Resolution Analyst Job Description
Resolution Analyst Duties & Responsibilities
To write an effective resolution analyst job description, begin by listing detailed duties, responsibilities and expectations. We have included resolution analyst job description templates that you can modify and use.
Sample responsibilities for this position include:
Resolution Analyst Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Resolution Analyst
List any licenses or certifications required by the position: LPN, FFM, CPMA, COC, BCS, CPC, IOA, PM
Education for Resolution Analyst
Typically a job would require a certain level of education.
Employers hiring for the resolution analyst job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and High School Degree in Accounting, Business, Finance, Education, Business/Administration, Economics, Management, Medical, Computer, Graduate
Skills for Resolution Analyst
Desired skills for resolution analyst include:
Desired experience for resolution analyst includes:
Resolution Analyst Examples
Resolution Analyst Job Description
- Seek out certifications of data quoted in the regulatory submissions
- Assisting with administration, data transfer and data management within the submission document
- Assisting with aggregation of critical services inventories for appropriate representation in the plan
- Contributing information to financial models, forecasts, and estimates
- Developing and maintaining rigorous records of assumptions utilized in analyses
- Identifying potential risks
- Other duties will be assigned as the department and/or role evolves
- Assist with the annual Global Markets Wind-down activities
- Provide support to the quality audit related services to the Credit Resolution Group through the Internal Control process to ensure compliance developing and executing new audit procedures as new risks are identified internally or as a result of an audit or review
- Conduct best practices research, resolving control issues, and independently assessing management's design and effectiveness of the system of internal control
- Understanding of Global Markets & Global Wholesale Banking functions
- Experience analyzing data and making recommendations based on observations and trends
- Strong active listening, assimilation of information, analytical, communication, negotiation, writing, and judgment skills
- Personal time management, initiative, commitment to high quality, business acumen, and flexible/adaptability attributes
- Broad knowledge of banking, systems, regulations and procedures
- Ability to identify, analyze, and solve complex issues quickly with logic and reason
Resolution Analyst Job Description
- Review, approve/decline and publish Alerts to the Open House Portal after hours, if required
- Maintain data management tools and reporting tools to support needs
- Manage Access database to create reporting and track feedback
- Maintain established service levels for resolving issues and producing reports
- Provide after hours blackberry support for stores on rotation
- Status reporting and issue management to various stakeholders
- Provide report analysis and written results in a clear and concise manner
- Drive issue resolution by working out, sharing best practises and leading by example
- Proactively suggests improvements/additional control points to build in and take an active part in the implementation and in the follow up
- Carry out timely, accurate and compliant Period End reporting process in Magnitude and SAP for Intercompany related parts of Balance Sheet, Profit & Loss statements
- Quick learning capacity
- Support CCB wide Resolution and Recovery Plan activities and deliverables which involves ensuring appropriate ownership of deliverables, communicating requirements and tracking against Corporate target dates to ensure timely completion of deliverables for CCB Material Legal Entities, Core Business Lines and Critical Operations
- 1 year of fraud/disputes claims resolution operations in a banking environment
- Post-secondary (diploma or degree) education in Business or a related field
- Must possess strong interpersonal & communications skills and the ability to work well within cross-functional teams, store staff and Dealers
- The ability to adapt to changing roles and priorities, taking the initiative to learn cross-functional tasks/responsibilities and enthusiastic about seeking out better ways of doing business
Resolution Analyst Job Description
- Contact person for business operational team in terms of resolving any complex issues with invoices and payments, investigate and resolve deficiencies with suppliers or internal parties
- Work closely with business stakeholders on processing exceptional items and specific requirements
- Responsible for preparing timely reconciliation & review of all B2P related accounts
- Owns communication and reconciliation of outstanding balances with external suppliers
- Support in preparation of metrics and KPI’s and investigation analysis
- The candidate will manage a daily running inventory of negotiable claims
- The candidate will evaluate and research claims for reasonableness off total billed charges based industry standards tool provided (CMS, AMA coding guidelines, U&C, etc)
- The candidate will contact provider to discuss reimbursement of charges while obtaining signed approvals (LOA’s) – Letters Of Agreements
- Day to day accountability for PPO, Auto and Workers Comp
- Answer the toll free customers service numbers assigned for specific client
- Bachelors degree, or equivalent related experience and three years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry, or any combination of education and experience which would provide an equivalent background
- Minimum of one year of industry experience as a real estate escrow officer, closer or processor
- Minimum 2 years of experience in Accounting and/or Finance
- Experienced user of integrated software system (SAP knowledge is inevitable)
- Expert in Microsoft Excel usage
- Good understanding of accounting practices in relation to P2P/AP
Resolution Analyst Job Description
- Resolve invoice issues or route contract issue to appropriate department
- Assist with customer inquiries relating to payment claims, billing issues, providing constructive feedback to internal and external customers
- Support month end close activities including cash applications as needed
- Support internal and external audits gathering data as needed
- Investigates, researches and facilitates the resolution of claims issues, including incorrectly paid claims, by working with multiple operational departments and analyzing the systems and processes involved in member enrollment, provider data/information management, benefits configuration and/or claims processing
- Assists in the reviews of provider relations and state complaints related to claims
- Helps submit CQ/RTC requests to have claims fixed
- Interacts with the provider relations team to regularly manage customer expectations, communicate risks and status updates, and ensure issues are fully resolved
- Educate on proper billing/give recommendations to provider relations reps on how to educate providers
- Shares details with corporate, gives corporate instructions on how to process and/or gain access to WGS system to configure, manually override or update pricing based on claims issues after receiving leadership approval
- Typically 4-6 years of experience in credit internally or in banking
- Three to five years of experience in the Trust, Technology or Investment industry
- Thorough knowledge of Trust operations functions, processing systems, securities industry rules and regulations and procedures for the assigned areas
- Basic word processing, spreadsheet and database management skills
- Proven client service, problem-solving and organizational skills
- Five or more years of experience in the Trust, Technology or Investment industry
Resolution Analyst Job Description
- Work with corporate on user testing as needed before payment configuration goes live
- Attends all Reimbursement Policy meetings and provides feedback on behalf of the health plan based on contractual requirements/market feedback
- Access to PDM data warehouse to configure, load, and fix provider data as needed
- Work with corporate PDM for specific market tasks, research and develop solutions to fix problems given by provider relations/provider network if barriers exist
- Responsible for preparing timely reconciliation & review of all B2P related accounts such as GR/IR, AP Liability and other exceptional accounts
- Perform regular self-audit and execute on correction actions
- Contact person for business operational team in terms of resolving any complex closing issues with invoices and payments, investigate and resolve deficiencies with suppliers or internal parties
- Investigate and summarize the history of each case, determining the root cause of any error or complaint, any contributory factors
- Develop expertise on, and determine viable solutions, for assets subject to contract obligation disputes with consideration for the customer experience, financial and operational implications
- Works on assignments where considerable judgement and initiative are required in resolving problems and making choices, recommendations, or decisions
- One-two year minimum TPA/PPO experience, with emphasis in claims, fee schedules and contracting
- Medical or Coding terminology
- Must be proficient in Excel, Work, Outlook, with the ability to learn new application as needed
- Must be able to develop and foster productive working relationships with provider office and clients through ongoing communications by means of phone, email, facsimile, or as necessary
- Self-motivated, goal oriented, and has the ability to work independently
- Strong verbal and written communication, time management, problem solving, organizational, and analytical skills required