Job Description

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:

• Employee Assistance Programme