Appeal Resolution Manager jobs in Parkersburg, WV

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)

A
Manager
  • Ampler Burgers
  • Vienna, WV 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.

  • 16 Days Ago

A
Manager
  • Ampler Burgers
  • Marietta, OH 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....
  • 16 Days Ago

G
Manager
  • Gino's Pizza & Spaghetti House
  • Weston, WV FULL_TIME
  • Are you tired of looking for a company where you can find a real career opportunity - only to be disappointed? Are you ready to find an employer that supports the career growth and development of its ...
  • 18 Days Ago

T
Manager
  • Tim Horton's | BFS Companies
  • Fairmont, WV FULL_TIME
  • The Tim Hortons Manager is responsible and accountable for the execution and delivery of all operational performance objectives resulting in guest satisfaction. Operational Management Ordering supplie...
  • 20 Days Ago

T
Manager
  • Tim Horton's | BFS Companies
  • Clarksburg, WV FULL_TIME
  • The Tim Hortons Manager is responsible and accountable for the execution and delivery of all operational performance objectives resulting in guest satisfaction. Operational Management Ordering supplie...
  • 22 Days Ago

B
Manager
  • Bogey's Carryout and Deli
  • Wheeling, WV FULL_TIME
  • Responsibilities: -Must be able to work 5 days a week 10 to 12 hours per day- Oversee all aspects of store and food operations- Ensure the quality and consistency of food and beverage offerings- Manag...
  • 22 Days Ago

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0 Appeal Resolution Manager jobs found in Parkersburg, WV area

A
Manager in Training
  • Aldi
  • Parkersburg, WV
  • As a Store Manager Trainee, youll train on all aspects of successfully running a store in preparation for running for yo...
  • 4/25/2024 12:00:00 AM

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Full-Time Store Manager Trainee
  • Aldi
  • Parkersburg, WV
  • As a Store Manager Trainee, youll train on all aspects of successfully running a store in preparation for running for yo...
  • 4/25/2024 12:00:00 AM

A
Store Management Trainee
  • Aldi
  • Parkersburg, WV
  • As a Store Manager Trainee, youll train on all aspects of successfully running a store in preparation for running for yo...
  • 4/25/2024 12:00:00 AM

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Entry-Level Tolling Customer Service
  • ValorVIP
  • Parkersburg, WV
  • POSITION OVERVIEW ENTRY-LEVEL TOLLING CUSTOMER SERVICE We are looking for agents to support walk-up customer inquiries, ...
  • 4/23/2024 12:00:00 AM

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Retail Sales Associate - 3187
  • Cash America Pawn
  • Belpre, OH
  • Description Position at Cash America Pawn We are currently looking for the right Full-Time Retail Sales Associate to joi...
  • 4/23/2024 12:00:00 AM

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Sales Consultant
  • Victra
  • Parkersburg, WV
  • Sales Consultant When you join Victra Victra is Verizon's largest premium retailer in the United States. We are seeking ...
  • 4/22/2024 12:00:00 AM

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Customer Service Representative (Toll)
  • ValorVIP
  • Parkersburg, WV
  • POSITION OVERVIEW: CUSTOMER SERVICE REPRESENTATIVE (TOLL) We are looking for Customer Service Representatives to support...
  • 4/22/2024 12:00:00 AM

M
Customer Service Representative (Toll)
  • MCI Military Recruitment
  • Parkersburg, WV
  • POSITION OVERVIEW: CUSTOMER SERVICE REPRESENTATIVE (TOLL) We are looking for Customer Service Representatives to support...
  • 4/22/2024 12:00:00 AM

Parkersburg is a city in and the county seat of Wood County, West Virginia, United States. Located at the confluence of the Ohio and Little Kanawha rivers, it is the state's third-largest city and the largest city in the Parkersburg-Marietta-Vienna metropolitan area. The population was 31,492 at the 2010 census. Its peak population was 44,797 in 1960. The city is about 14 miles south of Marietta, Ohio. The Baltimore and Ohio Railroad reached Parkersburg in 1857, but lacked a crossing over the Ohio River until after the American Civil War. When the B&O completed the Parkersburg Bridge (CSX) 18...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$83,077 to $107,970
Parkersburg, West Virginia area prices
were up 1.2% from a year ago

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General provisions on appeals are contained within CPR PD 52A.
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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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