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)
At ADS, no idea is off limits, and we celebrate creativity and bold moves. For more than 50 years ADS has been manufacturing a variety of innovative and environmentally friendly alternatives to traditional materials. Headquartered in Hilliard, Ohio, we are a multi-billion dollar stormwater management company, manufacturing pipe and ancillary products. What does that mean? When it storms, we capture rain with our drain basins, convey it with pipe, store it using chambers and finally treat it with our water quality products, before safely returning water back to the environment. We handle, what we call, the entire lifecycle of a raindrop. Our products help prevent flooding, which increases quality of life for people living in large cities, suburbs, and rural towns. We also believe in creating a circular economy and are the largest plastic recycling company in North America. We use plastic shampoo and detergent bottles to create pipe, diverting over 500 million pounds of plastic from landfills every year. ADS operates a global network of over 60 manufacturing plants and 30 distribution centers.
We have amazing stories to tell, and we need your help getting our story out there. To learn more about ADS, please visit our website at www.adspipe.com.
The Credit Entry Specialist provides a solution based service to our valued customers. A successful individual will be able to multi-task in a fast paced environment with professionalism and efficiency. This position requires a highly motivated team player willing to go above and beyond.
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ADS supports an inclusive workplace that values diversity of thought, experience, and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. ADS is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
0 Appeal Resolution Manager jobs found in Lima, OH area