Job Details
JOB DUTIES & RESPONSIBILITIES:
- Conducts audits using client data to identify errors and recover revenue
- Finds, supports, and documents audit and claims operation.
- Produces claims
- Updates claims management system
- Bills claims to client
- Reviews contracts, agreements, paperwork, and electronic documents
- Inspects and evaluates client financial information
- Provides vendors with claim back-up information
- Packages claims for vendor and/or client
- Conducts buyer, contract and document pulls as required
- Provides support for audit team.
- Actively contacts vendors as part of the claim production process
- Independently produces written correspondences to vendor inquiries.
- Analyses and assesses problems regarding client’s claims procedure and business operations based on appropriate audit concepts.
- Produces number and dollar volume of claims goals as defined by team leader and/or management.
- Adheres to the overall timing and deadline of an audit cycle.
REQUIRED WORK EXPERIENCE:
· Extensive PC skills including knowledge of Microsoft Office and preferably database experience
FUNCTIONAL COMPETENCIES:
Domain/Industry Knowledge & Focus
- Understands the core concepts and tasks of recovery audit
- Familiar with assigned customer base
- Basic understanding of commercial recovery productivity
- Little to no understanding of broader industry
- Able to effectively review one project or vendor complexity level after training period
Data Analysis
- Competent at using ERP for assigned tasks
- Competent at designing and using simple query tools
- Ability to analyse large data sets
- Able to learn review tools used quickly with few, if any, technical barriers to reaching effective level of performance
Problem identification & Resolution
- Finds solutions to underlying issues through structured analysis
- Proactively analyses, identifies, and seeks relevant information from a wide variety of sources
Claim Production & Quality
- Meets and strives to exceed claims goals
- Consistently produces at or above average claim totals or claim counts for similarly rated employees on like projects or vendor complexity levels
- Competent at standard tools and processes for audits and claims
- Performs entry-level audit tasks with supervision
- Identifies variances and/or errors in the procurement and payment processes
- Able to learn while doing (i.e., produce claims while learning the process)
- Produces accurate work
- Seeks feedback on quality of work
- Maintains paybacks and cancel % in line with expectations
Client & Supplier Management
- Interfaces effectively with suppliers as needed to explore basic claim support and topics
- Able to ask relevant and focused questions of trainers or more senior employees to deepen concept knowledge and skill set, either in person or in writing
- Shows organization of information given and demonstrates ability to adapt work practices in response to instruction with limited training/instruction repetition needed
BEHAVIORAL COMPETENCIES:
THINKING
Maintains a Client Focus
- Delivers on commitments to clients
- Understands clients stated needs and requirements
- Communicates with vendors in professional and timely manner
- Meets clients’ needs
- Maintains positive relationships with clients and vendors
RELATING
Communicates with Impact
- Communicates in clear and concise manner
- Values and listens to others
- Adapts communication to different audiences
- Shares information in a timely manner
SELF-MANAGING
Displays Emotional Intelligence
- Remains calm and composed with day-to-day challenges
- Maintains focus when under pressure
- Recovers from setbacks typical to role
- Adapts to changes and shifting requirements, and maintains openness to new approaches
- Aware of own emotions and reactions
- Builds positive and trusting relationships with colleagues
- Sees the positive in people, situations, and events
Organizes & Prioritizes
- Organizes info to complete daily work
- Plans and performs work in systematic way
- Seeks guidance with competing demands & priorities
- Manages tasks effectively to deliver work on time
- Shifts priorities as directed by others
Takes Initiative
- Takes responsibility for own performance - work done on time and to quality
- Performs routine tasks without being prompted
- Anticipates problems might encounter in daily tasks
- Accepts responsibility for and corrects mistakes
- Seeks out additional work; offers to help others
ACHIEVING
Drives for Results
- Tenacious in overcoming routine challenges, seeks support
- Completes tasks in timely manner
- Strives to meet goals and objectives
- Maintains energy and focus
- Maintains self-motivation and determination to meet deadlines and expected outcomes
WORKING CONDITIONS:
- Benefits include Medical and Dental Schemes, Pension Scheme, Life Cover, Income Protection, 25 days holiday plus Bank Holidays, On-Line Learning Portal, Employee Assistance Programme, Subsidised Gym Membership, Eye Care, Cycle to Work Scheme, Enhanced Maternity and Paternity Pay
