Demo

Claims Resolution Analyst

Ascendo
Jacksonville, FL Full Time
POSTED ON 3/9/2025
AVAILABLE BEFORE 6/9/2025

The Claims Resolution Analyst is responsible for handling and resolving customer or vendor claims related to products, services, or transactions. This role involves working closely with various departments and external stakeholders to ensure issues are addressed quickly and efficiently. Here's a typical job description for this role at the company :

Claims Resolution Job Description

Job Title : Claims Resolution Specialist

Department : Claims / Customer Service

Reports To : Claims Manager / Customer Service Manager

Key Responsibilities :

  • Claims Management

Review and process claims related to customer complaints, product issues, or service discrepancies.

  • Investigate and assess claims by gathering necessary documentation and working with internal and external stakeholders.
  • Identify root causes of claims and collaborate with relevant departments (such as logistics, sales, or customer service) to resolve issues.
  • Customer Interaction and Communication
  • Serve as the primary point of contact for customers or vendors regarding claims.

  • Communicate effectively with customers and vendors, providing timely updates on the status of their claims.
  • Address and resolve customer concerns with professionalism, ensuring satisfaction and maintaining positive relationships.
  • Documentation and Record Keeping
  • Maintain accurate and thorough records of all claims, including detailed notes, resolutions, and communications.

  • Ensure that all claims are logged into the company's tracking systems and are properly documented for future reference and audits.
  • Prepare and maintain reports related to claims status, trends, and outcomes.
  • Resolution and Negotiation
  • Work closely with customers, vendors, and internal teams to reach fair and timely resolutions for claims.

  • Negotiate settlements, refunds, or product replacements where appropriate.
  • Ensure all resolutions align with company policies, procedures, and legal requirements.
  • Collaboration and Problem-Solving
  • Collaborate with various departments (logistics, sales, finance, etc.) to resolve claims that require cross-functional coordination.

  • Identify patterns in claims and work proactively with relevant departments to address recurring issues and prevent future claims.
  • Compliance and Policy Adherence
  • Ensure that claims are handled in accordance with company policies, industry standards, and legal requirements.

  • Stay updated on any changes to regulatory requirements or company policies that may impact claims resolution processes.
  • Continuous Improvement
  • Analyze trends in claims data to identify potential improvements in processes, product offerings, or customer service practices.

  • Provide feedback and recommendations for process improvements based on insights gained from handling claims.
  • Qualifications :

  • Education : High school diploma or equivalent; Associate's or Bachelor's degree in Business Administration, Customer Service, or related field preferred.
  • Experience : 2 years of experience in claims resolution, customer service, or a related field; experience in the consumer goods or retail industry is a plus.
  • Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity. Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.

    Contact information

    Hakeem Peterson

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