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At Percepta, we bring first-class service across each market we support. As a Technical Service Representative 2 in Melbourne, Florida, you’ll be a part of creating and delivering amazing customer experiences, while also enjoying the satisfaction of being part of a unique culture. The claims payment analyst is responsible for the overall handling (reviewing, approving, and denying) of participating dealerships.Claims are received through a variety of sources.
Job Responsibility:
Review claims received in assigned sort groups via Company's claim payment system (OWS) to determine if claim meets policy guidelines
If all policy guidelines are met, the Claims Analyst is responsible for paying the claim to the dealer
If claim fails to meet policy, communicate the rationale for why a claim will be denied or adjusted to the dealership
Analyze claims that require manual payment to determine eligibility
Exercise sound judgment in balancing policy and dealer satisfaction when making determination to pay or reject
Recognize system issues and forward to OWS team or leadership for system correction
Analyze various claims reports to determine if claims are valid
Communicate any claim charge backs to dealer based on business rules
Assist the hotline with questions and concerns regarding program guidelines
Provide backup support to Prior Approval operations when needed
Identify process improvements and best practices as needed
Complete additional tasks and projects as assigned
Requirements:
High School diploma or equivalent required
Some college coursework desired
Mechanical automotive background required
Familiarity with OASIS and ACESII is desired, but not required
Excellent time management skills/organizational skills
Excellent written and verbal communication skills
Effective analytical and problem-solving skills
Attention to detail is required
Displays professionalism and a positive attitude
Ability to effectively communicate with customers, managers, and coworkers