Appeal Resolution Manager jobs in Battle Creek, MI

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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Resolution Analyst, Resolution Services
  • SalesPage Technologies
  • Kalamazoo, MI FULL_TIME
  • The Resolution Analyst operates as a data operator and provides data mapping/linking that is critical and the backbone to SalesPage systems that clients use. Utilizing various data sources and research methods, the Resolution Analyst provides the organization and structure for financial firms, firm offices, and contacts to be used in consolidated reporting across multiple platforms and clearing arrangements. In addition, the Resolution Analyst is engaged in ongoing maintenance and client support (channels, territory, transaction code mapping, etc.) that is required to keep the data warehouse integrity and ensure accurate reporting.

    Job details

    • Variable part-time, 20-25 hours each week
    • Must be available to start work by 7:00 AM CT
    • Remote position or onsite in Kalamazoo, MI

    Job requirements and responsibilities

    • Learn and understand the fundamental components and processes of Resolution Services at SalesPage.
    • Manage client deadlines and workloads, and complete tasks efficiently and with accuracy.
    • Coordinate external data sources to eliminate redundancy and streamline data quality.
    • Work with the user interface.
    • Manage, review, and resolve client support inquiries.
    • Oversee the overall quality of data.
    • Ensure data conforms to a defined set of rules in place for standard processes.
    • Research why data is rejected and manage reject queue.

    Job qualifications

    • A demonstrated value of ongoing education and learning.
    • Minimum of two (2) years experience in data administration.
    • Mutual funds operational experience.
    • TA System experience (TA2000, DST, PowerAgent, etc,).
    • Ability to see the big picture—understand the impact of data and how each data point flows together.
    • Ability to work with data and processes that are subjective (at times).
    • Ability to work independently and make decisions based upon best judgement.
    • Good organizational skills and the ability to prioritize tasks.
    • Beginner or intermediate Microsoft Excel skills.
    • Communication skills, both verbal (calling back offices) and written (emailing clients and back offices).

    Missing some qualifications? At SalesPage we are most interested in getting the right person who will be a great teammate, bring diverse skill sets and experiences, and is motivated by the pursuit of excellence. So, if you are excited about this role but your experience doesn’t align perfectly with every requirement in the job description, we still encourage you to apply.

  • 19 Days Ago

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Restaurant Manager
  • Restaurant General Manager
  • Battle Creek, MI FULL_TIME
  • Arby’s believes in the importance of flexibility for employers and employees alike, and we believe that our employees are our greatest asset. We treat our people with respect and honesty and are commi...
  • 2 Days Ago

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Manager
  • Panera Bread
  • Kalamazoo, MI FULL_TIME
  • Come Join Panera Bread- an award-winning leader in the restaurant industry and employer of choice for 2022! What's in it for you?A comprehensive benefit package including health, dental and visionPaid...
  • 16 Days Ago

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Manager
  • Panera Bread
  • Battle Creek, MI FULL_TIME
  • Come Join Panera Bread- an award-winning leader in the restaurant industry and employer of choice for 2022! What's in it for you?A comprehensive benefit package including health, dental and visionPaid...
  • 16 Days Ago

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Manager
  • Michigan
  • Albion, MI 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 & served Keeping our restaurants functional...
  • Just Posted

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Manager
  • Biggby Coffee
  • Kalamazoo, MI FULL_TIME
  • Overview:Looking for people who are energetic, dedicated, & passionate and who value a fun & family-like environment where we put the customer above all else and strive towards personal & professional...
  • 1 Day Ago

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0 Appeal Resolution Manager jobs found in Battle Creek, MI area

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Shipping Associate
  • Walmart
  • Battle Creek, MI
  • **Job Summary:** As a Shipping Associate at Walmart, you will be responsible for efficiently and accurately preparing me...
  • 4/26/2024 12:00:00 AM

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HR Analyst
  • Magna International
  • Battle Creek, MI
  • We see a future where everyone can live and move without limitations. That's why we are developing technologies, systems...
  • 4/26/2024 12:00:00 AM

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Cashier/Sales Associate - Midday/2nd Shift
  • ExpressStop
  • Battle Creek, MI
  • Overview: Are you a night owl looking for an exhilarating opportunity to kick-start your career? Look no further! We are...
  • 4/26/2024 12:00:00 AM

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TITLE 32 FINANCIAL MANAGEMENT ANALYST (MI 110WG)
  • Air National Guard Units
  • Battle Creek, MI
  • Summary THIS IS AN AIR FORCE NATIONAL GUARD TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a TI...
  • 4/26/2024 12:00:00 AM

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Board Certified Behavior Analyst (Bcba) $10,000 Sign ON Bonus
  • Hiring Now!
  • Battle Creek, MI
  • Centria Autism is the largest provider ofApplied Behavior Analysis (ABA) for children with Autism Spectrum Disorder (ASD...
  • 4/26/2024 12:00:00 AM

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Human Resources (HR) Generalist
  • Rehmann
  • Battle Creek, MI
  • Pay Rate: $68,000 - $78,500 FLSA status: Non-Union / Exempt Reports To: HR Manager Deadline date: Open until filled - In...
  • 4/25/2024 12:00:00 AM

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Picker / Packer
  • Walmart
  • Battle Creek, MI
  • **Job Title: Picker/Packer** **Job Summary:** As a Picker/Packer at Walmart, you will play a critical role in the fulfil...
  • 4/24/2024 12:00:00 AM

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Housekeeping Attendant
  • Firekeepers Casino
  • Battle Creek, MI
  • **Housekeeping Attendant** Location: FireKeepers Casino Hotel **Description** **SCOPE OF POSITION:** Responsible for hel...
  • 4/24/2024 12:00:00 AM

Battle Creek is a city in the U.S. state of Michigan, in northwest Calhoun County, at the confluence of the Kalamazoo and Battle Creek rivers. It is the principal city of the Battle Creek, Michigan Metropolitan Statistical Area (MSA), which encompasses all of Calhoun County. As of the 2010 census, the city had a total population of 52,347, while the MSA's population was 136,146. According to the United States Census Bureau, the city has a total area of 43.73 square miles (113.26 km2), of which 42.61 square miles (110.36 km2) is land and 1.12 square miles (2.90 km2) is water, making Battle Cree...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$92,339 to $120,007
Battle Creek, Michigan area prices
were up 1.3% from a year ago

Appeal Resolution Manager in Racine, WI
General provisions on appeals are contained within CPR PD 52A.
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All appeals must be submitted in writing to the RC within ten academic calendar days after notification of the Dean of Students’ decision to accept or modify the recommendations resulting from the hearing.
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Appeal Resolution Manager in San Diego, CA
The Coalition recommended that its members consider resolutions to request the Commission on Marine Resources to go forward with scientific and engineering studies regarding the Pearl River water resource project and creation of the Western Sound Special Management District.
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