Accounts Receivable Claims Clerk
4 weeks ago
Overview
A claims analyst is responsible for reviewing and evaluating claims submitted by customers, ensuring their accuracy, eligibility, and compliance with company policies.
Responsibilities- Review and evaluate customer claims submitted through various channels (e.g., online, phone, mail), ensuring accuracy, eligibility, and compliance with company policies; investigate claims, determine validity, determine settlement amounts, maintain detailed records, and communicate with the team lead for approval.
- Investigate claims to determine validity and eligibility based on company policies and procedures.
- Gather and analyze supporting documentation to support claim decisions.
- Determine appropriate settlement (credit) amounts for valid claims.
- Maintain accurate and detailed records of all claim activities in the company's database.
- Communicate effectively with customers regarding the status of their claims.
- Collaborate with team leads to resolve complex claims and escalate issues as needed.
- Identify and report potential fraud or abuse.
- Stay updated on relevant industry regulations and company policy changes.
- Contribute to process improvement initiatives within the claims department.
Schedule: WFH; Full Time
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