Appeal Resolution Manager jobs in New Orleans, LA

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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Dispute Resolution Manager
  • PosiGen
  • Orleans, LA FULL_TIME
  • 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

    • Provides leadership and oversees the handling of escalated customer complaints, including BBB and other public forum or regulatory complaints, from intake to resolution.
    • Communicates directly with the customer as needed using phone, email and SMS to find resolution to complaint.
    • Acquires and retains staff by recruiting, selecting, orienting, training, coaching and recognizing team members. Responsible for the teams’ productivity, morale and well-being.
    • Ensures team thoroughly documents internal assessment of customer issues in the CRM, currently Salesforce.
    • Provides coaching and feedback to Customer Care team and other interested stakeholders to increase product knowledge, resolution options, and increase consistency in servicing.
    • Tracks and monitors responsiveness to customer complaints.
    • Creates and standardizes reporting on escalation types, including root cause analysis, to promote continuous internal feedback for reducing future customer issues and escalations.
    • Exercises good judgment to resolve escalations with minimal supervision and within scope of authority

    Competencies

    • Ability to monitor and motivate a production-based, and customer-facing team
    • Must have acumen in goal setting, team organization and financial planning
    • Ability to quickly become proficient with all products and lease agreements in all the markets 
    • Advance communications and analytical skills
    • Ability to work independently and prioritize workload and make decisions on complex matters.
    • Ability to manage a large number of inquiries per day via inbound/outbound phone calls and emails

    Education/Experience

    • College degree or equivalent work experience 
    • Solar experience a PLUS!
    • 3-5 years of progressive experience in a call center or collection agency is preferred. 
    • Experience working with claim evaluation, legal regulations, and/or financial settlements preferred
    • Minimum of 2 years of supervisory experience in dispute resolution environment
    • Knowledge of Billing, Collections and Customer Service procedures
    • Proficient in Salesforce, Google Suite products, including Gmail, Google Docs, Google Sheets, etc.
    • Excellent written, verbal communication and customer service experience and skills are required

    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:

    • Act with Integrity
    • Be Humble, Be Kind
    • Collaborate and Seek to Understand
    • Deliver on our Promises
    • Engage Passionately

    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.

  • 5 Days Ago

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Account Resolution Advocate
  • OnPath FCU
  • Metairie, LA FULL_TIME
  • SCOPE: As a dedicated member of the OnPath FCU team, this role performs a variety of tasks that in partnership with the surrounding departments, provides cost effective financial services for the bene...
  • 1 Month Ago

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Field Dispute Resolution Specialist
  • System One
  • Port Sulphur, LA CONTRACTOR
  • Field Dispute Resolution Specialist Port Sulphur, LA System One is seeking a Field Dispute Resolution Specialist to join our team over in Port Sulphur, LA. This is a 6-month contract opportunity with ...
  • 1 Month Ago

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Manager
  • PJ's Coffee Gentilly
  • Mandeville, LA FULL_TIME
  • Pj's Coffee in Mandeville, LA is looking for a store manager for one of our Northshore locations. Our ideal candidate is self-driven, motivated, and hard-working. Responsibilities *Train employees and...
  • 19 Days Ago

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Manager
  • British Swim School of North Lake Pontchartrain
  • Mandeville, LA FULL_TIME
  • A position at British Swim School is more than just a job, it is an opportunity to learn, grow, and make an impact in the lives of your community to ensure “survival of the littlest”. Compensation and...
  • 20 Days Ago

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Manager
  • Applebee's
  • Metairie, LA FULL_TIME
  • Applebee's - Now Hiring Managers! What do you seek in your career path? An opportunity for growth? A chance to succeed? A fun, exciting social environment? Blending all of these together is the differ...
  • 4 Days Ago

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0 Appeal Resolution Manager jobs found in New Orleans, LA area

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Computer Desktop Support Technician
  • NETWORK LOGIC
  • Mandeville, LA
  • Job Description Job Description Network Logic is seeking a Professional & experienced Level 2 / Desktop support technici...
  • 4/23/2024 12:00:00 AM

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Senior Counsel, Consumer Relations
  • PosiGen
  • New Orleans, LA
  • Join the Solar For All Revolution! PosiGen, PBC is committed to delivering the promise of "Solar for All." As part of th...
  • 4/22/2024 12:00:00 AM

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Customer Service Agent
  • Alfasigma
  • Covington, LA
  • The Customer Service Agent (PSR) supports Brand Direct Health's patients by providing exceptional customer service resul...
  • 4/22/2024 12:00:00 AM

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Litigation Associate
  • Sessions, Israel & Shartle, LLC
  • Metairie, LA
  • Sessions, Israel & Shartle, LLC is a medium sized firm, with “large firm” representation responsibilities. We have 10 of...
  • 4/21/2024 12:00:00 AM

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Litigation Associate
  • Sessions Israel & Shartle Llc
  • Metairie, LA
  • Sessions, Israel & Shartle, LLC is a medium sized firm, with large firm representation responsibilities. We have 10 offi...
  • 4/21/2024 12:00:00 AM

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Field Dispute Resolution Specialist 24-00189
  • ESPO Corporation
  • Port Sulphur, LA
  • FIELD DISPUTE RESOLUTION SPECIALIST PORT SULPHUR, LA Contract, 6 months+ Pay Rate: $27.88/hr - $34.86/hr. Per Diem: $126...
  • 4/21/2024 12:00:00 AM

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Franchise Operations Consultant
  • Smoothie King
  • New Orleans, LA
  • Overview: If youre looking for a purpose and not just a job, join the Smoothie King team and turn your purpose into a fu...
  • 4/21/2024 12:00:00 AM

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Delivery Driver - $20.00-$25.00/hr
  • Medzoomer
  • New Orleans, LA
  • Medzoomer gives you the opportunity to make money while helping your community by bringing people their medication. It's...
  • 4/20/2024 12:00:00 AM

New Orleans (/ɔːrˈliːnz, ˈɔːrl(i)ənz/, locally /ˈɔːrlənz/; French: La Nouvelle-Orléans [la nuvɛlɔʁleɑ̃] (listen)) is a consolidated city-parish located along the Mississippi River in the southeastern region of the U.S. state of Louisiana. With an estimated population of 393,292 in 2017, it is the most populous city in Louisiana. A major port, New Orleans is considered an economic and commercial hub for the broader Gulf Coast region of the United States. New Orleans is world-renowned for its distinct music, Creole cuisine, unique dialect, and its annual celebrations and festivals, most notably ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$90,281 to $117,332
New Orleans, Louisiana area prices
were up 1.2% from a year ago

Appeal Resolution Manager in Racine, WI
General provisions on appeals are contained within CPR PD 52A.
December 03, 2019
Appeal Resolution Manager in Lancaster, PA
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.
February 06, 2020
Appeal Resolution Manager in San Diego, CA
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.
January 16, 2020