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)
**** THIS IS A REMOTE WORK FROM HOME POSITION. ****
**** YOU MUST LIVE IN THE SAME STATE AS THE POSITION TO BE ELIGIBLE****
What is FCR?
FCR is the premier provider of live agent call centers and customer service solutions for various companies and industries. FCR answers inbound phone calls, emails, and live chat requests with hundreds of thousands of people every day.
Essential information about this position:
Why FCR?
What will you do in this position?
You will directly contact consumers and customers in this position by providing friendly, helpful, and award-winning service via phone support, email support, chat support, and more.
Job Requirements:
Physical Requirements and Working Conditions:
If this sounds like a position that would interest you, click on the link to Apply or visit our website at www.gofcr.com for more information about FCR. We look forward to speaking with you!
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