ESP Claims Payment Analyst

Percepta•Melbourne, FL

About The Position

At Percepta, we bring first-class service across each market we support. As a Claims Payment Analyst in Melbourne, Florida, you’ll be a part of creating and delivering amazing customer experiences, while also enjoying the satisfaction of being part of a unique culture. The claims payment analyst is responsible for the overall handling (reviewing, approving, and denying) of Ford and Lincoln Protect claims submitted by Ford, Lincoln and participating dealerships. Claims are received through a variety of sources (i.e. system, reports generated by Ford, manual reviews, etc)

Requirements

High School diploma or equivalent required. Some college coursework desired.
Mechanical automotive background required
Excellent time management skills/organizational skills.
Excellent written and verbal communication 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

Nice To Haves

Previous Ford and Lincoln Protect or Warranty claims program knowledge is desired
Familiarity with OASIS and ACESII is desired, but not required

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