviews claims dashboard for actionable items on a frequent basis.+ Meets or exceeds client and customer goals and requirements
- Makes the final decision on claims validity for escalated claims
- Sends compliant promotion package for clearing
- Contacts Sales, clients, customers, and management team for information as needed.+ Proactively managers client and customer target dates to ensure claims are processed in a timely manner.+ Communicates with clients and customers on a regular basis and provides value added solutions.+ Escalates appropriately to the supervisor when needed to get information or handle complex client and customer situations.+ Understands types of escalations and uses problem solving and analytical skills to resolve them so they do not repeat.+ Works to decrease defects and achieve automation (aka Ready to Clear) targets by keeping Standard Operating Procedures updated.+ Monitors specific escalations data to determine the root cause of an escalation, where it originated and why it occurred.+ Discusses defect issues with Sales, clients, customers,and management team and works with them to address the root cause.+ Recognizes and provides solutions for operational obstacles that delay work completion on claims issues.+ Meetingthe physical requirements - listed below
- Other duties as assigned
QUALIFICATIONS
Education+ Bachelor's Degree
Work Experience
- Four years of claims experience preferred
- Food brokerage experience and/or client experience in sales administration is strongly preferred
- Relationship management experience preferred
Knowledge, Skills and Abilities
- Accepts accountability for job performance; proactively informs others when he/she encounters problems that may limit his/her ability to meet expectations.
- Accepts change as a normal part of doing business, maintains a positive attitude and exhibits constructive work behaviors during periods of transition.+ Meets work and attendance expectations; informs others in advance when commitments cannot be fulfilled.+ Actively supports organizational goals and values; aligns actions around organizational goals; gives priority to organized needs and concerns when making decisions.+ Takes a reasoned logical approach in making judgements and decisions, carefully reviews available facts and information before reaching any conclusions.+ Identifies and gathers relevant information, consults the right people and asks the right questions in a given situation.+ Demonstrates disciplined thinking that is clear, unbiased, analytical, and informed by evidence.+ Effectively communicate with others. Must be able to operate a calculator, computer, printer, fax machine, telephone, copier, and shredder.
Physical
ABOUT US
Acosta, and its subsidiaries, is an Equal Opportunity Employer
Job Category: Sales Support
Position Type: Full time
Business Unit: Sales
Salary Range: $31,800.00 - $39,700.00
Company: Acosta Employee Holdco LLC
Req ID: 1219