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Acosta, Inc.: Claims Resolution Analyst

Acosta, Inc.

This is a Full-time position in Paramus, NJ posted October 12, 2021.

Overview:This position will be responsible for processing and handling any claims that are incomplete or escalated for validation.

This person will also be responsible for analyzing claims and making decisions about their validity.

The position will be a communicator to internal and external business partners and a problem solver/agent for change to provide continuous improvements.Responsibilities:Processes escalated claims, assesses the reason for the escalation, and provides resolution in priority order as directed by the SupervisorSearches for and links invoices, contracts, and Proof of Performance to claims as neededUses systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims informationProcesses invalid claims in accordance with set policies and guidelinesCorrects and resolves claims ‘clean passed’ in errorResearches validation issues and recommends appropriate solutionsReviews claims dashboard for actionable items on a frequent basisMeets or exceeds client and customer goals and requirementsMakes the final decision on claims validity for escalated claimsSends compliant promotion package for clearingContacts Sales, clients, customers, and management team for information as neededProactively manages client and customer target dates to ensure claims are processed in a timely mannerCommunicates with clients and customers on a regular basis and provides value add solutionsEscalates appropriately to the Supervisor when needed to get information or handle complex client and customer situationsUnderstands types of escalations and uses problem solving and analytical skills to resolve them so they do not repeatWorks to decrease defects and achieve automation (aka Ready to Clear) targets by keeping Standard Operating Procedures updatedMonitors specific escalations data to determine the root cause of an escalation, where it originated and why it occurredDiscusses defect issues with Sales, clients, customers, and management team and works with them to address the root causeRecognizes and provides solutions for operational obstacles that delay work completion on claims issuesOther duties as assignedQualifications:Four years claims experience preferredFood brokerage experience and/or clients’ experience in sales administration is strongly preferredRelationship management experience preferredAccepts accountability for job performance; proactively informs others when he/she encounters problems that may limit his/her ability to meet expectationsAccepts change as a normal part of doing business, maintains a positive attitude and exhibiting constructive work behaviors during periods of transitionMeets work and attendance expectation; informs others in advance when commitments cannot be fulfilledActively supports organizational goals and values; aligns actions around organizational goals; gives priority to organizational needs and concerns when making decisionsTakes a reasoned logical approach in making judgments and decisions, carefully reviews available facts and information before reaching any conclusionsIdentifies and gathers relevant information, consults the right people and asks the right questions in a given situationDemonstrates disciplined thinking that is clear, unbiased, analytical and informed by evidenceEffectively communicate with others.

Must be able to operate a calculator, computer, printer, fax machine, telephone, copier and shredderAcosta Sales & Marketing is an Equal Opportunity EmployerBy submitting your application you agree with and accept the Acosta Privacy Statement and Terms of Conditions.US: http://acosta.Jobs/privacy-policy-us/Canada: http://acosta.Jobs/privacy-policy-ca/