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)
Must have valid drivers license! Important qualities to have is some experience with Landscaping, this portion of the job is for mowing & weed whacking (lawn maintenance) Carpentry, fencing, we also work in the areas of excavation, tree and brush removal, tree shrub and garden installs, retaining walls and patios. We also perform Skidsteer work and use other heavy Equiptment. Must have valid drivers license
Job Type: Full-time
Pay: $16.00 - $20.00 per hour
Expected hours: 40 – 60 per week
Benefits:
Schedule:
People with a criminal record are encouraged to apply
Experience:
License/Certification:
Ability to Relocate:
Work Location: In person
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0 Appeal Resolution Manager jobs found in Poughkeepsie, NY area