DESCRIPTION
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
- Process escalated claims, assess the reason for the escalation, and provide resolution in priority order as directed by the Supervisor.
- Search for and link invoices, contracts, and Proof of Performance to claims as needed.
- Use systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims information.
- Process invalid claims in accordance with set policies and guidelines.
- Correct and resolve claims 'clean passed' in error.
- Research validation issues and recommend appropriate solutions.
- Review claims dashboard for actionable items on a frequent basis.
- Meet or exceed client and customer goals and requirements.
- Make the final decision on claims validity for escalated claims.
- Send compliant promotion package for clearing.
- Contact Sales, clients, customers, and management team for information as needed.
- Proactively manage client and customer target dates to ensure claims are processed in a timely manner.
- Communicate with clients and customers on a regular basis and provide value added solutions.
- Escalate appropriately to the supervisor when needed to get information or handle complex client and customer situations.
- Understand types of escalations and use problem solving and analytical skills to resolve them so they do not repeat.
- Work to decrease defects and achieve automation (aka Ready to Clear) targets by keeping Standard Operating Procedures updated.
- Monitor specific escalations data to determine the root cause of an escalation, where it originated and why it occurred.
- Discuss defect issues with Sales, clients, customers, and management team and work with them to address the root cause.
- Recognize and provide solutions for operational obstacles that delay work completion on claims issues.
- Meet the 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
- Accept accountability for job performance; proactively inform others when encountering problems that may limit ability to meet expectations.
- Accept change as a normal part of doing business; maintain a positive attitude and exhibit constructive work behaviors during periods of transition.
- Meet work and attendance expectations; inform others in advance when commitments cannot be fulfilled.
- Actively support organizational goals and values; align actions around organizational goals; give priority to organized needs and concerns when making decisions.
- Take a reasoned logical approach in making judgements and decisions; carefully review available facts and information before reaching any conclusions.
- Identify and gather relevant information; consult the right people and ask the right questions in a given situation.
- Demonstrate 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
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, in good faith, believe 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 are an Equal Opportunity Employer.
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.
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: 2827
#J-18808-Ljbffr