Appeal Resolution Manager jobs in Rockford, IL

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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Help Desk/Resolution Specialist
  • The Computer Center
  • Janesville, WI FULL_TIME
  • Foot-In-The-Door Help Desk / Resolution Specialist

    If you are an IT fanatic that’s either just starting out and trying to break into the industry, or are unhappy with your current, nowhere-to-grow Help Desk position, then this just may be the career for you. The position we are looking to fill plays a key role in making our clients happy and requires a great deal of self-directed work. You are ultimately responsible for keeping a portion of each client’s network running smoothly, and letting them know, in non-geek-speak terms, when things fail and what you’re doing to resolve them. Not only will you have the opportunity to work in a culture and atmosphere that is fun and unique from anywhere else in the area, but you’ll work with a team that shares your passion for computers and other nerdology! Since we are growing fast (6 years of record sales) there’s always room to excel for anyone that has the determination and drive. Here’s what you can expect to accomplish in your first year as you become a part of our customer-service oriented team:
    • Within 2 weeks understand our documentation procedures, ticketing system, and general product and service line. Attend several online training courses and successfully pass the tests with an 80% or better score. • Within 30 days have a full understanding of our Network Monitoring and reporting tasks and how those are to be performeddaily. You will also have a solid understanding of all our processes and procedures and our customer support beliefs and values. • On a daily basis review a variety of backup solutions in place at our clients and prepare detailed reports regarding the results of the previous day’s backups. These reviews must be completed by 9 am each morning. Failed backups will require immediate attention and resolution directly with the client. On a weekly and monthly basis review a wide variety of network and security logs for anomalies and translate those into plain language for our clients. Prepare and generate a variety of reports discussing any issues found and send to our clients. • Within 6 months you will begin to take on more help desk responsibilities such as PC and server preparation, fielding Help Desk calls, liaising with clients to provide the highest quality of service and support possible.
    What we honestly need is someone with a customer service background, that also happens to love and understand technology. If you can troubleshoot network issues, and have some sort of certification, degree or work experience that can back up your knowledge, that would be a plus. We are looking for a special, unique kind of geek that is just as comfortable with people as technology. If you are outgoing, don’t mind talking on the phone, and have excellent written and verbal communication skills, then we need to talk. In addition to all the great stuff above, we have a competitive compensation and benefits package as well. However, none of that will matter unless the above makes good career sense for you. This position starts as an entry-level, part-time position and is truly a foot-in-the-door. What happens after that depends on your ability to work with our team and your personal motivation. Lastly, our ideal candidates live within 30 miles of Janesville. We’ve found that anything further usually doesn’t make sense.

    Desired Skills & Experience

    If you can accomplish everything above, and are looking for a career with plenty of room to grow, then you have what it takes to be successful with us. A customer service background and strong writing and speaking skills are also are also really important. Of course, you’ll need some sort of degree or equivalent work experience in the IT field. Sound interesting? Looking for a real challenge and a career change? Then we should definitely talk!
  • 1 Day Ago

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HYBRID Account Resolution Representative
  • State Collection Service Inc
  • Beloit, WI FULL_TIME
  • The GREAT STATE TEAM is seeking motivated individuals to join our rapidly growing team of Account Resolution Representatives (Hybrid). Our hybrid work model combines the best of both worlds with three...
  • 1 Month Ago

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Manager
  • Applebee's | The Bloomin’ Apple
  • Beloit, WI FULL_TIME
  • SPECIFIC FUNCTIONS AND DUTIES 1. Manages Restaurant Environment Ensures prompt friendly service according to company guidelines. Directs overall activities and performance of associates on a shift-by-...
  • 1 Day Ago

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Manager
  • Applebee's Grill & Bar
  • Rockford, IL FULL_TIME
  • SPECIFIC FUNCTIONS AND DUTIES 1. Manages Restaurant Environment Ensures prompt friendly service according to company guidelines. Directs overall activities and performance of associates on a shift-by-...
  • 2 Days Ago

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Manager
  • Applebee's | The Bloomin’ Apple
  • Freeport, IL FULL_TIME
  • SPECIFIC FUNCTIONS AND DUTIES 1. Manages Restaurant Environment Ensures prompt friendly service according to company guidelines. Directs overall activities and performance of associates on a shift-by-...
  • 2 Days Ago

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Manager
  • Subway - Independently Owned and Operated
  • Huntley, IL FULL_TIME
  • System generated job type. Please do not delete or amend this job or job code
  • 23 Days Ago

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0 Appeal Resolution Manager jobs found in Rockford, IL area

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General Manager
  • Windstar Lines Inc.
  • Rockford, IL
  • Company Description Windstar Lines, Inc. provides luxury motorcoach and charter bus service locally, regionally, and nat...
  • 4/25/2024 12:00:00 AM

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Associate Litigation Attorney
  • Bruning & Associates, P.C.
  • Crystal Lake, IL
  • Associate Attorney - General Civil Litigation Chicago, Schaumburg and Crystal Lake, Illinois Bruning & Associates, PC. A...
  • 4/23/2024 12:00:00 AM

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Quality Assurance Manager
  • Dairy Farmers of America
  • Belvidere, IL
  • GENERAL PURPOSE Manage and lead a team of individuals to ensure effective quality execution, continuous improvement, and...
  • 4/23/2024 12:00:00 AM

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Licensing Manager
  • SHINE Technologies, LLC
  • Janesville, WI
  • Description: SHINE Technologies is seeking a Licensing Manager to lead a team of licensing staff responsible for licensi...
  • 4/23/2024 12:00:00 AM

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Principal Associate, Cloud Authentication Engineer (Microsoft Entra ID)
  • Capital One
  • Rockford, IL
  • Center 3 (19075), United States of America, McLean, Virginia Principal Associate, Cloud Authentication Engineer (Microso...
  • 4/23/2024 12:00:00 AM

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Senior QA Engineer, CMS-Xumo
  • Comcast Corporation
  • Rockford, IL
  • Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment a...
  • 4/23/2024 12:00:00 AM

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Associate Litigation Attorney
  • Bruning & Associates PC
  • Crystal Lake, IL
  • Job Description Job Description Associate Attorney - General Civil Litigation Chicago, Schaumburg and Crystal Lake, Illi...
  • 4/21/2024 12:00:00 AM

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Associate Litigation Attorney
  • Bruning & Associates P.c.
  • Crystal Lake, IL
  • Associate Attorney - General Civil Litigation Chicago, Schaumburg and Crystal Lake, Illinois Bruning & Associates, PC. A...
  • 4/21/2024 12:00:00 AM

Rockford is a city in Winnebago County in the U.S. state of Illinois, in far northern Illinois. Located on the banks of the Rock River, Rockford is the county seat of Winnebago County (a small portion of the city is located in Ogle County). The largest city in Illinois outside of the Chicago metropolitan area, Rockford is the third-largest city in the state and the 171st most populous in the United States According to 2010 U.S. Census Data, the City of Rockford had a population of 152,871, with an outlying metropolitan area population of 348,360. The City of Rockford's population is 147,051...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$91,404 to $118,791
Rockford, Illinois area prices
were up 1.3% from a year ago

Appeal Resolution Manager in Racine, WI
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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