Appeal Resolution Manager jobs in Salt Lake City, UT

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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Case Resolution Analyst
  • TEKsystems c/o Allegis Group
  • Salt Lake, UT FULL_TIME
  • Job Details

    **Must have FINRA Series 7 license to apply.**
    Contract: 6 Month Contract-to-Hire
    Location: Hybrid in St. Louis, MO
    Description:
    The Case Resolution Analyst will be supporting a top firm's Wealth Investment Management (WIM) line of business with a backlog of cases in their complaints system. Operational and service complaints are on a variety of subject matter. It could be anything ranging from poor service received at a branch or in the contact center to back office functions and transacting on the account. You will have to:
    • Receive cases as assigned to your queue on a routine basis
    • Perform research on each to determine if the issue has already been resolved and communicated to the client.
    • Work with the back office/front office and/or the client to obtain information and resolve.
    • Most resolutions are done in writing to the client, but there may be times where it makes sense to deliver it verbally.

    When working through the cases, it is important to recognize escalation needs (Elder abuse, ADA concerns, etc.) as well as opportunities to advocate for the client where needed. We may see that an error may have harmed the client financially, so we should investigate to see if money is owed, or maybe the back office is requiring paperwork that may not necessarily be required, so we should be recognizing when we should provide credible challenge back to the business to see if they can process as is.
    Must-Have Requirements:
    • Licensed in FINRA Series 7
    • 6 months of retail brokerage experience

    Expectations:
    • You are responsible for around 50 cases at any given time (number subject to change based on business need).
    • As the cases come in, you should work to triage the cases frequently and ensure you are working the cases in the order of risk/age.
    • Expected to close 8-10 cases per week on average at 95% or higher quality rating assigned by the QA team.
    • Hitting these metrics is entirely feasible, but does require good time management, attention to detail and organizational skills.

    About TEKsystems:

    We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

    The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
  • Just Posted

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Account Resolution Specialist (Formerly Service Center Help Desk)
  • Mountain America Credit Union
  • Sandy, UT FULL_TIME
  • The Account Resolution Specialist supports internal customers (Service Center Agents, Branches, Corporate Departments) by answering questions and resolving issues regarding MACU systems, ITC, TCR, DPC...
  • 15 Days Ago

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Associate Account Resolution Representative (Collections & Servicing) Bilingual Spanish
  • Wells Fargo
  • SALT LAKE CITY, UT FULL_TIME
  • About this role:Wells Fargo is seeking an Associate Account Resolution Representative Bilingual Spanish Required in Collections and Servicing as part of Consumer Lending. Learn more about the career a...
  • 1 Month Ago

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

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Manager
  • Franklin Ave
  • Salt Lake, UT FULL_TIME
  • Job Description:The Bourbon Group, one of Salt Lake City’s most beloved brands, is currently seeking Managers to join our downtown teams!Our mission is to help our guests by curating a dine-in experie...
  • Just Posted

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Manager
  • American Bread Company
  • Riverton, UT FULL_TIME
  • Want to work in a place where you can learn, laugh, be supported, be yourself and reach your goals? If so, then Panera is for you. We are a top franchise group with great growth potential, looking for...
  • Just Posted

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0 Appeal Resolution Manager jobs found in Salt Lake City, UT area

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson LLP
  • Salt Lake City, UT
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/25/2024 12:00:00 AM

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Attorney- UT (Remote)
  • Stotler Hayes Group
  • Salt Lake City, UT
  • Job Description Job Description Salary: Stotler Hayes Group, LLC is seeking an energetic, independent, experienced, and ...
  • 4/25/2024 12:00:00 AM

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Public Benefits Paralegal
  • Utah Legal Services
  • Salt Lake City, UT
  • Job Description Job Description Salary: $19.75 + DOE About Utah Legal Services Our Mission: To protect the rights of the...
  • 4/25/2024 12:00:00 AM

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Conflicts Attorney (Remote in CA or Hybrid)
  • Farella Braun + Martel LLP
  • Salt Lake City, UT
  • The Opportunity: Conflicts Resolution Attorney Conflicts Resolution Attorneys support the delivery of quality legal serv...
  • 4/23/2024 12:00:00 AM

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson Llp
  • Salt Lake City, UT
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/22/2024 12:00:00 AM

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Quality Control Manager
  • Dairy Farmers of America
  • Salt Lake City, UT
  • General Purpose Manage and lead a team of individuals to ensure effective quality execution, continuous improvement, and...
  • 4/21/2024 12:00:00 AM

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Patent Litigation Associate (Atlanta, GA or Remote)
  • Perilla Knox & Hildebrandt Llp
  • Salt Lake City, UT
  • Perilla Knox & Hildebrandt LLP (PKH) is a dynamic and forward-thinking law firm based in Atlanta, Georgia that specializ...
  • 4/21/2024 12:00:00 AM

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Conflicts Attorney (Remote in CA or Hybrid)
  • Farella Braun + Martel Llp
  • Salt Lake City, UT
  • The Opportunity: Conflicts Resolution Attorney Conflicts Resolution Attorneys support the delivery of quality legal serv...
  • 4/21/2024 12:00:00 AM

Salt Lake City has an area of 110.4 square miles (286 km2) and an average elevation of 4,327 feet (1,319 m) above sea level. The lowest point within the boundaries of the city is 4,210 feet (1,280 m) near the Jordan River and the Great Salt Lake, and the highest is Grandview Peak, at 9,410 feet (2,868 m). The city is in the northeast corner of the Salt Lake Valley surrounded by the Great Salt Lake to the northwest, the steep Wasatch Range to the east, and Oquirrh Mountains to the west. Its encircling mountains contain several narrow canyons, including City Creek, Emigration, Millcreek, and Par...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$90,749 to $117,940
Salt Lake City, Utah area prices
were up 2.3% from a year ago

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