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)
WHY WORK FOR SUMMERS?
This is an outstanding opportunity for a career move to one of the most dynamic companies in the Midwest! Searching for a highly motivated Manager with experience in residential service and sales to lead a fast-growing branch in NWI.
All full-time employees are offered an outstanding compensation package with paid holidays, vacations, health and dental insurance, short- and long-term disability, 401K with company match, AND we are EMPLOYEE OWNED (Employee Stock Ownership Plan)!
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