Okay! Check out these core solutions we offer:
* Conducts audits using client data to identify errors and recover revenue
* Finds, supports, and documents audit and claims operations
* Produces claims
* Updates claims management system
* Bills claims to client
* Reviews contracts, agreements, paperwork and electronic documents
* Inspects and evaluates client financial information
* Provides vendors with claim back-up information
* Packages claims for vendor and/or client
* Conducts buyer, contract and document pulls as required
* Provides support for audit team.
* Actively contacts vendors as part of the claim production process
* Independently produces written correspondences to vendor inquiries.
* Analyses and assesses problems regarding client’s claims procedure and business operations based on appropriate audit concepts.
* Produces number and dollar volume of claims goals as defined by team leader and/or management.
* Adheres to the overall timing and deadline of an audit cycle.
REQUIRED WORK EXPERIENCE:
* Minimum of 2 years of professional business experience.
* Professional audit experience is preferred.
FUNCTIONAL COMPETENCIES:
Domain/Industry Knowledge & Focus
* Demonstrated ability to review multiple project types or vendor complexity levels with limited support or claim review before sent to vendors or clients
Data Analysis
* Demonstrates proficiency in all tools used and is a resource for less experienced staff
Problem identification & Resolution
* Creatively develops new ideas and solutions through acquired audit knowledge
* Identifies solutions to complex problems, seeking support as needed
* Regularly achieves production levels of claim value or counts in the top 75% of team members producing claims
* Performs entry-level audit tasks with little supervision
* Identifies ways to improve audit process and procedures related to own tasks
* Finds ways to perform tasks more efficiently
* Demonstrates ability to serve as knowledge resource on some claim concepts to lower-level staff and India teams
* Continues to show strong skills in organizing and retaining information received and is able to identify how answers to limited questions may relate to broader concepts
* Handles correspondence across multiple concepts, accurately interpreting the main issue in vendor/client correspondence and addressing it professionally, in a clear, thorough and concise manner
BEHAVIORAL COMPETENCIES:
THINKING
* Maintains a Client Focus
* Delivers on commitments to clients
* Understands clients stated needs and requirements
* Communicates with vendors in professional and timely manner
* Meets clients’ needs
* Maintains positive relationships with clients and vendors
RELATING
* Communicates with Impact
* Communicates in clear and concise manner
* Values and listens to others
* Adapts communication to different audiences
* Shares information in a timely manner
SELF-MANAGING
* Remains calm and composed with day-to-day challenges
* Maintains focus when under pressure
* Recovers from setbacks typical to role
* Adapts to changes and shifting requirements, and maintains openness to new approaches
* Aware of own emotions and reactions
* Builds positive and trusting relationships with colleagues
* Sees the positive in people, situations and events
* Organizes info to complete daily work
* Plans and performs work in systematic way
* Seeks guidance with competing demands & priorities
* Manages tasks effectively to deliver work on time
* Shifts priorities as directed by others
Takes Initiative
* Takes responsibility for own performance – work done on time and to quality
* Performs routine tasks without being prompted
* Anticipates problems might encounter in daily tasks
* Accepts responsibility for and corrects mistakes
* Seeks out additional work; offers to help others
ACHIEVING
* Drives for Results
* Tenacious in overcoming routine challenges, seeks support
* Completes tasks in timely manner
* Strives to meet goals and objectives
* Maintains energy and focus
* Maintains self-motivation and determination to meet deadlines and expected outcomes
WORKING CONDITIONS:
* 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
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