About the Role:
Examines and evaluates customer, dealer and other 3rd party claims for the validity and accuracy of payment. Submits approved transactions into payment processing systems. Reconcile payments against documented reports. Interprets and applies business rules in order to manage and reduce claims costs. Corresponds with Customers, dealers and other 3rd parties via mail, phone and Internet regarding any processing issues.
The Day to Day:
- Reviews submitted invoices and compares to specific client guidelines and business rules in order to determine acceptance or rejection of payment on claim prior to processing.
- Understands and interprets reject reasons and corresponds appropriately to Customer, dealer and 3rd party
- Utilizes processing system to research all claims issues.
- May authorize stop pay and re-issue of checks to Customer, dealer and 3rd party.
- Researches incorrect purchase orders on claims to determine validity of claim.
- Interacts with Client Services team regarding any processing issues.
- Create new Purchase Orders (P.O.’s) to facilitate payment to Customer, dealer and 3rd
- Completes additional duties as assigned.
Education, Experience and Skills:
- Education: High School diploma/G.E.D or equivalent work experience
- Experience: 0 to 1 year related experience. Data entry experience and a customer service background required. Previous claims or related experience a plus.