Appeal Resolution Manager jobs in Longview, TX

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)

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Manager
  • Ampler Burgers
  • Crockett, TX FULL_TIME
  • Burger King Assistant Manager


    The Assistant Manager (AM) supports the Restaurant General Manager in ensuring delivery on guest satisfaction through managing the daily operations of a single restaurant. The AM helps manage financial controls, operations, people development, Guest service and compliance across shifts for desired restaurant outcomes (i.e., increased sales, profitability and employee retention). The AM has full accountability for restaurant operations in the absence of the Restaurant General Manager. An AM should be able to work long and/or irregular shifts, including extra shifts, as needed, for proper functioning of the restaurant. This position operates under the direct management of the Restaurant General Manager and helps lead the restaurant team. This position interacts with restaurant team members, the General Manager, outside vendors, members of the field operations team, and guests.


    RESPONSIBILITIES

    • Direct efficient and accurate preparation and sale of products for prompt delivery within established speed of service guidelines
    • Motivates and directs team members and Shift Supervisors to exceed Guest expectations with fast and friendly service in clean surroundings
    • Supervises and trains team members and Shift Supervisors on team stations, BKC products, processes and policies
    • Follows cash control/security procedures and helps to implement marketing plans, maintain inventory, manage labor, and apply financial reports across shifts to enhance restaurant results
    • Assists RGM in enforcing compliance with government regulations, BK Market Policy, employment law, food safety, BK Security Policy, operations, and BK policies and procedures relating to all restaurant activities across shifts
    • As part of the restaurant management team, recruits, hires, trains and works to retain effective team talent, by making decisions or recommendations on hiring and advancement
    • Makes decisions or recommendations on the discipline and terminations of team members
    • Available to work evenings, weekends and holidays
    • Prompt and regular attendance for assigned shifts, meetings and training
    • MAKE GUESTS FEEL SPECIAL!
    • Other duties as assigned by the General Manager, District Manager, Officer or Director of the Company.


    KNOWLEDGE, SKILLS AND ABILITIES

    • Excellent oral and written communication and interpersonal skills.
    • Professional personal appearance.
    • Ability to organize and prioritize various duties and work under pressures of deadlines.
    • Ability to resolve problem situations immediately.
    • Ability to develop, execute and follow-up on action plans and management developmental plans.
    • Ability to construct and work within a budget.
    • Ability to read, write, analyze and interpret general business reports.
    • Ability to apply mathematical concepts such as fractions, percentages, ratios and proportions to practical situations.
    • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
    • Ability to use a computer and calculator.
    • Ability to work flexible hours. Ability to work days, evenings, weekends and holidays. Ability to work 50 – 65 hours per week up to six days a week.


    REQUIREMENTS

    • Must be 18 years of age or older.
    • Has an automobile with the required insurance coverage available to drive for the Company
    • Valid Driver’s License
    • High School Diploma or GED required, some college preferred
    • Complete all internal certification programs
    • 1 of experience working in the quick service restaurant industry


    ?PHYSICAL WORKING CONDITIONS

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently bending, stooping and kneeling. This position is very active requiring occasional crawling and climbing. Ability to lift/move 50 pounds. Regular exposure to video terminal display. Travel in personal vehicle leading to exposure to all driving conditions and hazards. Frequent standing for long periods of time. Ability to talk and hear. The employee is regularly required to talk and hear and have the ability to use hands to finger, handle or feel objects, tools or controls and reach with hands and arms. Vision abilities of close vision, distance vision and adjust focus. Ability to frequently taste or smell. The employee frequently works near moving mechanical parts. The employee is occasionally exposed to wet and/or humid conditions, extreme heat and risk of electrical shock. The noise level is usually loud.

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

  • 14 Days Ago

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Manager
  • Ampler Burgers
  • Jacksonville, TX FULL_TIME
  • Burger King Assistant ManagerThe Assistant Manager (AM) supports the Restaurant General Manager in ensuring delivery on guest satisfaction through managing the daily operations of a single restaurant....
  • 14 Days Ago

C
Manager
  • Chili's
  • Grant, OK FULL_TIME
  • Role Overview Chili's Managers are wired for hospitality! We're in the people business. So, we know how to make someone feel special, and our most successful Managers are passionate about connecting w...
  • 16 Days Ago

A
Manager
  • Applebees
  • Longview, TX FULL_TIME
  • At Applebee's You'll discover a balance between work life and personal life, as well as a wealth of benefits for your health, future, family and happiness.You’ll be engaged in all aspects of the day-t...
  • 17 Days Ago

A
Manager
  • Applebees
  • Tyler, TX FULL_TIME
  • At Applebee's You'll discover a balance between work life and personal life, as well as a wealth of benefits for your health, future, family and happiness.You’ll be engaged in all aspects of the day-t...
  • 17 Days Ago

A
Manager
  • Applebees
  • Palestine, TX FULL_TIME
  • At Applebee's You'll discover a balance between work life and personal life, as well as a wealth of benefits for your health, future, family and happiness.You’ll be engaged in all aspects of the day-t...
  • 17 Days Ago

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0 Appeal Resolution Manager jobs found in Longview, TX area

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Armed Security Officer
  • Christus Health
  • Longview, TX
  • Description Summary: Uniformed position at all times. Armed Security Officer’s duties include being a visible deterrent ...
  • 4/24/2024 12:00:00 AM

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Armed Security Officer
  • Christus Health
  • Longview, TX
  • Description Summary: Uniformed position at all times. Armed Security Officer’s duties include being a visible deterrent ...
  • 4/23/2024 12:00:00 AM

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Application System Analyst Senior - Community Connect Ambulatory
  • Christus Health
  • Longview, TX
  • Description Summary: The Application System Analyst Senior serves as a liaison between system end-users (customers), ope...
  • 4/23/2024 12:00:00 AM

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Distinguished Engineer - Perimeter Defense
  • Capital One
  • Longview, TX
  • Center 3 (19075), United States of America, McLean, Virginia Distinguished Engineer - Perimeter Defense Distinguished En...
  • 4/23/2024 12:00:00 AM

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Principal Associate, Cloud Authentication Engineer (Microsoft Entra ID)
  • Capital One
  • Longview, TX
  • Center 3 (19075), United States of America, McLean, Virginia Principal Associate, Cloud Authentication Engineer (Microso...
  • 4/23/2024 12:00:00 AM

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Distinguished Engineer - Network Infrastructure Security
  • Capital One
  • Longview, TX
  • Center 3 (19075), United States of America, McLean, Virginia Distinguished Engineer - Network Infrastructure Security Di...
  • 4/22/2024 12:00:00 AM

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Printer Maintenance Associate
  • Computer Task Group, Inc
  • Longview, TX
  • Description: CTG is seeking to fill a Printer Maintenance Associate opening for our client in Longview, TX. Location: Lo...
  • 4/21/2024 12:00:00 AM

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Clinical Documentation Medical Professional Lead - Clinical Documentation Integrity
  • Christus Health
  • Longview, TX
  • Description Summary: The Clinical Documentation Medical Professional is responsible for facilitating improvement in the ...
  • 4/20/2024 12:00:00 AM

Longview is the forty-fifth largest city in the state of Texas. The city is mostly located in Gregg County, of which it is the county seat; a small part of Longview extends into the western part of neighboring Harrison County. Longview is located in East Texas, where Interstate 20 and U.S. Highways 80 and 259 converge just north of the Sabine River. According to the 2010 U.S. census, the city had a population of 80,455. The estimated population in 2017 was 81,522. Longview is the principal city of the Longview metropolitan statistical area, comprising Gregg, Upshur, and Rusk counties. The popu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$85,416 to $111,009
Longview, Texas area prices
were up 1.2% from a year ago

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