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