Appeal Resolution Specialist jobs in Duluth, MN

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)

H
SPECIALIST
  • HCL Technologies
  • Finland, MN FULL_TIME
  • Job Description for the Position :

    Primary responsibilities are :

    Transition FSO Service from External Customers & Incumbents in those Service being delivered by HCL.
    The resource will be the subject matter expert on End User Computing, Field Services and Third Party Partner Management that are also supplying these services and resources for HCL
    Analysis of Service provision and resourcing based on SLA s, Assets, Call Volumes, Site criticality and customer requirements.
    Creation and review of required SLA s, KPI s, Service Credit Penalties.
    Creation of Statement of Work Documents outlining Service Requirements that will be shared with our partners outlining FSO support requirements.
    Customer solution discussions and Presentations to Director level on Service Capabilities of HCL FSO Services.
    Planning and Preparation of IT Process Knowledge Transfer from the customer to HCL on Data Centre and FSO processes.
    Attend Customer agreed locations to collect all customer processes relating to current delivery of Services around FSO.
    Create Process Document of current service for the customer and Partner.
    Re-Design of current Service as per the new requirements.
    Manage Risks, Issues and action logs and obtain customer sign offs.
    Plan Resource Training Plans.
    Work closely with our Third Party Partner Network and manage service provided and relationships.
    Understanding of Desk side Support Management duties and process
    Strong understanding of Break-Fix, Service Requests, IMAC, Incident, Problem, Configuration management and processes within ITIL.
    Strong Customer Relationship Management
    Strong Vendor Relationship Management
    Project Management of your work stream
    Strong understanding and skills in SLA, KPI Management
    Review with the Delivery Managers
    Periodic reviews with Customer and Vendors
    MIS and Reporting

    Need to have below knowledge to get the below tasks carried out in all Countries and locations:

    Ensure Management of Full Time or Dispatch Engineers at various locations in the region via documented process to our Delivery and Partners.
    Should have handled Transition and transformation projects in FSO domain.
    Should have knowledge on Service Desk operation and tools

    Job Description for the Position :

    Primary responsibilities are :

    Transition FSO Service from External Customers & Incumbents in those Service being delivered by HCL.
    The resource will be the subject matter expert on End User Computing, Field Services and Third Party Partner Management that are also supplying these services and resources for HCL
    Analysis of Service provision and resourcing based on SLA s, Assets, Call Volumes, Site criticality and customer requirements.
    Creation and review of required SLA s, KPI s, Service Credit Penalties.
    Creation of Statement of Work Documents outlining Service Requirements that will be shared with our partners outlining FSO support requirements.
    Customer solution discussions and Presentations to Director level on Service Capabilities of HCL FSO Services.
    Planning and Preparation of IT Process Knowledge Transfer from the customer to HCL on Data Centre and FSO processes.
    Attend Customer agreed locations to collect all customer processes relating to current delivery of Services around FSO.
    Create Process Document of current service for the customer and Partner.
    Re-Design of current Service as per the new requirements.
    Manage Risks, Issues and action logs and obtain customer sign offs.
    Plan Resource Training Plans.
    Work closely with our Third Party Partner Network and manage service provided and relationships.
    Understanding of Desk side Support Management duties and process
    Strong understanding of Break-Fix, Service Requests, IMAC, Incident, Problem, Con
  • 23 Days Ago

B
Junior specialist
  • B.F FORNITURE UFFICIO S.R.L.
  • Virginia, MN FULL_TIME
  • La risorsa si occuperà, in affiancamento ai colleghi senior, di gestire le richieste dei clienti in ambito ict,dapprima tramite contatto telefonico per poi effettuare uscite direttamente presso le sed...
  • 10 Days Ago

A
Billing specialist
  • Avis Budget Group International
  • Virginia, MN FULL_TIME
  • Here at Avis Budget Group we're more than just rentals although over 70 years of experience and 11,000 locations in 180 countries has taught us a thing or two about that. We’re shaping the future of t...
  • 10 Days Ago

A
Merchandiser Specialist
  • Acosta Group
  • Minong, WI FULL_TIME
  • **Start your career with Premium.** \#WeArePremium **Merchandiser Specialist** **General Information** **Company:** PRE-US **Location:** MINONG, Wisconsin, 54859 **Ref #:** 25405 **Function:** Merchan...
  • 11 Days Ago

A
Accounting Specialist
  • Arrow Lift
  • Duluth, MN FULL_TIME
  • This is an opportunity to join a growing, family-owned and operated business in a unique, niche industry. Our company provides accessibility lifts and small, specialty elevators for homes, places of w...
  • 12 Days Ago

A
Packaging Specialist
  • Artisans Inc
  • Glen Flora, WI FULL_TIME
  • Come be part of our Awesome team. Artisans is a 100% Employee-Owned Business. What does that mean? It means you get to share in the profits! - in addition to hourly wage and benefits within 60 days of...
  • 12 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Appeal Resolution Specialist jobs found in Duluth, MN area

According to the United States Census Bureau, the city has a total area of 87.43 square miles (226.44 km2); 67.79 square miles (175.58 km2) is land and 19.64 square miles (50.87 km2) is water. It is Minnesota's second-largest city by land area, surpassed only by Hibbing. Of its 87.3 square miles (226 km2), 68 square miles (180 km2), or 77.89%, is land and 19.3 square miles (50 km2), or 22.11%, is water. Duluth's canal connects Lake Superior to the Duluth–Superior harbor and the Saint Louis River. It is spanned by the Aerial Lift Bridge, which connects Canal Park with Minnesota Point ("Park Poi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$46,049 to $57,046
Duluth, Minnesota area prices
were up 1.3% 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