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)
Role:
To assist the Credit Union in achieving its Service Mission to deliver Total Member Delight in each and every service interaction with both internal and external members. A key component of this external service is to identify the financial needs of each member and recommend an effective credit union product solution. In addition, to preserve the credit union's assets by controlling delinquent loan accounts, collecting delinquent loan payments and/or recovering collateral.
Responsibilities:
Knowledge & Skills:
Experience: One year to three years of similar or related experience.
Education: A high school education or GED.
Interpersonal Skills: Work involves much personal contact with others inside and/or outside the organization for the purpose of first-level conflict resolution, building relationships and soliciting cooperation. Discussions involve a higher degree of confidentiality and discretion, requiring diplomacy and tact in communication.
Other Skills: Prior collections or lending experience is required.
Position Type: Full Time
Hours: 40 hours per week
Current Schedule: Monday-Tuesday 8-5, Wednesday 9-6, Thursday 8-5, Friday 8-5 or 9-6 when working Saturday, and Saturday 9-12 on a rotating basis.
Pay Range: $18.59 - $23.24
Actual starting salary will be determined based on skills, experience (to the extent relevant) and other job-related factors, consistent with applicable law.
Benefits:
Paid Time Off
Paid Holidays
401K Plan
Medical
Dental
Vision
Free Telehealth Urgent Care
Free Telehealth Mental Health Counseling
Flexible Spending Account Option
Life Insurance
Dependent and Spouse Life Insurance Options
Short Term Disability Insurance
Long Term Disability Insurance
Pet Insurance
Aflac Insurance Options
Legal/ID Shield Options
Employee Referral Program
Paid Volunteer Day
Employee Loan Discounts
SeaComm is an Equal Opportunity/Affirmative Action Employer. Race/Color/Gender/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Veteran.
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