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)
Customer Service Representative
The Appeal-Democrat has an opening for a Customer Service Rep. This position requires someone who can work independently as well as a team and have proven organizational and communication skills. Hours: Monday – Friday, 8am-4:30pm. Hourly plus commission.
Job Responsibilities Include:
* Excellent customer service
* In-person, phone and email communication
* Good speller
* Type 35 wpm minimum
* Cash register
* Plus other various duties
If this sounds like the right mix of challenge and opportunity for you please email your resume to:
Lori Wilson
lwilson@appealdemocrat.com
No phone calls please
Deadline: Open until filled
Job Type: Full-time
Pay: From $16.00 per hour
Benefits:
Experience level:
Shift:
Weekly day range:
Work setting:
Ability to Relocate:
Work Location: In person
0 Appeal Resolution Manager jobs found in Chico, CA area