Note: The job is a remote job and is open to candidates in USA. Percepta provides customer service and claims support across the markets it serves. The Claims Payment Analyst reviews, analyzes, approves, denies, and adjusts Ford and Lincoln Protect claims while communicating decisions to dealerships and supporting claims operations. The role also identifies process improvements, resolves system issues, and completes assigned projects.
Responsibilities
- Review claims received in assigned sort groups via Ford Motor Company's claim payment system (OWS) to determine if claim meets Ford and Lincoln Protect 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 Ford and Lincoln Protect 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 Ford and Lincoln Protect 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 Ford and Lincoln Protect business rules
- Assist the Ford and Lincoln Protect Claims 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
Skills
- High School diploma or equivalent required
- Previous Ford and Lincoln Protect or Warranty claims program knowledge is desired
- Mechanical automotive background required
- Excellent written and verbal communication skills
- Excellent time management skills/organizational 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
- Ability to multitask and prioritize assignments
- Some college coursework desired
- Familiarity with OASIS and ACESII is desired, but not required
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