Claims & Chargeback Specialist

5 days ago


Agoura Hills, United States EDI Specialists Full time

The Claims & Chargebacks Specialist will be responsible for claims and chargeback administration for suppliers, carriers, and vendors. This will include data gathering, analysis, report generation, and negotiation on claims and chargebacks. This role will be a member of the Accounting team and work directly with Customer Experience, Operations, and Manufacturing. Responsibilities: Cross-functional communication and collaboration Manage claims and chargebacks for factories, shipping carriers, and other vendors Manage customer, factory and vendor claims process Portfolio Management including account reconciliations, disputed charges, and unapplied credits Manage Internal Controls Responsible for the development, implementation, and delivery of strategies for the organization as Claims Management functions with customers, factories, and vendors. Responsible for accuracy and completion customer, factory and vendors claims functions. Maintains financial information, files, and records for the purpose of ensuring the availability of documentation and compliance with established policies. Successfully oversee the management of portfolios to include account reconciliations, disputed charges, unapplied credits, including partnering with external teams to resolve complex requirements. Develop and implement best practice and identify areas for improvement. Provide guidance and serve as escalation point for A/R, factory, and customer claims issues. Perform monthly, quarterly, and annual accounting close responsibilities. Significant communication with internal business partners to drive company initiatives and maintain / improve accounts receivable portfolio performance. Direct the research and adjustments of chargebacks by partnering with external teams and sales execs to identify root cause for prompt resolution. Summarize monthly deductions via a management dashboard, showing open deductions by customer and type, with emphasis on "unauthorized " payment deductions, open balances with steps to collect/clear items. Make recommendations for corrective actions by identifying gaps, trends, and areas of improvement to prevent similar claims arising from the same customer(s). Implement reporting, matrix, KPI, and analysis to executive leadership related to customer claims/chargebacks. Establish, maintain, and monitor internal controls related to A/R to ensure accounting controls. Organize and maintain records of invoices, bills, and deposits. Understand and readily support company corporate business practices, policies, internal controls, and procedures designed to create value and minimize risk. Oversee customer billing and analyze cash receipts processing. Maintain records of cash flow and outstanding invoices, and direct interfacing with customers on collection matters and dispute resolution. Make collection calls for difficult accounts as needed. Post customer payments and accurately enter deduction status, types, reason codes and comments in GP system along with proper documentation. Research and determine appropriate backup support and proof of performance for all deduction claims. Request additional support documentation from customers as needed and/or work with customer websites to obtain deduction documentation. Coordinate with sales, customer service and/or logistics for validation and approval of claims. Process for chargeback if not valid. Communicate with customers to reconcile customer deductions and settle/write off valid trade deductions according to GAAP guidelines. Dispute/process for chargebacks if not valid. Prepare credit memos for any approved adjustments such as shortages, price discrepancies, promotions, concealed shortages, duplicate invoices, etc. and ensure supporting documents and backups are included. Liaise with sales, customer service, logistics, and customers to maximize the recovery and prevention of chargebacks. Ensure sales tax compliance for all dealer resale certificates are current and accurate. Experience: 5 years with auditing, claims, and/or returns experience. Experience with ERP accounting software (MS Dynamics Great Plains experience helpful) Experience with MS Excel Experience in retail/wholesale or consumer goods helpful Must work carefully and deliberately with an eye toward detail while in a fast-paced business environment Strong organizational skills; a self-starter who can prioritize and multi-task. Excellent communication skills LI-onsite


  • Chargeback Analyst

    3 weeks ago


    Vernon Hills, United States MILLENNIUMSOFT Full time

    Position : Chargeback Analyst Location : Vernon Hills, IL Duration : 6 Months Contract Total Hours/week :40.00 1st Shift Description: This position is responsible for processing distributor chargebacks and sales tracings in an efficient and accurate manner for all US business segments. This position is accountable to format, load, reconcile and...


  • Richland Hills, Texas, United States Federated Mutual Insurance Co Full time

    About Federated Mutual Insurance CoFederated Mutual Insurance Co is a leading provider of insurance solutions, dedicated to delivering exceptional service to our clients. We are seeking a skilled Claims Resolution Specialist to join our team and help us achieve our mission.Job SummaryWe are looking for a highly motivated and detail-oriented Claims Resolution...


  • Farmington Hills, Michigan, United States Smile America Partners Full time

    About the RoleWe are seeking a highly motivated and detail-oriented Billing Specialist to join our team at Smile America Partners. As a key member of our team, you will be responsible for reviewing, editing, and data entering large volumes of dental claims for proper billing.Key Responsibilities:Review and edit dental claims for accuracy and completeness...

  • Claims Specialist

    4 weeks ago


    Mission Hills, California, United States Providence Service Full time

    Job Summary:Providence Service is seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for managing the internal audit functions, including audit processes for adjudicated claims and encounters. You will also monitor the check run process for accuracy and develop policies and procedures for periodic...


  • Richland Hills, Texas, United States Federated Mutual Insurance Co Full time

    Who We Are:Federated Mutual Insurance Co is a company that values its clients' success and provides tremendous opportunities for growth. Our employees believe our company has an outstanding future, with over 95% of them sharing this sentiment.Our Culture:We strive to create a work environment that embodies our values and commitment to diversity and...


  • Agoura Hills, California, United States Joni and Friends Full time

    Job DescriptionThe Safety and Compliance Specialist will be responsible for designing, developing, and implementing the organization's safety programs, policies, and procedures. This role will involve collaborating with the safety committee, IT, and facilities departments to create and manage various safety programs, including California's Workplace Violence...


  • Auburn Hills, Michigan, United States Flexcar Full time

    Job Summary:We are seeking a highly skilled Auto Claims Support Specialist to join our team at Flexcar. As a key member of our team, you will be responsible for managing the entire damage recovery process, providing world-class member service, and ensuring efficient processing of member incident reports.Key Responsibilities:• Triage incident reports to...


  • Farmington Hills, Michigan, United States Institute of Inspection , Cleaning and Restoration Certification Full time

    Claims Management SpecialistThe Insurance Claims Coordinator will be the central point of contact for all claims, ensuring timely and efficient resolution. Key responsibilities include:Managing data entry for each claim from First Notice of Loss through to completion in the CRM systemMonitoring and updating jobs in the required operating system to ensure...


  • Spring Hills, Texas, United States Euronet Full time

    Claims Dispute Resolution AnalystEuronet Worldwide, a leading ATM management company, is seeking a skilled Claims Dispute Resolution Analyst to join our team in Spring, TX.The successful candidate will be responsible for overseeing the processing of customer transaction disputes and deposit disputes for our financial institution clients.Key...


  • Temple Hills, Maryland, United States Catholic Charities Full time

    Job Summary:The Medicaid Billing Specialist plays a vital role in the Homeless and Housing Services Department at Catholic Charities. This position is responsible for processing Medicaid insurance claims by entering authorizations into the billing software and researching denied claims. The ideal candidate will have a strong understanding of Credible billing...


  • Beverly Hills, California, United States ActOne Group Full time

    Job DescriptionWe are seeking a skilled Personal Injury Negotiator with a strong background in claims negotiation and fluency in Spanish to handle a high volume of personal injury cases from start to settlement.Key Responsibilities:Manage a personal injury caseload and oversee each case's progress from initial intake through settlement.Conduct thorough case...


  • Agoura Hills, California, United States JBA International Full time

    Job DescriptionJob DescriptionWe are seeking a highly motivated Workers' Compensation Defense Attorney to join our team at JBA International.**Key Responsibilities:**- Defend clients against workers' compensation claims**Requirements:**- Highly motivated and results-driven- Strong attention to detail and commitment to customer service- Excellent written and...

  • Claims Coordinator

    4 weeks ago


    Farmington Hills, Michigan, United States Institute of Inspection , Cleaning and Restoration Certification Full time

    Claims Coordinator Job DescriptionAs a Claims Coordinator at Institute of Inspection, Cleaning and Restoration Certification, you will be the hub of all claims, responsible for speaking with customers, ongoing customer follow-up, handling service complaints, and ensuring that required Cycle Time and insurance Service Level Agreement tasks deadlines are met....


  • Parsippany-Troy Hills, United States Zurich Insurance Company Full time

    Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg, Addison, Atlanta, Dallas, Maitland, Omaha, Overland Park, Owings Mills, Parippany, Rancho Cordova, Rocky Hill, or Woodland Hills. If you are ready for a career move, consider working for a company with a global footprint that offers terrific...

  • Legal Case Assistant

    4 weeks ago


    Beverly Hills, California, United States Jalilvand Law Corporation (JLC) Full time

    Jalilvand Law Corporation (JLC) is a dynamic law firm in Beverly Hills, CA, seeking a motivated Legal Case Assistant to join our team.We are looking for a team player who demonstrates initiative and embodies a mindset of personal accountability. Fluency in oral and written Spanish is a preferred qualification for this position.Key Responsibilities:Assist in...


  • Vestavia Hills, Alabama, United States Surgical Dermatology Group Full time

    ### Job Title: Insurance Collections Specialist#### Job SummaryWe are seeking an experienced Insurance Collections Specialist to join our team at Surgical Dermatology Group. As an Insurance Collections Specialist, you will be responsible for collecting monies owed to the accounts receivable by insurance carriers or privately paying patients for the...


  • Beverly Hills, California, United States Berk Chiropractic Full time

    Job DescriptionWe are seeking a skilled Medical Billing Specialist to join our team at Berk Chiropractic. As a Medical Billing Specialist, you will be responsible for accurately processing and submitting medical claims to insurance companies. Your duties will include data entry, claim submission, and follow-up on denied claims. You will also be responsible...


  • Farmington Hills, Michigan, United States 2020 Family Vision Full time

    Job SummaryWe are seeking a skilled Medical Billing Specialist to join our team at 2020 Family Vision. As a Medical Billing Specialist, you will be responsible for processing insurance claims, collecting necessary documentation from clients, and communicating with physicians' offices and hospitals to obtain records.ResponsibilitiesAssist clients with...


  • Vestavia Hills, Alabama, United States Surgical Dermatology Group Full time

    Job Title: Insurance Collections SpecialistWe are seeking a highly skilled Insurance Collections Specialist to join our team at Surgical Dermatology Group. As a key member of our revenue cycle team, you will be responsible for collecting monies owed to our practice from insurance carriers and private payers.Key Responsibilities:Stay up-to-date on policy and...

  • Renal Care Specialist

    4 weeks ago


    Beverly Hills, California, United States Innovative Renal Care Full time

    Billing and Reimbursement Specialist Job DescriptionThe Billing and Reimbursement Specialist is a crucial member of our team at Innovative Renal Care, responsible for ensuring accurate and efficient billing and collection of health insurance payments from insurance carriers.Key Responsibilities:Responsible for accurate billing and collecting of revenue for...