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We are looking for a detail-oriented Payments Claim Specialist to join our team in Los Angeles, CA, This position offers an excellent opportunity to contribute to claim administration and payment processing operations in the fraud department within a dynamic and fast-paced environment. The ideal candidate will demonstrate expertise in handling disputes, ensuring compliance with regulatory standards, and maintaining high-quality standards in financial processes.
Job Responsibility:
Process and manage claims related to payments, ensuring accuracy and adherence to established policies
Conduct thorough investigations of disputes and chargebacks to resolve issues promptly
Monitor and enforce compliance with regulatory requirements related to claim administration
Prepare detailed reports and metrics to track progress and performance
Collaborate with clients to address concerns and maintain strong relationships
Perform quality checks on claims to ensure accuracy and compliance with procedures
Review ledgers, debits, and credits to identify and address discrepancies
Support fraud investigations by analyzing claims and payment processes
Maintain organized records and documentation for auditing and reporting purposes
Requirements:
Proven experience in claims processing, payment administration, or a related field
Proficiency in Microsoft Office Suite, including Excel, Word, and Outlook
Strong analytical skills with the ability to investigate and resolve disputes effectively
Familiarity with regulatory requirements and compliance standards
Excellent communication skills to collaborate with clients and team members
Attention to detail and commitment to maintaining accuracy in all tasks