Job Summary:

The Claims Validation and Dispute Associate is responsible for verifying, validating, and resolving claims of LEX Operations. This role involves conducting thorough investigations, analyzing supporting documents, and collaborating with relevant teams to ensure accurate claim assessments and timely dispute resolution. The associate plays a key role in minimizing financial losses, preventing fraudulent claims, and identifying process gaps that contribute to recurring claims.

Key Responsibilities:

1. Claims Validation and Verification:
• Review and validate the legitimacy of claims by analyzing package movement records thus identifying accurate claims allocation.
• Cross-check claim details against operational reports to ensure accuracy and consistency.
• Identify discrepancies or inconsistencies in the claim information and flag potential fraudulent claims.

2. Claims Dispute and Resolution:
• Investigate disputed claims by gathering evidence, consulting with operations teams, and assessing service records.
• Prepare and submit claim disputes with supporting documentation to justify denials or corrections.
• Collaborate with internal departments (e.g., operations, finance, customer service) to facilitate timely resolution.

3. Documentation and Reporting:
• Maintain accurate and organized records of all claims, disputes, and resolutions.
• Prepare detailed reports on claim trends, dispute outcomes, and recurring issues.
• Contribute to process improvement initiatives by identifying patterns or root causes of claims.

4. Compliance and Policy Adherence:
• Ensure all claims validation and dispute processes comply with company policies and service-level agreements (SLAs).
• Stay updated on industry regulations and internal guidelines related to claims processing.

Key Qualifications:
• Bachelor’s degree in Business Administration, Finance, Logistics, or a related field.
• 1-3 years of experience in claims management, dispute resolution, or a related role.
• Strong analytical skills with attention to detail.
• Proficiency in using claims management systems, databases, and Microsoft Office tools.
• Excellent communication and negotiation skills for handling disputes.
• Ability to work independently and collaboratively in a fast-paced environment.

Key Competencies:
• Analytical thinking and problem-solving skills.
• Accuracy and attention to detail.
• Time management and organizational skills.
• Effective communication and negotiation abilities.
• Adaptability and resilience in handling complex claims cases.