Back to search results Job Description Job Title: Analyst III Date: 2021 Division/Department: Recovery Audit Location: Reports to: Management Service Line: Recovery Audit – Non-Commissioned Band: 3 – ProfessionalZone: NA Type of position:? Full-time ?Temporary?Part-time ?Other FLSA Status: Hours________ / week?Exempt ?Not applicable?Non-exempt JOB DUTIES & RESPONSIBILITIES: Conducts audits using client data to identify errors and recover revenueFinds, supports, and documents audit and claims operationsProduces claims Updates claims management systemBills claims to client Reviews contracts, agreements, paperwork and electronic documents Inspects and evaluates client financial information Provides vendors with claim back-up informationPackages claims for vendor and/or clientConducts buyer, contract and document pulls as requiredProvides support for audit team.Actively contacts vendors as part of the claim production process Independently produces written correspondences to vendor inquiries.Analyzes 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:· Minimum of 2 years of professional business experience. · Professional audit experience is preferred. FUNCTIONAL COMPETENCIES: Domain/Industry Knowledge & Focus Basic awareness of broader industryDemonstrated ability to review all project concepts and vendor complexity levels independently and capable of producing claims that do not require QC review before being sent to vendors or clients Data Analysis Looks for innovative ways to analyze data in order to identify new audit opportunitiesIdentifies subtle trends in their data and recognize their immediate impact for the client and the businessHighly proficient in the use of all tools and also capable of testing new tools or tool enhancements and offering meaningful feedback on issues found that can assist IT staff in troubleshooting and correction effortsMakes realistic and productive suggestions for future tool enhancements to further optimize processes and save time Problem identification & Resolution Analyzes and assesses problems with client's claim procedures Claim Production & Quality Regularly achieves production levels of claim value or counts in the top 10% of team members producing claims or maintains above average production levels while taking on significant additional responsibilitiesPerforms entry-level audit tasks without supervisionProvides independent support to India teams, and able to train new hires on review concepts and toolsApproaches training others in an organized way and communicates concepts clearly and effectively Client & Supplier Management Communicates across multiple levels of client or vendor organizations in clear and concise way, and drives the resolution of claims (recovery)Establishes confidence with senior staff should that communication assigned will be handled with the highest level of professionalism, and that decisions made in claim resolution process are sound and best serve group objectives BEHAVIORAL COMPETENCIES: THINKINGMaintains a Client Focus Delivers on commitments to clientsUnderstands clients stated needs and requirementsCommunicates with vendors in professional and timely mannerMeets clients' needsMaintains positive relationships with clients and vendors RELATINGCommunicates with Impact Communicates in clear and concise mannerValues and listens to othersAdapts communication to different audiencesShares information in a timely manner SELF-MANAGINGDisplays Emotional Intelligence Remains calm and composed with day-to-day challengesMaintains focus when under pressureRecovers from setbacks typical to roleAdapts to changes and shifting requirements, and maintains openness to new approachesAware of own emotions and reactionsBuilds positive and trusting relationships with colleaguesSees the positive in people, situations and events Organizes & Prioritizes Organizes info to complete daily workPlans and performs work in systematic waySeeks guidance with competing demands & prioritiesManages tasks effectively to deliver work on timeShifts priorities as directed by others Takes Initiative Takes responsibility for own performance – work done on time and to qualityPerforms routine tasks without being promptedAnticipates problems might encounter in daily tasksAccepts responsibility for and corrects mistakesSeeks out additional work; offers to help others ACHIEVINGDrives for Results Tenacious in overcoming routine challenges, seeks supportCompletes tasks in timely mannerStrives to meet goals and objectivesMaintains energy and focusMaintains self-motivation and determination to meet deadlines and expected outcomes WORKING CONDITIONS: Employee Assistance Programme
