Tag Archives: settlement

Settlement Specialist

Standard

Trade and Structured Finance (TSF) compliments the efforts of Cargill commodity business units by providing financial solutions to Cargills business partners (suppliers and buyers). TSFs experience and expertise in global financial markets aid in mitigating documentary, cross-border and credit risks associated with structured trade finance. TSF plays a key role in funding the global operations of Cargill through cross-border funding structures and management of transferability and convertibility risks. In additional to structured trade finance and internal funding, TSF also leverages Cargills international trade flows to create trade structures that provide funding to emerging market-based financial institutions and corporations.

The candidate will be responsible for administration of all aspects of the Trade & Structured Finance activities in a timely and accurate manner. Ensure compliance to the TSF guidelines and procedures. Responsibilities also include developing thorough knowledge of transaction structures and related documentation, legal and tax implications, settlements, funding, delivery of assets, and working with other local and regional offices to ensure that appropriate Cargill controls are included in settlement process.

Trades settlement

70%
– Execution of all TSF trades in adherence to the TSF Standard Operating Procedures/Guidelines. Ensure work processes and procedures are in compliance with Cargill and TSF policies.
– Manage all aspects of trade settlement. Preparation and execution of all documents arising from TSF activity based on approved templates (trade confirmations, financing agreements, LC formats, etc.); Coordination with counter-parties and internally on issuance of instruments (letters of credit, stand-by LC, guarantees) and on timing of funding;
– Input/processing of deals in the trade capture system;
– Second review and verification of trades (system input, documentation, approvals) & cash payments (amounts, value dates, bank details)
– Liaise with other functional groups including traders, trade execution teams, accounting and treasury to resolve execution issues and provide assistance where necessary.

20%
Develop a thorough understanding of relevant TSF structures through PAF reviews including the key risks and controls associated with each structure, and relevant tax & legal implications. Ensure complete understanding of transaction specifics, including data integrity, documentation, and settlement processes as well as the attributes of the relevant market and geography. Assist other team members in obtaining a deeper understanding of structures and processes through informal, on-the-job training opportunities.

10%
Facilitate innovation and work process improvements through idea generation and applying of business knowledge. Champion and/or participate in global projects where appropriate.

Minimum Required Qualifications
Bachelors degree in Business Administration, Finance, Accounting, Economics OR a related field
2 + years of relevant business experience
Understanding of trade finance business
Strong people/teamwork skills, yet able to work independently
Proven ability to take initiative to independently analyze and solve complex problems
Demonstrated knowledge of internal control structure & compliance
Good oral and written communication skills

Ability to work flexible hours to support global operations

Integrity, strong attention to detail, and thoroughness and accuracy in work
Good organizational skills with ability to perform well under pressure and manage multiple priorities

Ability to adapt positively to an ever-changing environment
Familiarity with Microsoft office applications

Preferred Qualifications
Fluent in oral and written Spanish
Exposure to forwarding operations of Commodity Trading company
Exposure to commodity finance and documentations
Familiar with ICC publications and use of various types of instruments including LCs, Bills of Exchange, SBLCs, BGs, etc
Experience in loan administration in a financial institution

Claims Settlement Specialist

Standard

Zelis is a healthcare information technology company and market-leading provider of end-to-end healthcare claims cost management and payment solutions.

Inc.5000 award winner: One of the fastest growing privately held companies in the US!

Ranked #1 by NJ Biz as the Fastest Growing Company in NJ!

COMPANY BACKGROUND/CULTURE

Zelis Healthcare is an information technology company which utilizes an end-to-end technology platform to fulfill the claims cost management and payments needs of healthcare payors including large and medium-sized health plans, TPAs, Taft-Hartley Plans, providers and individuals.
The company provides a comprehensive portfolio of network management, claims integrity, payment remittance solutions and analytical services for medical, dental and workers’ compensation claims to over 500 payor clients.
Additionally, the company delivers electronic payments and explanation of payments to over 200,000 healthcare providers and serves individuals with provider lookup and medical referral services.

Position Overview

The Claims Settlement Specialist position will handle the financial settlement of medical claims/bills on behalf of Zelis payor clients. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the procedures billed on the claim/bill; (2) the estimate of the fair value of the payment that was remitted to the provider based on Medicare pricing, location/facility/provider comparisons, and Zelis proprietary evaluation software; (3) identify negotiation points for that particular provider if payment is not accepted, as is; and, (4) negotiate an acceptable payment below the providers billed charges.
This position requires a minimum 60-day training period.

KEY RESPONSIBILITIES
* Answering all calls from providers who are questioning the paid amount on any claim(s) handled by Zelis for payor.
* Returning all calls within one business day of receiving the call.
* Creating payment negotiation documents using Word, Excel, or proprietary programs and transmitting those via fax, e-mail or other methods.
* Documenting stages of process and outcome of post payment negotiation in custom database.
* Analyzing medical claims and being able to discuss them with specific providers.
* Negotiating claims/bills as required.
* Miscellaneous duties as assigned

PROFESSIONAL EXPERIENCE/QUALIFICATIONS
* A background in healthcare collections, provider billing, retail or sales is beneficial.
* Ability to effectively communicate including listening and persuasive speaking skills and abilities.
* Excellent analytical and critical thinking skills as well as conversation skills and negotiation skills are a must; skills to make quick connections between many pieces of information and synthesize that into effective conversations.

COMPENSATION:

An attractive compensation package as well as comprehensive benefits plans are available to attract outstanding candidates.

Thank you for your interest in the Zelis team!