Retail Claims Supervisor, Accounting & Compliance

Location Calamba City, Laguna, Philippines Category Finance Job Type Full time
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JOB DESCRIPTION

Supervisor, Accounting and Compliance (Retail Claims) ensures the accuracy, integrity and timeliness of claims processing and vendor & receivable management in compliance with company policies and procedures. Leads the Claims team, oversees the daily functioning of claims reimbursement area, ensuring timely and accurate adjudication of service, replacement, and electronic claims. Helps resolve claims issues and manage claim volume based on department deadline goals. Ensure work is properly allocated and completed, and drives process improvements to gain productivity, efficiency and reduction of costs.

This role will work closely with internal stakeholders and be a dynamic team player, with strong attention to detail, excellent problem-solving and decision-making skills, strong time management experience, strong written and oral communication skills and experience managing a team of professionals. Experience in insurance and technology industries is a plus.

Key Accountabilities:

  • Oversees the Retail Claims function
  • Reviews / prepares claims reimbursements for Jewelry, Preventative Maintenance, Food Loss and Service; Ensures vendors are paid within schedule for parts and service rendered
  • Evaluate all claims for accuracy and completeness
  • Develops processes and procedures to ensure claims inquiry, reimbursement and invoices are processed in accordance with Company policy
  • Adjudicate claims based on appropriate underwriter and client specific business rules
  • Determine eligible benefits based on documents submitted and policy provisions.
  • Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround time.
  • Ensure accurate benefit payouts in accordance with the policy details, laws and regulations.
  • Assist the team in resolving claims-related issues and/or concerns.
  • Discuss claim decisions with distributors whenever necessary.
  • Issue clear, effective, and accurate communications to internal and external customers
  • Checks and monitors monthly statements related to AP and AR for Parts Distributors and OEMs
  • Ageing review, ensuring timely collection of cash and timely payment for parts and service; escalating issues as appropriate;
  • Process electronic spreadsheets and paper claims submitted by service network-providers in appropriate payment module.
  • Report problems and provide alternate solutions to Claims Manager
  • Must have strong analytical skills, is capable of issue spotting, and can effectively direct on issue resolution
  • Proven track record of establishing and meeting SLAs (deadlines) in high volume work streams and must be able to prioritize and communicate questions to Claims Manager.
  • Develops thorough understanding of Asurion’s client programs, business processes, and key stakeholder relationships to advocate positions appropriately
  • Must be able to utilize resources, have good organizational skills and adhere to deadlines and resources.
  • Accurately assesses and manages risk through knowledge of Asurion’s business and relevant legal issues, including reconciling the implication of past precedent with current and future needs
  • Develops thorough understanding of Asurion’s business, processes and goals to provide innovative legal solutions that solve unique or challenging problems
  • Establish strong collaborative relationships internal stakeholders, and drives communication with client teams, underwriter teams and agency contacts.
  • Ensure compliance with approval matrix and related policies for all claims and payment transactions
  • Liaison with external outsource service providers (OEM and PD) to ensure completeness of accounts and transactions
  • Liaison with internal departments
  • Assists in preparation of financial policies and procedures, specifically in the Claims functions
  • Undertakes ad hoc improvement projects and analysis as assigned
  • Act as escalation point, manage complaints, own quality of service and is responsible for tracking and reporting on service level performance
  • Development of direct reports, including establishing individual development plans and overall succession planning
  • Accountable for people management (selection, training, appraisal, retention and development), and conduct regular coaching and mentoring to direct reports and ensure alignment of training investment to the Individual Developmental Plan
  • Responsible for the Business Continuity and Disaster Recovery Plan of the team including internal back-up plan
  • Participate in ad hoc projects concerning finance activities
  • Performs ad hoc activities and tasks as required

Qualifications:

  • Bachelor’s Degree in Accounting or any related Business/Finance Course
  • At least 5 years of relevant experience
  • At least 3 years people handling experience; led a project or a team
  • Background in BPO / Shared Service
  • Participate in team and inter-department discussions to facilitate the improvement of current processes.
  • Create and enhance current reporting processes
  • Experience in effectively managing multi-person teams and holding regular coaching sessions
  • Experience in effectively interacting consumers in escalated situations

Competencies:

  • Superior Problem-Solving Ability
  • Excellent Communication Skills both oral and written
  • Knowledge in ERP system. Experience in Microsoft DAX, Service Bench, Oracle or SAP is a plus;
  • Good computer skills including common business applications such as MS Windows and MS Office including Excel, Access, Word and Power Point;
  • Positive, self-directed individual with a strong desire and ability to manage change and process improvement as the business grows;
  • Advocates a culture of compliance with policies and controls;
  • Able to work flexible hours as needed during peak times;
  • Good communicator and willing to build strong business relationships, able to work cross-functionally and cross-culturally;
  • Promotes customer satisfaction and quality customer service for internal clients;
  • Looks for opportunities for continuous improvement in accounting processes and controls, willing to challenge the ‘status quo’

About Asurion:

Asurion helps people protect, connect and enjoy the latest tech – to make life a little easier.  Every day our 19,000 experts help nearly 300 million people around the world solve the most common and uncommon tech issues. With just a call, tap, click or visit, Asurion can provide a next day replacement of your smartphone, help you stream your favorite show, manage your smart home or simply connect with no buffering, bumps or bewilderment. Helping you stay connected and getting the most from the tech you love is our top priority... no matter what device you have or where you purchased it. Learn more at Asurion.com.

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