Claims Resolution Specialist Remote

Overview:
Remote (work from home) The Claims Resolution Specialist is responsible for validating and clearing claims against promotional offers, analyzing claims to determine their validity, and clearing claims in accordance with Acosta, client and customer policies and procedures.
The Claims Resolution Specialist will communicate with internal and external business partners and act as a problem solver/agent for change to provide high quality service to clients and make continuous improvements in claims processing.
Remote
Responsibilities:
Trains and mentors Claims associates on validating and clearing claims in accordance with Acosta, client and customer policies and procedures.
Assumes supervisory responsibilities in the absence of the Claims Resolution SupervisorAssists the Claims Resolution Supervisor by assuming additional responsibilities as neededProcesses claims for key complex customers and assists in onboarding new clientsUses advanced problem solving and analytical skills to research problem claims and assess the reason they cannot be completedWorks with Claims Resolution Analysts, sales, clients, customers and the management team to identify the root cause and resolve claims issues to increase quality, efficiency and prevent future errors Maintains a high level of proficiency in Acosta, client and customer systems, policies and procedures for assigned clients and adheres to them when processing claimsMakes the final decision on claims validity for assigned claimsClears valid claims correctly and in accordance with Acosta and client policies and proceduresProcesses invalid claims in accordance with Acosta, client and customer policies and proceduresMeets or exceeds Acosta and client financial goals Uses systems, reports, job aids, and Standard Operating Procedures to insure assigned claims meet or exceed Acosta and client quality metricsAchieves a level of productivity that meets or exceeds expectationProcesses claims in the priority order established by the management teamInsures that assigned claims are supported by financially compliant documentationReports quality issues with assigned claims and provides training support to correct themProactively manages work to meet client and customer deadlinesCommunicates with internal and external customers and clients on a regular basis to build relationships and provide value added services and solutionsAsks for assistance from the management team on issues with complex claims, claims associates, clients and internal/external customersFollows Standard Operating Procedures and keeps them updated Reconciles our records with the client's to ensure that all assigned claims are entered and in processRecognizes, reports and provides solutions for operational obstacles that delay work completionRecommends system, process and procedure enhancements to Acosta management and clients to improve resultsOther duties as assigned
Qualifications:
Four years claims experience preferredFood brokerage experience and/or clients' experience in sales administration is strongly preferredRelationship management experience preferredAccepts accountability for job performance; proactively informs others problems that limit the ability to meet expectationsAccepts change as a normal part of doing business, maintains a positive attitude and exhibits constructive work behaviors during periods of transitionMeets work and attendance expectations; informs others in advance when commitments cannot be fulfilledActively supports organizational goals and values; aligns actions around organizational goals; gives priority to organizational needs and concerns when making decisionsTakes a reasoned logical approach in making judgments and decisions, carefully reviews available facts and information before reaching any conclusionsIdentifies and gathers relevant information, consults the right people and asks the right questions in a given situationDemonstrates disciplined thinking that is clear, unbiased, analytical and informed by evidenceEffectively communicates with othersMust be able to operate a calculator, computer, printer, fax machine, telephone, copier and shredderMust be proficient in excel and Microsoft OfficeAcosta Sales & Marketing is an Equal Opportunity Employer By submitting your application you agree with and accept the Acosta Privacy Statement and Terms of Conditions.
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Estimated Salary: $20 to $28 per hour based on qualifications.