Appeal Resolution Manager jobs in Modesto, CA

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
  • Applebee's
  • ATWATER, CA FULL_TIME
  • Specific Functions and Duties:

    1. Manages Restaurant Environment

    A. Ensures prompt, friendly service according to company guidelines.
    B. Directs overall activities and performance of associates on a shift by shift basis.
    C. Breeds a culture using the
    Apple Gilroy Mission Statement to guide Teamwork, Results, Integrity, Passion for Service, Fun, Innovation and being Guest Driven.
    D. Ensures the immediate response and correction of all verbal guest complaints to self and staff. Refers all verbal and written guest complaints to GM.
    E. Ensures guest contact as a priority with self, utilizing a target goal of 100% table visitation.
    F. Enforces alcohol awareness on a shift to shift basis.
    G. Maintains adequate departmental inventory levels.
    H. Ensures product preparation and presentation uncompromisingly meeting company standards.
    I. Effectively schedules associates to meet sales demands.
    J. Maintains effective safety and security programs according to company policy and government standards.
    K. Corrects unsafe practices or conditions.
    L. Promotes and manages restaurant organization, cleanliness and sanitation.
    M. Performs routine maintenance and immediately informs General Manager of needed repairs.
    N. Advises GM of any non routine situations.
    O. Communicates with other managers daily through management log and shift change meetings.
    P. Completes all other assigned duties and responsibilities.


    2. Manages Associate Performance

    A. Promotes quality recruitment and referrals of potential management candidates.
    B. Promotes A.I.I. training procedures of new managers.
    C. Helps maintain a trained staff through effective use of employment orientation, individual training sessions, asssociate meetings and implementation of company policy.
    D. Determines job assignments on a shift by shift basis.
    E. Develops an environment of constant development of associates, including informal shift reviews and participates in the development of written evaluations every six months.
    F. Assesses the effectiveness of associates, provides candid, fair feedback on a regular basis, and continuously works with associates on their areas of development.
    A. Conducts thorough Selecting Service Performers interviews.
    G. Demonstrates proper execution of training systems as outlined by the company while emphasizing the importance of training to associates.
    H. Monitors acceptable associate performance and documents situations that require or could lead to disciplinary or corrective action. Monitors and manages discipline when appropriate.
    I. Assures compliance with company policies, practices and procedures.
    J. Acts as coach to all associates.


    3. Maintain Controls.

    A. Responsible to control cost in assigned department.
    B. Maintains and controls the assets of the company.
    C. Assures the compliance with the local, state and federal laws, regulations and guidelines.
    D. Reports progress towards achieving restaurant performance objectives at management meetings.
    E. Complies with all cash handling procedures.
    F. Executes weekly food and liquor inventories/costs at the GM’s request and is accountable for completion.
    G. Responsible for preparing and submitting of accurate daily paperwork to the GM.


    4. Development

    A. Is responsible to the GM for the development of Assistant Managers, Kitchen Professionals and Key Hourly Associates.
    B. Inspires cooperation and teamwork from associates by breeding a culture derived from Apple Gilroy, Inc. Mission Statement. Is guest focused and promotes the team to be.
    C. Demonstrates organizational skills.
    D. Completes all assignments and duties properly and on schedule.
    E. Develops goals and action plans for personal/professional growth.
    F. Provides a role model for managers and associates.
    G. Exhibits a professional image.
    H. Develops self on all store related technology.


    Prior management experience in a similar organization. Preferably a college graduate with a two or four year degree in Hotel/Restaurant, Management, Business or associated field, who is entering the full time work force or has successfully demonstrated leadership abilities and business acumen in role of assistant manager. Will successfully need to demonstrate all required training associated with Applebee’s management training program, ongoing development as outlined by the General Manager

  • 3 Days Ago

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Manager
  • Applebee's
  • RIVERBANK, CA FULL_TIME
  • Specific Functions and Duties:1. Manages Restaurant EnvironmentA. Ensures prompt, friendly service according to company guidelines.B. Directs overall activities and performance of associates on a shif...
  • 3 Days Ago

A
Manager
  • Applebee's
  • MERCED, CA FULL_TIME
  • Specific Functions and Duties:1. Manages Restaurant EnvironmentA. Ensures prompt, friendly service according to company guidelines.B. Directs overall activities and performance of associates on a shif...
  • 3 Days Ago

A
Manager
  • Applebee's
  • MODESTO, CA FULL_TIME
  • Specific Functions and Duties:1. Manages Restaurant EnvironmentA. Ensures prompt, friendly service according to company guidelines.B. Directs overall activities and performance of associates on a shif...
  • 3 Days Ago

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Manager
  • Los Banos Food Inc.
  • Patterson, CA PART_TIME,FULL_TIME
  • Job Overview:We are seeking an experienced and motivated Manager to join our team. As a Manager, you will be responsible for overseeing the daily operations of our establishment. The ideal candidate w...
  • 1 Month Ago

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Business Manager (Assistant Manager)
  • CONAM Default
  • Modesto, CA FULL_TIME
  • Business Manager (Assistant Manager) | Upcoming Property | Modesto, CA WHO WE ARE: CONAM Management Corporation is part of The CONAM Group, a multi-family property investment and management firm estab...
  • 5 Days Ago

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0 Appeal Resolution Manager jobs found in Modesto, CA area

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Coca-Cola Sales Merchandiser
  • Coca Cola
  • Modesto, CA
  • The Sales Merchandiser (SM) is responsible for replenishing, merchandising, and ordering products at all designated acco...
  • 5/6/2024 12:00:00 AM

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Tier II Managed Services Engineer for IT MSP
  • Network Builders IT
  • Modesto, CA
  • Job Description Job Description Tier II Managed Services Engineer for IT MSP (Hybrid Work Model) Join our expanding team...
  • 5/6/2024 12:00:00 AM

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Member Experience Representative
  • Opportunity Stanislaus
  • Modesto, CA
  • Job Description Job Description Opportunity Stanislaus is helping Mocse Credit Union recruit a Member Experience Represe...
  • 5/5/2024 12:00:00 AM

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Director - Innovation Process Owner - International
  • E. & J. Gallo
  • Modesto, CA
  • Gallo Privacy Policy Why Gallo? With a global portfolio of over 100 unique wine and spirits brands, we are the largest f...
  • 5/5/2024 12:00:00 AM

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Chief Deputy City Attorney
  • City of Merced (CA)
  • Merced, CA
  • Class specifications are intended to present a descriptive list of the range of duties performed by employees in the cla...
  • 5/4/2024 12:00:00 AM

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Dean of Students - Aspire Public Schools Central Valley Region (Stockton, Sacramento, Modesto)
  • Aspire Public Schools - Stanislaus County
  • Modesto, CA
  • Job Summary Job Summary Behind every successful student is a passionate and dedicated team. Together, we will change the...
  • 5/4/2024 12:00:00 AM

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Dean of Students - Aspire Public Schools Central Valley Region (Stockton, Sacramento, Modesto)
  • California Department of Education
  • Modesto, CA
  • Requirements / Qualifications Job Summary Job Summary Behind every successful student is a passionate and dedicated team...
  • 5/4/2024 12:00:00 AM

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Project Coordinator EBS
  • Elite Builder Services
  • Modesto, CA
  • Job Description Job Description Summary/objective Coordinate material installations between customers and Installers. Es...
  • 5/4/2024 12:00:00 AM

Modesto /məˈdɛstoʊ/ (Spanish for "modest"), officially the City of Modesto, is the county seat and largest city of Stanislaus County, California, United States. With a population of approximately 201,165 at the 2010 census, it is the 18th largest city in the state of California and forms part of the Modesto–Merced combined statistical area. The Modesto Census County Division, which includes the cities of Ceres and Riverbank, had a population of 312,842 as of 2010[update]. Modesto is located in the Central Valley, 90 miles (140 km) north of Fresno, 40 miles (64 km) north of Merced, California, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$99,792 to $129,693
Modesto, California area prices
were up 2.5% from a year ago

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All appeals must be submitted in writing to the RC within ten academic calendar days after notification of the Dean of Students’ decision to accept or modify the recommendations resulting from the hearing.
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The Coalition recommended that its members consider resolutions to request the Commission on Marine Resources to go forward with scientific and engineering studies regarding the Pearl River water resource project and creation of the Western Sound Special Management District.
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