Appeal Resolution Manager jobs in Oakland, 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)
Recently Added Appeal Resolution Manager jobs
Case Resolution Manager (6232U), Dean of Student Centers - 54052
- University of California Berkeley
-
Berkeley, CA
FULL_TIME
-
Case Resolution Manager (6232U), Dean of Student Centers - 54052 About Berkeley
At the University of California, Berkeley, we are committed to creating a community that fosters equity of experience and opportunity, and ensures that students, faculty, and staff of all backgrounds feel safe, welcome and included. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff.
The University of California, Berkeley, is one of the world's leading institutions of higher education, distinguished by its combination of internationally recognized academic and research excellence; the transformative opportunity it provides to a large and diverse student body; its public mission and commitment to equity and social justice; and its roots in the California experience, animated by such values as innovation, questioning the status quo, and respect for the environment and nature. Since its founding in 1868, Berkeley has fueled a perpetual renaissance, generating unparalleled intellectual, economic and social value in California, the United States and the world.
We are looking for equity-minded applicants who represent the full diversity of California and who demonstrate a sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, and ethnic backgrounds present in our community. When you join the team at Berkeley, you can expect to be part of an inclusive, innovative and equity-focused community that approaches higher education as a matter of social justice that requires broad collaboration among faculty, staff, students and community partners. In deciding whether to apply for a position at Berkeley, you are strongly encouraged to consider whether your values align with our Guiding Values and Principles , our Principles of Community , and our Strategic Plan .
At UC Berkeley, we believe that learning is a fundamental part of working, and our goal is for everyone on the Berkeley campus to feel supported and equipped to realize their full potential. We actively support this by providing all of our staff employees with at least 80 hours (10 days) of paid time per year to engage in professional development activities. To find out more about how you can grow your career at UC Berkeley, visit grow.berkeley.edu .
Departmental Overview
The Center for Student Conduct (CSC) is a department that reports to the Associate Dean of Students in the Associate Vice Chancellor and Dean of Students Office within the Division of Student Affairs. The CSC is the campus office charged with administering the Berkeley Campus Code of Student Student. The office contributes to the holistic development of students by administering the student conduct process in a manner that ensures student development, consistent and fair application of University policy, and respectful treatment of all participants; as well as providing outreach and education to the campus community. It is responsible for a number of functions and programs that have a direct impact across the Berkeley campus and in the larger community.
The Division of Student Affairs aims to advance the learning and personal growth of students by providing leadership, services, and opportunities that enable students to succeed in and contribute to a diverse and global society. The Office of the Associate Vice Chancellor for Student Affairs and Dean of Students, its Centers, and staff create environments to educate, support, and challenge students to seek and follow their purpose, build resiliency, transform themselves, and engage communities. To learn more about the Associate Vice Chancellor and Dean of Students Office, please visit https://deanofstudents.berkeley.edu/ .
Application Review Date
The First Review Date for this job is: June 19, 2023
Responsibilities
Assesses new complaints of potential policy violations as outlined in the Berkeley Campus Code of Student Conduct and formulates a response based on intake results, procured documentation, and similar, past case precedent. Reviews and analyzes issues, complaints, and concerns regarding alleged misconduct at all levels of complexity to determine if sufficient evidence exists to proceed with charges against a student according to policies and procedures as established in the Berkeley Campus Code of Student Conduct. Refers out-of-scope issues to appropriate resources. Conducts moderate to complex investigations and facilitates the adjudication of allegations of misconduct by identifying appropriate violation(s) of the Berkeley Campus Code of Student Conduct, filing formal charges, offering informal resolutions, and proceeding to formal hearings when appropriate. Makes fact-finding determinations based on a preponderance of information standards, presents those findings, and recommends sanctions responsive to the severity of the conduct and impact to the campus community. Represents the Center for Student Conduct in formal hearings by presenting allegations and investigation findings, questioning witnesses and the responding student, and responding to questions from both the hearing body and the responding student. Submits appeals and responds to student appeals regarding the outcome of a formal hearing by gathering all relevant documents and writing thoughtful responses to student appeals for the Vice Chancellor's review. Monitors completion of sanctions to case closure and limits student enrollment and degree conferral by placing student registration and degree holds until expectations are met. Ensures that student conduct records are properly maintained in the student conduct database. Prepares and redacts student conduct records in compliance with relevant policies. Prepares and redacts student conduct records in compliance with relevant policy. Trains, advises, and assists others in understanding a student's conduct record-its components, release, and maintenance as determined by University policy and Federal and State laws. Manages sensitive and confidential matters regarding complex cases as dictated by FERPA, Clery, Title IX, etc. Assists the Center for Student Conduct leadership with response to audits, California Public Records Requests, FERPA requests, investigations, and media and data requests. Makes recommendations to departmental leadership regarding the development and implementation of critical coordinated response systems that support students engaged in the student conduct process. Proposes revisions to the Berkeley Campus Code of Student Conduct that reflect changes in legislation, University philosophy, practice, or guiding principles. Consults with campus partners and community stakeholders and delivers education and training programs that focus on the application and adjudication of the Berkeley Campus Code of Student Conduct. May facilitate the training of community members including students, staff, and faculty. Represents the Center for Student Conduct in campus-wide and systemwide committees as assigned. Coordinates and/or participates in a variety of committees and workgroups that provide reports and analyses on complex student issues, including but not limited to, the Chancellor's Enterprise Risk Committee (CERC), Medical Withdrawal Committee, Cal Athletics, and neighborhood groups/committees.
Required Qualifications
Thorough knowledge of ethics and compliance profession, theories and systems of student learning, and professional compliance and investigations standards. Broad knowledge of and/or ability to learn University ethics and compliance policies, procedures, and programs. Applies thorough ethics and compliance concepts and applications in the adjudication of cases. Skills in problem-solving, mediation, and communication. Ability to gather, organize, complete analysis, and develop recommendations in the adjudication and coordination of student conduct cases. Strong interpersonal skills and ability to collaborate effectively with diverse groups. Skills in coalescing viewpoints and facilitating outcomes in both one-on-one and group settings. Ability to present information in a clear and concise manner both in writing and verbally.
Education/Training:
Bachelor's degree in related area and/or equivalent experience/training.
Preferred Qualifications
Education/Training:
Master's degree in related area and/or equivalent experience/training.
Salary & Benefits
For information on the comprehensive benefits package offered by the University, please visit the University of California's Compensation & Benefits website.
Under California law, the University of California, Berkeley is required to provide a reasonable estimate of the compensation range for this role and should not offer a salary outside of the range posted in this job announcement. This range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to experience, skills, knowledge, abilities, education, licensure and certifications, analysis of internal equity, and other business and organizational needs. It is not typical for an individual to be offered a salary at or near the top of the range for a position. Salary offers are determined based on final candidate qualifications and experience.
The budgeted salary that the University reasonably expects to pay for this position is $99,365.00.
This is a 100% full-time (40 hours per week), career position that is eligible for full UC benefits. This position is exempt and paid monthly. Currently this is a hybrid position, eligible for 40% remote capability. There are 3 openings for this role. - 1 Month Ago
Technical Coach
- Sport Clips - Manager - CA821
-
Walnut Creek, CA
FULL_TIME
- Sport Clips Haircuts is Hiring! Do What You Love. Love What You Do. JOB DESCRIPTION As an Technical Coach (Hair Stylist Educator), you play an important role in developing our Teams by ensuring every ...
- 10 Days Ago
Assistant Store Manager
- Assistant Store Manager-Broadway Plaza
-
Walnut Creek, CA
FULL_TIME
- Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
- 22 Days Ago
Principal - Dispute Resolution
- Exponent
-
Oakland, CA
FULL_TIME
- Principal - Dispute Resolution ID 2023-1533 Location US-CA-Oakland Practice Construction Consulting Position Type Full-time Posted Salary Range USD $200,000.00 - USD $300,000.00 /Yr. About Exponent Ex...
- 9 Days Ago
Principal – Dispute Resolution
- Exponent Inc.
-
Oakland, CA
FULL_TIME
- About Exponent Exponent is the only premium engineering and scientific consulting firm with the depth and breadth of expertise to solve our clients’ most profoundly unique, unprecedented, and urgent c...
- 1 Month Ago
Store Manager
- Garage clothing-Store Manager-Broadway Plaza
-
Walnut Creek, CA
FULL_TIME
- Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
- 1 Month Ago
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0 Appeal Resolution Manager jobs found in Oakland, CA area
Legal Word Processor
- The Norland Group
-
Oakland, CA
- Job Description Job Description Description: CANDIDATES LOCAL TO BAY AREA/WORK LOCATION. ASSIGNMENT IS HYBRID BUT COULD ...
- 4/26/2024 12:00:00 AM
Executive Assistant
- US Tech Solutions
-
San Francisco, CA
- Duration for now: 3 months (with possible extension/ temp to hire for the right candidate) Top qualifications - 5 years ...
- 4/26/2024 12:00:00 AM
Provider Dispute Resolution Analyst- Hybrid Remote
- VetJobs
-
Alameda, CA
- Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
- 4/25/2024 12:00:00 AM
Bakery Director
- Aspire Bakeries
-
Newark, CA
- Aspire Bakeries is a North American baking company with a leadership position in specialty frozen baked goods. Formed fr...
- 4/25/2024 12:00:00 AM
Assistant Project Manager
- Chinatown Community Development Center
-
San Francisco, CA
- Job Summary: Under general direction of the Senior Project Manager, the Assistant Project Manager provides substantive p...
- 4/23/2024 12:00:00 AM
Onsite Support
- The Phoenix Group
-
San Francisco, CA
- Position Title: Onsite Support Technician Location: San Francisco, CA (onsite) Salary Range: $75,000-90,000 Position Sum...
- 4/22/2024 12:00:00 AM
Applications Analyst II, PACS, Full Time, Hybrid, Benefited, Days, 8hours, 1.0fte
- Alameda Health System
-
Oakland, CA
- Summary SUMMARY: Assists with the implementation and support of assigned applications; provides application for the prod...
- 4/22/2024 12:00:00 AM
Executive Assistant
- Iconma LLC
-
San Francisco, CA
- Location: San Francisco, CA Duration: 3 months Description: Microsoft Suite experience (proficient in Word Excel PowerPo...
- 4/22/2024 12:00:00 AM
About Oakland, California
Oakland is in the eastern region of the San Francisco Bay. In 1991 the City Hall tower was at 37°48′19″N 122°16′21″W / 37.805302°N 122.272539°W / 37.805302; -122.272539 (NAD83). (The building still exists, but like the rest of the Bay Area, it has shifted northwest perhaps 0.6 meters in the last twenty years.)
The United States Census Bureau says the city's total area is 78.0 square miles (202 km2), including 55.8 square miles (145 km2) of land and 22.2 square miles (57 km2) (28.48 percent) of water.
Oakland's highest point is near Grizzly Peak Blvd, east of Berkeley, just over 1,760 feet (...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$114,138 to $148,337
Oakland, California area prices
were up 4.5% from a year ago
were up 4.5% from a year ago
What does an Appeal Resolution Manager do?
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