"Alerted.org

DESCRIPTION

As a Claims Resolution Analyst, you will be at the forefront of ensuring the accuracy and efficiency of our claims process. Your key responsibilities will include: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

+ **Claims Processing and Resolution:** Handle and process escalated claims, assess the reasons for escalation, and provide timely resolutions as directed by the Supervisor. You will also search for and link invoices, contracts, and Proof of Performance to claims as needed.

+ **Systematic Analysis:** Utilize systems, reports, and Standard Operating Procedures to work through assigned claim steps and gather supporting information. Process invalid claims in accordance with set policies and guidelines and correct any claims that were erroneously passed.

+ **Validation and Decision Making:** Analyze claims to determine their validity, make final decisions on escalated claims, and research validation issues to recommend appropriate solutions.

+ **Dashboard Monitoring:** Regularly review the claims dashboard for actionable items, ensuring that client and customer goals and requirements are met or exceeded.

+ **Communication and Coordination:** Act as a key communicator with Sales, clients, customers, and the management team to gather necessary information and provide value-added solutions. Proactively manage client and customer target dates to ensure timely processing of claims.

+ **Problem Solving:** Use your problem-solving and analytical skills to understand types of escalations and resolve them to prevent recurrence. Work towards decreasing defects and achieving automation targets by keeping Standard Operating Procedures updated.

+ **Root Cause Analysis:** Monitor specific escalation data to determine the root cause, origin, and reasons for escalations. Discuss defect issues with Sales, clients, customers, and the management team to address and resolve the root cause.

+ **Operational Efficiency:** Recognize and provide solutions for operational obstacles that delay work completion on claims issues. Escalate complex situations to the supervisor when necessary.

+ **Continuous Improvement:** Act as an agent for change by providing continuous improvements in the claims process. Communicate regularly with clients and customers to offer value-added solutions and ensure compliance with client procedures and policies.

+ **Additional Duties:** Perform other duties as assigned to support the overall success of the claims resolution process.

QUALIFICATIONS

Education:

+ High School Diploma/GED

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:

+ Seeing

+ Listening

\#DiscoverYourPath

ABOUT US

Acosta is a part of Acosta Group – a collective of the industry’s most trusted retail, marketing and foodservice agencies reimagining the way people connect with brands at every point in their shopping journey.

Specializing in retail sales services, digital strategy, and business intelligence, Acosta empowers brands to thrive in the world of omnichannel shopping. Our sales and digital teams build lasting relationships, ensuring our client brands get the space they deserve in stores and outperform the competition online, while our merch reps make brands shine in retail locations across the world.

But it’s not just about what we do – it’s about who we are. With a team of over 20,000 associates, we’re a community of forward-thinking, value-driven professionals committed to an unmatched level of trust and transparency in the industry. And, we understand the importance of work-life balance, which is why many of our field roles provide our associates with flexible scheduling options. Join us and be a part of a team that values growth and making a real impact for our clients, retail partners and their customers.

Acosta Group and its subsidiaries believe the posted compensation range accurately reflects this role at the time of posting. Final pay may vary based on qualifications and location, and the range may be updated in the future.

Acosta Group is an E-Verify employer. By applying, you agree to our Privacy Statement and Terms of Conditions.

US: http://acosta.jobs/privacy-policy-us/

Canada: http://acosta.jobs/privacy-policy-ca/

We are an equal employment opportunity employer.

Acosta is part of Acosta Group. To learn more about Acosta click here: https://acosta.jobs/agency/acosta

Acosta, and its subsidiaries, is an Equal Opportunity Employer

**Job Category:** Sales Support

**Position Type:** Full time

**Business Unit:** Sales

**Salary Range:** $15.28 - $19.00

**Company:** Acosta Employee Holdco LLC

**Req ID:** 6212