Claims Resolution Analyst - Brea, United States - Acosta Sales & Marketing

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
Processes 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 appropriate solutions
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 manages 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 add 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 managementteam and works with them to address the root cause
Recognizes and provides solutions for operational obstacles that delay work completion on claims issues
Other duties as assigned

QUALIFICATIONS
Four years claims experience preferred
Food brokerage experience and/or clients' experience in sales administration is strongly preferred
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 exhibiting constructive work behaviors during periods of transition
Meets work and attendance expectation; 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 andconcerns 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 communicate with others.
Acosta Sales & Marketing is an Equal Opportunity Employer
By submitting your application you agree with and accept the Acosta Privacy Statement and Terms of Conditions.
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-)

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
Processes 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 appropriate solutions

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 manages 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 add 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 managementteam and works with them to address the root cause

Recognizes and provides solutions for operational obstacles that delay work completion on claims issues

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 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 exhibiting constructive work behaviors during periods of transition

Meets work and attendance expectation; 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 andconcerns 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 communicate with others.

Acosta Sales & Marketing is an Equal Opportunity Employer
By submitting your application you agree with and accept the Acosta Privacy Statement and Terms of Conditions.

US:

Canada:
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-)


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, 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 et Mosaic sont les moteurs des ventes et du marketing derrière les marques les plus reconnues et éprouvées avec les meilleurs détaillants aux États-Unis et au Canada.

Nous offrons des services flexibles qui maximisent l'efficacité.

Acosta possède le talent et la technologie pour élaborer des stratégies axées sur les données, la portée et les relations pour exécuter ces stratégies, ainsi que les outils pour surveiller, suivre et optimiser les résultats basés sur des mesures pour les clients et les détaillants.

Acosta, and its subsidiaries, is an Equal Opportunity Employer

Job Category:
Sales Support

Position Type:
Full time

Business Unit:
Sales

Salary Range:
$31, $47,700.00

Company:
Acosta Employee Holdco LLC

Req ID:

281

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