Appeal Resolution Specialist jobs in Cincinnati, OH

Appeal Resolution Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Specialist typically reports to a supervisor. The Appeal Resolution Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Appeal Resolution Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Account resolution specialist
  • Orion
  • Hebron, KY FULL_TIME
  • About this Opportunity :

    As an Account Resolution Specialist (Temp), you will be directly responsible for helping our advisors successfully execute client requests on the Orion Wealth Management platform by working with them to resolve NIGO (Not In Good Order) requests that have been submitted by the advisor.

    This individual will take ownership with the advisor by providing direct communication and guidance until full resolution has been accomplished.

    The Account Resolution Specialist will possess a strong understanding of internal and custodial good order requirements / processes and proactively coordinate across internal / external teams to help the advisor meet the needs of the client in a timely manner.

    This individual will also analyze the root cause of NIGO trends and work with our custodial partners to reduce / eliminate NIGO rejections, improving the advisor experience for all advisors on the platform.

    Interact and partner effectively across internal and external business teams to resolve client issues related to advisor and client requests needing additional information

    Provide timely and accurate account and requirement information to OPS advisors and clients, taking full ownership until a positive resolution is achieved.

    Ensure all department work is processed with accuracy, timeliness, completeness and within budget according to defined service level metrics

    Take part in root cause analysis to ensure department processes are followed or enhanced as needed with the goal of reducing the number of NIGO requests.

    Contribute to department projects as necessary

    Execute testing as required for business projects

    Cross train as required to support all team activities and backup team members as needed

    Servicing and responding to all Advisor and Client inquiries in a professional manner

    Assisting and educating advisors on how to navigate OPS in various situations

    Maintaining an atmosphere of appreciation of Advisors and Client issues

    We're looking for talent who :

    Has a degree in Business or Finance preferred, or equivalent experience in related financial field

    Has minimum of 1-2 years financial services operations experience

    Obtains Orion Industry Certification

    Owns and manages relationships with stakeholders directly and works effectively with people at all levels in an organization

    LI-AP1

    LI-Remote

    LI-Hybrid

    LI-Onsite

    Salary Range : $22.56 - $32.73

    $22.56 - $32.73

    The pay listed in this posting indicates the estimated pay at the time of this posting; however, may vary depending on geographic location, job-related knowledge, skills, and experience.

    In addition, Orion offers a competitive benefits package which includes health, dental, vision, and disability coverage on day one, 401(k) plan with employer match, paid parental leave, pet benefits including pawternity leave and pet insurance, student loan repayment and more.

    Last updated : 2024-03-02

  • 1 Month Ago

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Legal Account Resolution Specialist - Collector
  • Weltman, Weinberg & Reis Co., LPA
  • Cincinnati, OH FULL_TIME
  • $2k Retention Bonus during your 1st year of Employment! Are you looking for a full-time job? Do you want to expand on your customer service experience? Are you tired of working weekends? How would you...
  • 6 Days Ago

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Legal Account Resolution Specialist Collector
  • Weltman, Weinberg & Reis Co., LPA
  • Cincinnati, OH FULL_TIME
  • $2k Retention Bonus during your 1st year of Employment! Are you looking for a full-time job? Do you want to expand on your customer service experience? Are you tired of working weekends? How would you...
  • 1 Month Ago

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Legal Account Resolution Specialist- Legal Collector
  • Weltman, Weinberg & Reis Co., LPA
  • Cincinnati, OH FULL_TIME
  • Our Legal Account Resolution Specialists/Legal Collectors work in a call center environment within our professional law office setting. They are responsible for making outbound calls and taking inboun...
  • 1 Month Ago

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Claims Resolution Analyst
  • Acosta Group
  • Cincinnati, OH FULL_TIME
  • **Overview** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be responsible for analyzing claims and mak...
  • Just Posted

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Intervention Specialist/ Behavior Specialist
  • Greater Cincinnati School Application Consortium
  • Goshen, OH FULL_TIME
  • K-12 Intervention Specialist Goshen Middle School and Goshen High School Bachelor's degree in education or relevant academic field is required, Intervention Specialist Please upload transcripts when a...
  • Just Posted

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0 Appeal Resolution Specialist jobs found in Cincinnati, OH area

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Application Support Specialist
  • Pinnacle Partners, Inc
  • Cincinnati, OH
  • Pinnacle Partners is assisting our client in their search for an Application Support Specialist to join their team in th...
  • 4/25/2024 12:00:00 AM

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Customer Service Specialist
  • Rollins, Inc.
  • Cincinnati, OH
  • ** Customer Service Specialist** **Job Category****:** Customer Service **Requisition Number****:** CUSTO024909 Showing ...
  • 4/24/2024 12:00:00 AM

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Niche Specialist
  • Rangam Consultants Inc.
  • Cincinnati, OH
  • 20 Hours Per WeekMust HaveCertification CPRRegistered NurseDuties:Requires approval- to be used for very unique engageme...
  • 4/24/2024 12:00:00 AM

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Field Application Specialist - HammerHead
  • The Toro Company
  • Cincinnati, OH
  • Typical Starting Pay: $80,000-$105,000, plus bonuses. What Can We Give You? Medical, Dental, Vision, 401K Matching up to...
  • 4/23/2024 12:00:00 AM

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Event Specialist
  • Kona Ice
  • West Chester, OH
  • Kona Ice of NE Cincinnati We are looking for motivated and charismatic drivers to join our local Krew. We're looking to ...
  • 4/23/2024 12:00:00 AM

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Application Support Specialist
  • Pinnacle Partners Inc
  • Cincinnati, OH
  • Pinnacle Partners is assisting our client in their search for an Application Support Specialist to join their team in th...
  • 4/22/2024 12:00:00 AM

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Walmart Retail Specialist
  • Acosta Group
  • Cincinnati, OH
  • **Walmart Retail Specialist** **General Information** **Company:** PRE-US **Location:** CINCINNATI, Ohio, 45245 **Ref #:...
  • 4/22/2024 12:00:00 AM

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Leasing Specialist
  • Wallick Communities
  • Cincinnati, OH
  • Description We are currently seeking a qualified experience Leasing Specialist at Villages at Roll Hill & Glen Meadows i...
  • 11/21/2023 12:00:00 AM

Cincinnati (/ˌsɪnsɪˈnæti/ SIN-sih-NAT-ee) is a major city in the U.S. state of Ohio, and is the government seat of Hamilton County. Settled in 1788, the city is located at the northern side of the confluence of the Licking and Ohio rivers, the latter of which marks the state line with Kentucky. The city drives the Cincinnati–Middletown–Wilmington combined statistical area, which had a population of 2,172,191 in the 2010 census making it Ohio's largest metropolitan area. With a population of 296,943, Cincinnati is the third-largest city in Ohio and 65th in the United States. Its metropolitan ar...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$46,621 to $57,755
Cincinnati, Ohio area prices
were up 1.1% from a year ago

Appeal Resolution Specialist in Colorado Springs, CO
As a Appeals Resolution Specialist, you will work directly with our Shared Service Centerproviding follow up to denied claims.
February 22, 2020
Appeal Resolution Specialist in Fort Smith, AR
Overcome objections that prevent payment of the claim and gain commitment forpayment through concise and effective appeal argument.
February 01, 2020
Appeal Resolution Specialist in Middlesex, NJ
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions.
January 25, 2020