Claims Analyst II Administrative & Office Jobs - Dalton, GA at Geebo

Claims Analyst II

Monitors and adjusts claims from start to finish by verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, negotiating payment to all parties, and following up to ensure that payments are made. Ensures effective and efficient coordination between the Company and its customers with a high level of service and support. Establishes and maintains positive business relationships both internally and externally to promote company goals. Provides point of contact for filing manufacturing and non-manufacturing related claims. Performs duties following documented guidelines and processing standards. Works under direct supervision and follows standard procedures and/or written instructions to perform job duties.
Investigates all claims submitted by customers to determine if credit should be issued based upon nature of complaint, warranty, inspection report, lab results, input from dealer, etc. Handles all necessary paperwork associated with the claims process.
Investigates chargebacks and disputed invoices resulting in an appropriate resolution. Interface with Sales to settle replacement claims, allowances, and returns due to non-manufacturing errors.
Resolves pricing claims with Customer Services and Sales within the specific Guidelines of Mohawk's pricing claims policy.
Coordinates customers' shipping requirements for delivery of replacement orders caused by internal errors.
Researches and confirms all documentation and makes payments on approved Installations.
Assists the Credit Department in resolving outstanding issues that may potentially prohibit the shipment of non-claims related orders.
Prepares and maintains reports and records for processing.
Analyzes and answers inquires regarding claim adjudication including method of payment.
Performs other duties as required.
Qualifications:
High School diploma or GED equivalency plus a minimum of 3 years of progressively responsible related work experience. Must include at least one-year experience as Claims Analyst I.
Basic knowledge of After Sales functions related to the research and resolution of claims.
Experience in the carpet/flooring industry a plus.
Working knowledge of computers / AS400 system as well as Word, Excel, and PowerPoint.
Accurate data entry skills.Estimated Salary: $20 to $28 per hour based on qualifications.

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