Retails Claims Accountant Analyst

Claims Account Analyst is responsible for evaluating claims to ensure they are accurate and processed in a timely manner. They review and assess the validity of claims based on the policy guidelines. They also follow precise procedures in managing high-volume claims according to department goals and deadline. 

Adjudicate and process claims based on appropriate client business rules, utilizing department software and resources, interact with internal and external customers in a positive and professional manner, follow precise procedures, prioritize, plan and manage claim volume based on department deadline goals, work independently while maintaining team cohesiveness, identify and effectively communicate system issues to ensure accurate and timely payment processing, review documents to ensure that all forms are accurate and complete

Job Duties

Evaluate all claims for accuracy and completeness of documentations.Review, Investigate and determine the validity of claims based on the policy guidelines.Process electronic spreadsheets and paper claims submitted by service network-providers in appropriate payment module.Adjudicate claims based on appropriate underwriter and client’s specific business rules.Respond to claim inquiries from both customers and internal stakeholders.Resolve discrepancies or issues with claims.Raise system issues effectively to the proper department.Ensure shared mailbox is being managed well and queries are attended promptly.Issue clear, effective, and accurate communications to internal and external customersConduct all interactions with internal and external customers in a positive and professional mannerReport problems and provide alternate solutions to SupervisorPromotes customer satisfaction and quality customer service for internal clients.Looks for opportunities for continuous improvement in accounting processes and controls, willing to challenge the ‘status quo’.Performs ad hoc activities and tasks as required

Qualifications:

Minimum Diploma in Accounting, Finance or related field (an equivalent combination of related education, training, and experience may be considered)At least 2 years of relevant working experienceExperience in processing high-volume of claims

Competencies:

Ability to prioritize, plan and manage a high-volume workloadAbility to work independently while maintaining team cohesivenessMust be flexible to adapt to changing situations in work responsibilitiesAbility to prioritize, plan and manage a high-volume workload.Ability to work independently while maintaining team cohesiveness.Must be flexible to adapt to changing situations in work responsibilities.Good oral and written communication skills.Strong Analytical Skills and excellent attention to details.Good computer skills including common business applications such as MS Windows and MS Office including Excel and Word.Positive, self-directed individual with a strong desire and ability to manage change and process improvement as the business grows.Advocates a culture of compliance with policies and controls.Good communicator and willing to build strong business relationships, able to work cross-functionally and cross-culturally.Must be able to work overtime when required. Able to work flexible hours as needed during peak times

About Asurion:

Asurion helps people protect, connect and enjoy the latest tech – to make life a little easier.  Every day our 19,000 experts help nearly 300 million people around the world solve the most common and uncommon tech issues. With just a call, tap, click or visit, Asurion can provide a next day replacement of your smartphone, help you stream your favorite show, manage your smart home or simply connect with no buffering, bumps or bewilderment. Helping you stay connected and getting the most from the tech you love is our top priority... no matter what device you have or where you purchased it. Learn more at Asurion.com.