Back to search results
JOB DUTIES & RESPONSIBILITIES:
1. Conducts audits using client data to identify errors and recover revenue
2. Finds, supports, and documents audit and claims operation.
3. Produces claims
4. Updates claims management system
5. Bills claims to client
6. Reviews contracts, agreements, paperwork, and electronic documents
7. Inspects and evaluates client financial information
8. Provides vendors with claim back-up information
9. Packages claims for vendor and/or client
10. Conducts buyer, contract and document pulls as required
11. Provides support for audit team.
12. Actively contacts vendors as part of the claim production process
13. Independently produces written correspondences to vendor inquiries.
14. Analyses and assesses problems regarding client’s claims procedure and business operations based on appropriate audit concepts.
15. Produces number and dollar volume of claims goals as defined by team leader and/or management.
16. Adheres to the overall timing and deadline of an audit cycle.
REQUIRED WORK EXPERIENCE:
· Extensive PC skills including knowledge of Microsoft Office and preferably database experience
FUNCTIONAL COMPETENCIES:
Domain/Industry Knowledge & Focus
17. Understands the core concepts and tasks of recovery audit
18. Familiar with assigned customer base
19. Basic understanding of commercial recovery productivity
20. Little to no understanding of broader industry
21. Able to effectively review one project or vendor complexity level after training period
Data Analysis
22. Competent at using ERP for assigned tasks
23. Competent at designing and using simple query tools
24. Ability to analyse large data sets
25. Able to learn review tools used quickly with few, if any, technical barriers to reaching effective level of performance
Problem identification & Resolution
26. Finds solutions to underlying issues through structured analysis
27. Proactively analyses, identifies, and seeks relevant information from a wide variety of sources
Claim Production & Quality
28. Meets and strives to exceed claims goals
29. Consistently produces at or above average claim totals or claim counts for similarly rated employees on like projects or vendor complexity levels
30. Competent at standard tools and processes for audits and claims
31. Performs entry-level audit tasks with supervision
32. Identifies variances and/or errors in the procurement and payment processes
33. Able to learn while doing (i.e., produce claims while learning the process)
34. Produces accurate work
35. Seeks feedback on quality of work
36. Maintains paybacks and cancel % in line with expectations
Client & Supplier Management
37. Interfaces effectively with suppliers as needed to explore basic claim support and topics
38. Able to ask relevant and focused questions of trainers or more senior employees to deepen concept knowledge and skill set, either in person or in writing
39. Shows organization of information given and demonstrates ability to adapt work practices in response to instruction with limited training/instruction repetition needed
BEHAVIORAL COMPETENCIES:
THINKING
Maintains a Client Focus
40. Delivers on commitments to clients
41. Understands clients stated needs and requirements
42. Communicates with vendors in professional and timely manner
43. Meets clients’ needs
44. Maintains positive relationships with clients and vendors
RELATING
Communicates with Impact
45. Communicates in clear and concise manner
46. Values and listens to others
47. Adapts communication to different audiences
48. Shares information in a timely manner
SELF-MANAGING
Displays Emotional Intelligence
49. Remains calm and composed with day-to-day challenges
50. Maintains focus when under pressure
51. Recovers from setbacks typical to role
52. Adapts to changes and shifting requirements, and maintains openness to new approaches
53. Aware of own emotions and reactions
54. Builds positive and trusting relationships with colleagues
55. Sees the positive in people, situations, and events
Organizes & Prioritizes
56. Organizes info to complete daily work
57. Plans and performs work in systematic way
58. Seeks guidance with competing demands & priorities
59. Manages tasks effectively to deliver work on time
60. Shifts priorities as directed by others
Takes Initiative
61. Takes responsibility for own performance – work done on time and to quality
62. Performs routine tasks without being prompted
63. Anticipates problems might encounter in daily tasks
64. Accepts responsibility for and corrects mistakes
65. Seeks out additional work; offers to help others
ACHIEVING
Drives for Results
66. Tenacious in overcoming routine challenges, seeks support
67. Completes tasks in timely manner
68. Strives to meet goals and objectives
69. Maintains energy and focus
70. Maintains self-motivation and determination to meet deadlines and expected outcomes
WORKING CONDITIONS:
71. Benefits include Medical and Dental Schemes, Pension Scheme, Life Cover, Income Protection, 25 days holiday plus Bank Holidays, On-Line Learning Portal, Employee Assistance Programme, Subsidised Gym Membership, Eye Care, Cycle to Work Scheme, Enhanced Maternity and Paternity Pay