Job Description

Job Description

JOB DUTIES & RESPONSIBILITIES:

.Provides administrative support to audit teams through various administrative audit tasks

· Performs data entry to support audits

· Organizes audit data

· Organizes and files claims

· Packages claims

· Tracks audit tasks

· Runs reports

· Works with claims management system to track and maintain vendor compliance

FUNCTIONAL COMPETENCIES:

Domain/Industry Knowledge & Focus

• No or basic understanding of recovery audit function
• Little to no understanding of broader industry
• No or basic awareness of customer base
• No understanding of commercial recovery productivity

Data Analysis

• Finds gaps in existing information and seeks further detail
• Finds trends and patterns in data
• Analyses information in a logical manner
• Organizes and presents routine data in a clear manner

** __**

Problem identification & Resolution

• Finds practical solutions to routine problems
• Listens to and learns from colleagues and managers

** __**

Claim Production & Quality

• Completes claims support tasks in an accurate and timely manner
• Maintains focus on detail when dealing with routine work
• Checks own work carefully
• Asks questions when not understanding
• Understands their performance metrics
• Follows and meets deadlines of established processes

** Client & Supplier Management**

• Has little direct contact with suppliers and/or clients

BEHAVIORAL COMPETENCIES:

** THINKING**

** Maintains a Client Focus**

• Delivers on commitments to clients
• Understands clients stated needs and requirements
• Communicates with vendors in professional and timely manner
• Meets clients’ needs
• Maintains positive relationships with clients and vendors

** RELATING**

** Communicates with Impact**

• Communicates in clear and concise manner
• Values and listens to others
• Adapts communication to different audiences
• Shares information in a timely manner

SELF-MANAGING

** Displays Emotional Intelligence**

• Remains calm and composed with day-to-day challenges
• Maintains focus when under pressure
• Recovers from setbacks typical to role
• Adapts to changes and shifting requirements, and maintains openness to new approaches
• Aware of own emotions and reactions
• Builds positive and trusting relationships with colleagues
• Sees the positive in people, situations, and events

** Organizes & Prioritizes**

• Organizes info to complete daily work
• Plans and performs work in systematic way
• Seeks guidance with competing demands & priorities
• Manages tasks effectively to deliver work on time
• Shifts priorities as directed by others

** Takes Initiative**

• Takes responsibility for own performance - work done on time and to quality
• Performs routine tasks without being prompted
• Anticipates problems might encounter in daily tasks
• Accepts responsibility for and corrects mistakes
• Seeks out additional work; offers to help others

** __**

ACHIEVING

** Drives for Results**

• Tenacious in overcoming routine challenges, seeks support
• Completes tasks in timely manner
• Strives to meet goals and objectives
• Maintains energy and focus
• Maintains self-motivation and determination to meet deadlines and expected outcomes