Appeal Resolution Manager jobs in Des Moines, IA
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)
Recently Added Appeal Resolution Manager jobs
- The VPS Group
-
Radcliffe, IA
FULL_TIME
-
Role : Resolution Support Agent
Location : Radcliffe
Reporting to : Team Leader
Who are we?
Part of the VPS Group, Nexus has become the go to provider for outsourced security solutions in the UK. We provide all forms of security from mobile patrols to static guarding using our highly skilled and accredited supply chain of Network Partners.
The Role :
The Resolution Support Agent is responsible for overseeing and resolving activities within the Link system, actively engaging with network partners to address any missed or overdue tasks in real time.
This role plays a crucial part in maintaining an efficient and up-to-date supply chain, ensuring seamless operations and delivering the services required in a timely manner in line with customer SLA’s.
What to Expect :
- Liaise with network partners to address and resolve missed and overdue activities in the Link system
- Ensure real-time updates of activities within the Link system.
- Provide timely and accurate information to the network partner team.
- Collaborate with internal teams to streamline processes and improve operational efficiency.
- Escalate unresolved issues to the operations team and higher management as necessary.
Who are we looking for :
Essential :
- Strong organizational and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to work collaboratively with internal teams and external network partners.
- Proficiency in using the multiple systems.
Desirable :
- Knowledge of supply chain management principles.
- Previous experience in Security industry.
- Experience managing network partners.
Mission :
We are fully committed to achieving our vision : To be a World Class Security Organisation and are focused on delivering the VPS Group Security Services mission :
- To be the supplier of choice
- To be the employer of choice
Benefits :
- Strong internal development and progression programme!
- Social Events and Team Building!
- Days annual leave Bank Holidays
- Medicash Plan
- Christmas Party
- Refer a friend scheme
- Enhanced annual leave option - Buy & Self
- Life Assurance
- Colleague recognition schemes
- Enhanced Family Leave
- Competitive salary packages!
- Company Pension
Last updated : 2024-03-29
- 25 Days Ago
- Mediacom Communications Corporation
-
Martensdale, IA
FULL_TIME
- Position : Total Care Resolution Specialist, Business Who we are : Since 1995, Mediacom Communications has become a coast-to-coast presence with operations in 22 states and a team exceeding 4,000 peop...
- 16 Days Ago
- Mediacom Communications Corporation
-
Knoxville, IA
FULL_TIME
- Position : Total Care Resolution Specialist, Business Who we are : Since 1995, Mediacom Communications has become a coast-to-coast presence with operations in 22 states and a team exceeding 4,000 peop...
- 18 Days Ago
- DEXIAN
-
Des Moines, IA
FULL_TIME,CONTRACTOR
- Experience · Support internal and external customers with inquiries and complaints regarding financial products and services. · Seek ways to determine appropriate course of action, conduct investigati...
- 18 Days Ago
- Fidelity & Guaranty Life Insurance Company
-
Des Moines, IA
FULL_TIME
- F&G is hiring for an Issue Resolution Consultant. This position is responsible for maintaining a high level of expertise and understanding of the F&G Life and Annuity operational processes and procedu...
- 19 Days Ago
- Wells Fargo
-
Des Moines, IA
FULL_TIME
- About this role: Wells Fargo is seeking a Head of Issues Resolution and Remediation in Shared Services within the Chief Operating Office. Learn more about our career areas and lines of business at wel...
- 19 Days Ago
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0 Appeal Resolution Manager jobs found in Des Moines, IA area
About Des Moines, Iowa
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