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Acosta Sales & Marketing
Dallas, TX, United States
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 chan
Job Source: Acosta Sales & MarketingAcosta Sales & Marketing
Irving, TX, United States
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 chang
Job Source: Acosta Sales & MarketingAcosta Sales & Marketing
Dallas, TX, United States
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 chang
Job Source: Acosta Sales & MarketingTravelers Insurance Company
Richardson
**Who Are We?** Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine
Job Source: Travelers Insurance CompanyAcosta, Inc.
Irving, TX, United States
DESCRIPTION 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 pa
Job Source: Acosta, Inc.Acosta, Inc.
Irving, TX, United States
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 gathe
Job Source: Acosta, Inc.Travelers Insurance Company
Richardson
**Who Are We?** Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine
Job Source: Travelers Insurance CompanyTravelers Insurance Company
Richardson
**Who Are We?** Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine
Job Source: Travelers Insurance CompanyDallas
**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 managers 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
+ 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
+ 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 exhibits constructive work behaviors during periods of transition.
+ Meets work and attendance expectations; informs others in advance when commitments cannot be fulfilled.
+ Actively supports organizational goals and values; aligns actions around organizational goals; gives priority to organized needs and concerns when making decisions.
+ Takes a reasoned logical approach in making judgements 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. Must be able to operate a calculator, computer, printer, fax machine, telephone, copier, and shredder.
Physical
+ Seeing
+ Listening
**ABOUT US**
Acosta, and its subsidiaries, is an Equal Opportunity Employer
**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:** 1220
Email Alert for Claims Resolution Analyst_ jobs in Dallas
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