Claims Specialist

Description:

Job Summary

The Claims Specialist is expected to work independently and will be responsible for effectively researching, validating, and resolving customer claims from inception to completion. This includes filing initial disputes with customers when claims are confirmed to be invalid and pursuing cash recovery. The Claims Specialist will work closely with the Claims Analysts to identify specific customer trends and help identify root causes of deductions for prevention purposes. A primary role is training and mentoring our offshore resources while reviewing their work to ensure it is accurate and complete. This role requires the ability to manage a high volume of transactions each day and the ability to make sound business decisions based on review of each case.

Primary Duties and Responsibilities

Transactional

• Review and process complex customer deductions from start to finish.
• Process vouchers, invoice adjustments, and credit rebills to collect funds and clear AR balances.
• Identify and share opportunities to improve and/or enhance processes and procedures.

Analytical

• Audit all claims processed offshore for validation and accuracy before resolution.
• Research and pursue invalid claims with customers to facilitate repayment and increase profits.
• Root cause analysis: interpreting customer behavior to prevent future deductions and share with analysts / leadership for next steps.
• Research and resolve aged unclaimed credits on AR as part of our focused unclaimed property effort.

Support

• Serve as a subject matter expert to assist our offshore team with their daily activities.
• Provide ongoing training, guidance, mentoring, and collaboration
• Manage and direct offshore priorities to ensure timely deduction throughput and resolution
• Review offshore work to confirm it is being done accurately and effectively
• Approve offshore recommendations and resolve claims from AR.
• Own and manage unique onshore portfolios along with the Claims Analysts.
• Develop and maintain working relationships with internal and external teams and customers.
• Support projects and AR initiatives as assigned by leadership.
• Other duties as assigned

Skills:

Microsoft office, accounting

Top Skills Details:

Microsoft office, accounting

Additional Skills & Qualifications:

Best candidate has a degree in accounting, finance or administration with work exp (accounting is great, even an internship). Someone open to starting their in Claims and moving up after gaining knowledge. Open to learning, coachable, invest times, inquisitive, ask questions.

Education and Experience Profile

• Associate degree in Accounting, Finance, or business-related field required.
• Bachelor’s Degree in Accounting, Finance, or business-related field preferred.
• 2-3 years of relevant business experience will be considered in lieu of the degree requirement.

Required Skills

• Highly motivated, driven individual
• Ability to effectively multitask and excel in a fast-paced, dynamic work environment
• Excellent verbal communication skills, organizational skills, and attention to detail
• Strong negotiation skills required to influence customers to issue payments for invalid claims.
• Ability to work independently and prioritize work.
• Ability to maintain a high level of confidentiality.
• Accomplished user of Microsoft Suite (Excel, PowerPoint, Word, Outlook)
• SAP system experience highly desired

Experience Level:

Entry Level

About Aston Carter:

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

Diversity, Equity & Inclusion

At Aston Carter, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.