Appeal Resolution Manager jobs in Albany, GA

Appeal Resolution Manager manages the grievance process to review, investigate, document, process, negotiate, and resolve disputed medical, insurance, and other claims. Oversees work activity that is compliant with all regulatory guidelines and policy protocols. Being an Appeal Resolution Manager allocates team resources to ensure an effective and balanced case workload. Applies industry standards and uses best practices in the preparation of legal briefs. Additionally, Appeal Resolution Manager may represent the organization at hearings. Requires a bachelor's degree. Typically reports to a senior manager or head of a unit/department. The Appeal Resolution Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be an Appeal Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Director, Client Care - Client Resolution
  • Visa
  • Ashburn, GA FULL_TIME
  • Company Description

    Visa is a world leader in payments and technology, with over 259 billion payments transactions flowing safely between consumers, merchants, financial institutions, and government entities in more than 200 countries and territories each year. Our mission is to connect the world through the most innovative, convenient, reliable, and secure payments network, enabling individuals, businesses, and economies to thrive while driven by a common purpose – to uplift everyone, everywhere by being the best way to pay and be paid.

    Make an impact with a purpose-driven industry leader. Join us today and experience Life at Visa.

    Job Description

    The Client Resolution Director is responsible for providing leadership, inspiration, and direction to the Client Resolution team, ensuring that team members have the information, tools, and resources needed to deliver exceptional results to their clients. The role requires thought leadership and a keen insight into service delivery and support trends and industry best practices.  The Client Resolution Director will forge strong relationships with business partners across CS, Sales, Product, Risk, and Technology.

    • Lead the Auth CR team of analysts and consultants (individual contributors) at various stages of their career responsible for solving client issues based on Visa’s authorization services
    • Lead the Claims and Ex-gratia function, a more senior functions responsible for resolving complex and multiparty issues to make sure clients billing errors are resolved.
    • Responsible for maintaining and testing the CS crisis response protocols and helping to facilitate the annual crisis simulations
    • Lead the Coordination function which is the “front door” for many clients raising issues. Triaging and assigning to the appropriate team not only in CR but across CS and beyond
    • Responsible for new technology integration, bring onboard AI based services to assist both the Coordination function and the support teams
    • Provide leadership, strategic direction and management for a team by establishing a customer focused, performance based culture
    • Drive improvements within the department and across the broader Global Client Resolution organization (Rest of World) targeted at improving and standardizing the client experience and driving high client engagement scores
    • Build and foster a client centric culture, driving policies targeted at empowering staff to deliver exceptional experiences with each interaction
    • Re-image the Client experience by seeking out leading edge solutions, taking an agile approach to implementing technology enhancements and process improvements. 
    • Internal and external escalation point for critical operational issues impacting cardholder or merchant acceptance
    • Forge strong relationships, building trust with Senior Management, Product, Sales, and other Third Line teams through active listening, empathy, and a collective desire to deliver extraordinary results.
    • Foster strong and lasting relationships with clients and internal stakeholders at all levels, including senior and executive management.
    • Provide thought leadership and strategic guidance to ensure all necessary tools, processes, procedures and staff are in place to provide outstanding client support.
    • Develop and manage strategic plans, operational initiatives, special projects, and client-driven continuous improvement efforts.
    • Remain current on industry and client trends and maintain a strong knowledge of Visa’s products and services.

    This is a hybrid position. Hybrid employees can alternate time between both remote and office. Employees in hybrid roles are expected to work from the office 2-3 set days a week (determined by leadership/site), with a general guidepost of being in the office 50% or more of the time based on business needs.

    Qualifications

    Basic Qualifications

    • 10 or more years of work experience with a Bachelor’s Degree or at least 8 years of work experience with an Advanced Degree (e.g. Masters/ MBA/JD/MD) or at least 3 years of work experience with a PhD

    Preferred Qualifications

    • 12 or more years of work experience with a Bachelor’s Degree or 8-10 years of experience with an Advanced Degree (e.g. Masters, MBA, JD, MD) or 6 years of work experience with a PhD
    • Extensive experience building and fostering a “Client first” culture, driving policies targeted at empowering staff to deliver exceptional experiences with each interaction.
    • Proven track record for successfully leading high-performing teams responsible for implementing and supporting complex programs while delivering exceptional client experiences.
    • Proficiency in performing data-driven analysis to identify changes needed to improve performance and achieve the highest level of operational excellence. Analytical mindset with an ability to question status-quo and generate innovative ideas.
    • Excellent interpersonal and communication skills, and a proven ability to collaborate and negotiate with and influence customers and staff at all levels.
    • Demonstrated ability to build and maintain strong business relationships with stakeholders at senior and executive management levels.
    • A proven track record for making sound business decisions, setting direction and managing both short and long-term goals to achieve high quality operational results and customer commitment.
    • Functional experience in payment processing and client management in a payments environment a plus.
    • Executive level oral and written communications.

    Additional Information

    Work Hours: Varies upon the needs of the department.

    Travel Requirements: This position requires travel 5-10% of the time.

    Mental/Physical Requirements: This position will be performed in an office setting.  The position will require the incumbent to sit and stand at a desk, communicate in person and by telephone, frequently operate standard office equipment, such as telephones and computers.

    Visa is an EEO Employer.  Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.  Visa will also consider for employment qualified applicants with criminal histories in a manner consistent with EEOC guidelines and applicable local law.

    Visa will consider for employment qualified applicants with criminal histories in a manner consistent with applicable local law, including the requirements of Article 49 of the San Francisco Police Code.

    U.S. APPLICANTS ONLY: The estimated salary range for a new hire into this position is 122,900 to 180,700 USD per year, which may include potential sales incentive payments (if applicable). Salary may vary depending on job-related factors which may include knowledge, skills, experience, and location. In addition, this position may be eligible for bonus and equity. Visa has a comprehensive benefits package for which this position may be eligible that includes Medical, Dental, Vision, 401 (k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness Program.

  • 1 Day Ago

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Manager
  • Subway - 12383-0
  • Douglas, GA FULL_TIME
  • As part of the Subway® Team, you as a Manager will focus on eight main things: Providing an excellent guest experience Ensuring that great food is prepared & servedKeeping our restaurants functional, ...
  • 16 Days Ago

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Manager
  • Dunkin' - Franchisee Of Dunkin Donuts
  • Albany, GA FULL_TIME
  • As a Dunkin' franchisee, we are committed to our employees as much as we are committed to our customers. We value hardworking and enthusiastic employees and we make it a priority to ensure their succe...
  • 2 Days Ago

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Assistant Manager/Co-Manager
  • Rainbow
  • Cordele, GA FULL_TIME
  • Rainbow USA is recognized as one of the fastest growing junior, kids, plus, and petite, specialty apparel retail chains and has grown to over 1,000 retail stores! We have multiple retail lines that pr...
  • 22 Days Ago

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Assistant Manager/Co-Manager
  • Rainbow
  • Tifton, GA FULL_TIME
  • Rainbow USA is recognized as one of the fastest growing junior, kids, plus, and petite, specialty apparel retail chains and has grown to over 1,000 retail stores! We have multiple retail lines that pr...
  • 22 Days Ago

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Assistant Manager/Co-Manager
  • Rainbow
  • Albany, GA FULL_TIME
  • Rainbow USA is recognized as one of the fastest growing junior, kids, plus, and petite, specialty apparel retail chains and has grown to over 1,000 retail stores! We have multiple retail lines that pr...
  • 24 Days Ago

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0 Appeal Resolution Manager jobs found in Albany, GA area

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Clinical Trial Navigator I
  • Javara
  • Albany, GA
  • ***Please note that this is an on-site position. The starting salary for this position is $26.00/ hour, with the exact s...
  • 4/24/2024 12:00:00 AM

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Human Resource Director
  • Albany Area Primary Health Care
  • Albany, GA
  • Job Description Job Description JOB SUMMARY Under the direction of the CEO, administers the organizational benefit and p...
  • 4/24/2024 12:00:00 AM

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Food & Beverage Manager| Flint River Entertainment Complex
  • Oak View Group
  • Albany, GA
  • Oak View Group: Oak View Group is the global leader in venue development, management, and premium hospitality services f...
  • 4/24/2024 12:00:00 AM

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Shipping Associate
  • Walmart
  • Albany, GA
  • **Job Summary:** As a Shipping Associate at Walmart, you will be responsible for efficiently and accurately preparing me...
  • 4/24/2024 12:00:00 AM

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Maintenance Coordinator
  • Koch Industries
  • Albany, GA
  • Your Job The Maintenance Coordinator is responsible for improving workforce productivity and quality by anticipating and...
  • 4/24/2024 12:00:00 AM

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Registered Nurse (RN) - Med Surg - $31-41 per hour
  • Adventist Health
  • Albany, GA
  • Phoebe Putney Health System is seeking a Registered Nurse (RN) Med Surg for a nursing job in Albany, Georgia. Job Descri...
  • 4/23/2024 12:00:00 AM

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Security Officer
  • Tower Eye Services LLC
  • Albany, GA
  • Job Description Job Description Tower Eye is a security company based in Marietta, GA. We are recruiting professional ar...
  • 4/23/2024 12:00:00 AM

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Engineering Associate
  • City of Albany, GA
  • Albany, GA
  • Salary : $40,187.68 Annually Location : Albany, GA Job Type: Full-Time Job Number: 23-04-016 Department: Engineering Div...
  • 4/22/2024 12:00:00 AM

Albany is a city in the U.S. state of Georgia. Located on the Flint River, it is the seat of Dougherty County. Located in southwest Georgia, it is the principal city of the Albany, Georgia metropolitan area. The population was 77,434 at the 2010 U.S. Census, making it the eighth-largest city in the state. It became prominent in the nineteenth century as a shipping and market center, first served by riverboats and then by railroads. Seven lines met in Albany, and it was a center of trade in the Southeast. It was part of the Black Belt, the extensive area in the Deep South of cotton plantations....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$84,106 to $109,307
Albany, Georgia area prices
were up 1.5% from a year ago

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