Job Description
The Claims Resolution Specialist is responsible for validating and clearing claims against promotional offers, analyzing claims to determine their validity, and clearing claims in accordance with Acosta, client and customer policies and procedures. The Claims Resolution Specialist will communicate with internal and external business partners and act as a problem solver/agent for change to provide high quality service to clients and make continuous improvements in claims processing.
Responsibilities
Trains and mentors Claim associates on validating and clearing claims in accordance with Acosta, client and customer policies and procedures.
Assumes supervisory responsibilities in the absence of the Claims Resolution Supervisor
Assists the Claims Resolution Supervisor by assuming additional responsibilities as needed
Processes claims for key complex customers and assists in onboarding new clients
Uses advanced problem solving and analytical skills to research problem claims and assess the reason they cannot be completed
Works with Claims Resolution Analysts, sales, clients, customers, and the management team to identify the root cause and resolve claims issues to increase quality, efficiency and prevent future errors
Maintains a high level of proficiency in Acosta, client and customer systems, policies, and procedures for assigned clients and adheres to them when processing claims
Makes the final decision on claims validity for assigned claims
Clears valid claims correctly and in accordance with Acosta and client policies and procedures
Processes invalid claims in accordance with Acosta, client and customer policies and procedures
Meets or exceeds Acosta and client financial goals
Uses systems, reports, job aids, and Standard Operating Procedures to ensure assigned claims meet or exceed Acosta and client quality metrics
Achieves a level of productivity that meets or exceeds expectation
Processes claims in the priority order established by the management team
Insures that assigned claims are supported by financially compliant documentation
Reports quality issues with assigned claims and provides training support to correct them
Proactively manages work to meet client and customer deadlines
Communicates with internal and external customers and clients on a regular basis to build relationships and provide value added services and solutions
Asks for assistance from the management team on issues with complex claims, claims associates, clients, and internal/external customers
Follows Standard Operating Procedures and keeps them updated
Reconciles our records with the client's to ensure that all assigned claims are entered and in process
Recognizes, reports, and provides solutions for operational obstacles that delay work completion
Recommends system, process and procedure enhancements to Acosta management and clients to improve results
Other duties as assigned
Qualifications
Four years claims experience preferred
Food brokerage experience and/or clients' experience in sales administration is strongly preferred
Relationship management experience preferred
Accepts accountability for job performance; proactively informs other problems that limit the 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 organizational needs and concerns when making decisions
Takes a reasoned logical approach in making judgments 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 communicates with others
Must be proficient in excel and Microsoft Office
Acosta Sales & Marketing is an Equal Opportunity Employee
By 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/
Acosta utilizes E-Verify for validating the ability to work in the United States for all job candidates. If you want more information on what this entails and your rights as a job applicant, please use the link provided to access information on our use of E-Verify and your right to work. Employer Resources (e-verify.gov)
About Us
Acosta and Mosaic are the sales and marketing powerhouses behind the most recognized and proven brands with top retailers in the United States and Canada. We offer flexible services that maximize efficiency. Acosta has the talent and technology to build data-, reach- and relationship-driven strategies to execute those strategies, and the tools to monitor, track and optimize metrics-based results for customers and retailers.
Acosta and its subsidiaries is an Equal Opportunity Employer.
Acosta and its subsidiaries, in good faith, believes that this posted range of compensation is the accurate range for this role at the time of this posting. Acosta may ultimately pay more or less than the posted range depending on candidate qualifications and locations. This range may be modified in the future.
Acosta and its subsidiaries utilizes E-Verify for validating the ability to work in the United States for all job candidates. If you want more information on what this entails and your rights as a job applicant, please use the link provided to access information on our use of E-Verify and your right to work. Employer Resources (e-verify.gov)
By submitting your application you agree with and accept the Acosta Privacy Statement and Terms of Conditions.
We are committed to providing accommodations for persons with disabilities. If you require accommodation, we will work with you to meet your needs, to the extent required by law.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. Mosaic reserves the right to modify all or part of any job descriptions at its discretion in order to meet and or exceed the needs of the business.
By submitting your application you agree with and accept the Acosta Privacy Statement and Terms of Conditions.
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