What are the responsibilities and job description for the Claims Resolution Analyst - Hybrid position at 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
- Process 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-added 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 management team and works with them to address the root cause.
- Recognizes and provides solutions for operational obstacles that delay work completion on claims issues.
- Meeting the physical requirements – listed below.
- Other duties as assigned.
QUALIFICATIONS
Education
Work Experience
Knowledge, Skills and Abilities
Physical
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 and its subsidiaries is 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.
By submitting your application you agree with and accept the Acosta Privacy Statement and Terms of Conditions.
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 : 2961
Find out more about the daily tasks, overall responsibilities, and required experience for this opportunity by scrolling down now.
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Remote working / work at home options are available for this role.
Salary : $31,800 - $39,700
