Appeal Resolution Specialist jobs in Fort Worth, TX

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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Issue Resolution Specialist
  • Digital Room LLC
  • Arlington, TX FULL_TIME
  • Job description

    The Resolution Specialist position investigates and resolves customer complaints; records and reports on manufacturing, customer service, and pre-press errors that reach our customers. The RS agent is responsible for alerting production staff to new or unusual problems, to assist in preventing a further customer issues, and report trends, both current and historical. The RS agent's job purpose is to handle external quality claim issues by working with customers and internal manufacturing staff to come to satisfactory resolutions.

    Duties & Responsibilities

    • Review all quality claims received from customer service, social media & NPS agents
    • Manage quality claim inbox daily
    • Organize quality inbox to keep track of claims, resolutions and any follow up activity
    • De-escalate irate situations if necessary, by taking escalated calls from customer service
    • Ability to resolve face to face issues when customers communicate quality concerns at our Will Call desk
    • Investigate claims thoroughly to ensure that the root cause is always identified
    • Work externally with customer to gather all evidence that support the claim (pictures, etc.)
    • Work with internal manufacturing staff to understand root causes and tolerances
    • Work with Pre-Press staff to get assistance with suspect files that may have caused quality issues
    • Decide resolution based on the facts of the claim to either deny or grant a reprint, refund or account credit
    • Communicate to customer via their requested means of contact the resolution and next steps
    • Enter necessary reprints when resolution calls for it
    • Track all activity daily to SharePoint tracker
    • Facilitate monthly meetings with production and quality control staff
    • Share all related information, trends, and feedback from claims process in monthly meetings

    Knowledge/ Skill

    • HS Diploma or equivalent; professional certificate program
    • Excellent interpersonal communication skills, both verbal and written
    • Possess solid negotiating skills
    • Must have meticulous work ethic and thorough investigative skills
    • Must possess problem solving and critical thinking skills
    • Advanced Microsoft Excel skills required

    About Digital Room (www.digitalroominc.com)

    Digital Room is an eCommerce company that helps our US-based small and medium-sized business customers (SMBs) succeed by providing and manufacturing customized marketing and branding products. As a vertically integrated, multi-brand business, Digital Room has ten manufacturing facilities, and over 15 different brands. Our focus on providing excellent custom products on time at a fair price has built an extremely loyal customer base, and consistent industry-leading growth and profitability. Established 25 years ago in Los Angeles, Digital Room is a private equity backed company.

    We have a strong company culture rooted in our core values: Dedication & Collaboration, Quality Driven, Data Driven Mindset, Customer Driven, Drive to Succeed, and Professionalism & Integrity.

    We offer a broad array of customized marketing and branding products within the categories of Marketing Essentials, Signs & Banners, Stickers & Labels, Packaging, and Promotional Products. We combine great technology with our talented global employee base of over 2,000 people to deliver millions of orders each year.

    Digital Room PH, established 15 years ago, has offices in Mandaluyong, Metro Manila and Clark, Pampanga which includes team members in every part of our business. Our seasoned marketing team is data driven, collaborative, and proactive. You will work side by side/virtually with marketing experts in the U.S. and the Philippines.

    Job Type: Full-time

    Salary: $16.00 per hour

    Benefits:


    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Paid time off
    • Referral program
    • Vision insurance
    • Work from home

  • 18 Days Ago

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Specialist, Invoice Dispute Resolution - Hybrid
  • XPO
  • North Richland Hills, TX FULL_TIME
  • Solutions driven success. XPO is a top ten global provider of transportation services, with a highly integrated network of people, technology and physical assets. At XPO, we look for employees who lik...
  • 11 Days Ago

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Property Preservation Specialist
  • Mortgage Specialist International
  • Fort Worth, TX FULL_TIME
  • Our Property Preservation Specialist is the primary point of contact for our Client(s). Our Client Management department is seeking a qualified candidate to fill our Property Preservation Specialist r...
  • 25 Days Ago

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Refrigeration Maintenance Technician (Entry-level)
  • Refrigerated Specialist, Inc
  • Fort Worth, TX FULL_TIME
  • Refrigeration Maintenance Technician - Entry Level Refrigerated Specialist, Inc 3100 E. Meadows Blvd. Mesquite, Texas 75150 Refrigerated Specialist Inc., a CFESA-certified company, is looking for entr...
  • 13 Days Ago

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Mechanical Service Technician and Helper
  • Control Specialist Services, LP
  • Decatur, TX FULL_TIME
  • Control Specialist Services, LP is an established company in the municipal water and wastewater business for 50 years. Control Specialist Services, LP is located in Decatur, TX but we work throughout ...
  • 13 Days Ago

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Vendor Coordinator
  • Mortgage Specialist International
  • Fort Worth, TX FULL_TIME
  • Our Vendor Management department is seeking a qualified candidate to fill our Vendor Coordinator position. Our Vendor Coordinator handles new work order assignment and follow-up of preservation & seas...
  • 29 Days Ago

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0 Appeal Resolution Specialist jobs found in Fort Worth, TX area

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Social Media Guru
  • Massimo Marine
  • Garland, TX
  • Job Description Job Description We are looking for a social media guru to come in and overhaul our social media, tik tok...
  • 4/22/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm
  • Irving, TX
  • Is your current job a nightmare? Make it a dream job at Mattress Firm®! Join Mattress Firm as a Sleep Expert® and have t...
  • 4/22/2024 12:00:00 AM

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Cleaning Validation Subject Matter Expert
  • Biotech
  • Lewisville, TX
  • PSC Biotech | Consultant **Cleaning Validation Subject Matter Expert** Lewisville , United States | Posted on 08/12/2021...
  • 4/21/2024 12:00:00 AM

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Junk Removal Specialist/General Laborer
  • College Hunks Hauling Junk & Moving
  • Arlington, TX
  • Job Description Job Description Compensation: $12.00-$20.00 per hour - this includes hourly pay rate, tips, and bonus! C...
  • 4/21/2024 12:00:00 AM

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Michaels Expert Maker
  • Michaels Stores, Inc.
  • Irving, TX
  • Support Center - Irving The Michaels Expert Maker is responsible for ensuring the timely process through which customer ...
  • 4/21/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Fort Worth, TX
  • Job Summary: We are actively searching for a Subject Matter Expert (SME) with a comprehensive background in health admin...
  • 4/20/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Dallas, TX
  • Job Summary: We are actively searching for a Subject Matter Expert (SME) with a comprehensive background in health admin...
  • 4/20/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Garland, TX
  • Job Summary: We are actively searching for a Subject Matter Expert (SME) with a comprehensive background in health admin...
  • 4/20/2024 12:00:00 AM

Fort Worth is located in North Texas, and has a generally humid subtropical climate. It is part of the Cross Timbers region; this region is a boundary between the more heavily forested eastern parts and the rolling hills and prairies of the central part. Specifically, the city is part of the Grand Prairie ecoregion within the Cross Timbers. According to the United States Census Bureau, the city has a total area of 349.2 square miles (904 km2), of which 342.2 square miles (886 km2) is land and 7.0 square miles (18 km2) is covered by water. It is a principal city in the Dallas–Fort Worth metropl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$46,430 to $57,519
Fort Worth, Texas area prices
were up 2.2% 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