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)
Join the Solar For All Revolution!
At PosiGen, we are passionate about providing money saving solar and energy efficiency solutions for people of all income levels. We are seeking an equally passionate Dispute Resolution Manager to lead a team of Dispute Resolution Specialists who will be focused on handling high impact escalations, complaints, issue resolution, and improving the customer experience.
The Dispute Resolution Manager will have a high degree of influence and accountability for owning and resolving overall disputes and reducing friction in our customers’ experience with us. This leader is responsible for making sure the team carries out the complaint resolution policy and implements corresponding standard operating procedures, while simultaneously identifying and eliminating the primary root causes in order to prevent recurrence.
Essential Job Functions
Competencies
Education/Experience
About PosiGen
PosiGen is a people-centric, rapidly growing residential solar company committed to making Solar For ALL a reality. We aim to simplify solar, improve home efficiency, and generate opportunities for the underserved through our first of its kind, no credit check, guaranteed savings solar leasing program.
As employees at PosiGen, we are passionate about furthering our mission of Solar For ALL. At PosiGen, we celebrate the individual and foster an environment where employees can be their true self. We strive to live every day by our values:
PosiGen is an Equal Opportunity / Affirmative Action employer committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status or any other factor protected by applicable federal, state or local laws. Individuals who require reasonable accommodations under the Americans with Disabilities Act in order to participate in the search process should notify the Office of Human Resources.
Clear All
0 Appeal Resolution Manager jobs found in New Orleans, LA area