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)
About us
NEST is a small business in Fayetteville, NC. We are professional, agile and professional.
Our work environment includes:
Nest Managers is looking for a full-time Service Technician to join their team. The Service Technician handles all phases of maintenance relating to the completion of work orders, preparation of homes for occupancy and implementation of preventative maintenance programs.
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$20-$30hr depending on experience
Job Type: Full-time
Pay: $20.00 - $30.00 per hour
Benefits:
Experience level:
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Work Location: In person
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