RESPONSIBILITIES

Manage and process claims, ensuring accuracy, timely adjudication, and maintaining detailed records. Coordinate with other departments to resolve complex issues and assist in reporting. Communicate effectively with stakeholders, respond to inquiries, provide excellent customer service, and liaise with external parties promptly. Gather, analyze, validate, and record claims data, analyze fraud claims, and maintain knowledge of policies and regulations. Support audits and maintain data privacy. Demonstrate experience and ability to manage a high volume of claims within the supply chain, effectively coordinating with vendors and proactively tracking progress through resolution. Organize and maintain claim files.

EDUCATION AND EXPERIENCE REQUIREMENTS

Minimum:

Associate's degree or relevant work experience. 3-5 years Customer Service experience and/or 1-2 years accounting experience. Strong relationship management and communication skills.

Preferred:

Extremely Detail-Oriented:

Focus on intricate details and validate PO vs claim data accuracy.

Extremely Analytical:

Strong aptitude for analyzing information and thinking critically through claim submission while applying practical judgement. Preferred Experience in

Supply Chain Process:

Knowledge and experience in supply chain operations related to claims.

Reading Comprehension:

Ability to understand and articulate the structure of complex documents.

LANGUAGE AND TECHNICAL SKILLS REQUIREMENTS

Excellent Excel Skills:

Proficiency in Microsoft Excel and other Microsoft suite programs. Access, GP Dynamics ERP preferred.

Independent Worker:

Ability to work autonomously and manage priorities.

Timely:

Ability to manage deadlines and process claims promptly.

Outstanding Work Ethic:

Demonstrated commitment to responsibility, punctuality, and reliability. Excellent communication skills, including listening, written, oral, and demonstrated group presentation. Fluent in English and Spanish (Written and Verbal): Ability to communicate effectively in both languages.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Work is usually performed in an office environment with normal noise levels. Involves prolonged sitting and computer/phone usage.

DISCLAIMER

This job description is not intended, and should not be construed to be, an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended, however, to be an accurate reflection of those principal job elements essential for making decisions related to job performance, employee development and compensation. As such, the incumbent may perform other duties and responsibilities as required. Its contents imply no contractual obligation and may be changed by the company at any time. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. 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