Appeal Resolution Specialist jobs in Grand Rapids, MI

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)

T
Dispute Resolution Specialist
  • Tommy's
  • Holland, MI FULL_TIME
  • Dispute Resolution Specialist 

    Tommy’s is looking to hire a reliable, detail-oriented and friendly team member to assist our Guest Service team in providing exceptional guest experiences to our Tommy Club members. The dispute specialist will research chargeback disputes and build cases to recover funds. This role experiences high volume phone activity discovering and resolving issues for our members. The ideal candidate has excellent customer service skills and views customer care as a top priority. Candidates must also display excellent communication skills via phone and written messages.

    What can Tommy's offer you?

    • Competitive base pay and annual bonus
    • Full insurance package including Health, Dental, Vision, Life, Disability, Employee Assistance
    • 401k match and complimentary financial planning services with Merrill Lynch
    • Paid time off and paid holidays
    • Opportunity for continued education and tuition assistance
    • Valuable learning and development program
    • Significant ability to grow internally for motivated and strong performing team members
    • Fun, energetic, family-oriented work culture with an emphasis on team member morale
    • Nationwide presence

    Position Responsibilities:

    • Work closely with the guest services team to resolve payment disputes/chargebacks. 
    • Apply knowledge of Mastercard/Visa rules and regulations to process chargebacks timely and accurately.
    • Producing daily, weekly and/or monthly statistical reports on work volume.
    • Involved in all stages of the dispute and chargeback lifecycle, including case initiation and evidence gathering, customer contact and chargeback. 
    • Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and following policies and procedures as defined. 
    • Answer guest account questions through phone, email, social media, and instant message
    • Support franchise partners by providing exceptional guest support and documenting/submitting member payment disputes with the bank
    • Respond to inbound calls, and correspondence promptly and efficiently.

    Position Qualifications & Candidate Attributes:

    • One to two years related experience of in-bound call center or face-to-face customer service experience.
    • One year certificate from college or technical school preferred
    • Ability to think independently and provide self-motivation and direction, solve various problems, and make informed rational decisions and recommendations.
    • Experience in Chargebacks, Banking, and Quality Assurance is preferred.
    • Familiarity with learning and understanding proprietary technology and communicating effectively about technical terms.
    • Proactive and strong attention to detail
    • Experience answering phones, emails and messages in a customer support role preferred. 
    • Friendly, efficient, meticulous, organized.
    • Thrives in a fast-paced environment; Able to process multiple requests in a timely and efficient manner.
    • Problem-Solving, focused individual who works actively to serve our Guests.
    • Excellent verbal and written skills
    • Experience performing extensive research to resolve complex customer inquiries.
    • Spanish speaking is a plus, but not required.

    Work Environment and Schedule: 

    This job operates in a professional office environment. Office operating hours are Monday through Friday from 8:00am - 5:00pm, but Guest Services hours are Monday through Sunday 8:00am - 8:00pm. On average, this role will work 40 to 45 hours per week.

    Physical Demands

    This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and operates primarily indoors.

    To successfully perform the essential functions of this job, team member must be able to:

    • Ability to work and commute in all weather conditions
    • Able to move about inside the office to access standard office equipment, etc.
    • Remain in a stationary position 50% of the time, alternating between sitting and standing
    • Constantly operate a computer and other office productivity machinery such as; keyboard, copy machine and printer
    • Ability to move and lift up to 30 pounds
    • Able to effectively communicate, listen, detect, converse with, discern, convey, express oneself and exchange information
    • Able to walk, bend, twist, turn, stoop, climb steps, reach with hands, use hands to fingers

    Company Overview:

    Tommy's Express is a national franchise for outstanding car washes and car care services. Powered by industry leading technology and decades of experience and planning, Tommy's Express car washes deliver a cutting-edge car wash experience unlike anything you've encountered before. Our fully automatic washes feature advances including the easy-loading car wash dual belt conveyor, wide open car wash bay for natural lighting, advanced presoak and sealer services, and free high-power self-serve vacuums on site.

     Tommy Car Wash Systems (“TCWS”) is the power behind our Tommy’s Express equipment. TCWS is a team of passionate car wash professionals working to create opportunities for our partners to become the best car wash operators they can be. We provide modular building designs, robust stainless-steel car wash equipment, an advanced Wash Club license plate reader system, the Tommy Transporter belt, high performance wash detergents, and an industry-leading franchise opportunity. At Tommy Car Wash Systems, we have a solution for almost any size operator. Our team has helped develop hundreds of the most successful car washes around the world. Together, Tommy’s Express and Tommy Car Wash Systems make up the Tommy’s Corporate brand, headquartered in Holland, MI.

     

  • 18 Days Ago

T
Claims Resolution Specialist
  • TEKsystems
  • Grand Rapids, MI FULL_TIME
  • Description:- Must have high speed internet with a modem so that their phone can plug into it. Must have quiete space to work without any distraction once remoteJob Duties:-Assists consumers by provid...
  • 1 Month Ago

A
Cosmetic Merchandiser
  • Apollo Retail Specialist
  • Grand Rapids, MI PART_TIME
  • As a cosmetic merchandiser, you’ll take on project-based work to ensure cosmetic products, graphics, and displays are visually appealing to attract and engage shoppers, build strong relationships with...
  • 22 Days Ago

M
Automotive Detailer
  • Mark’s Detailing specialist
  • Holland, MI FULL_TIME
  • Mark's Detailing Specialist is seeking a high energy, hardworking and responsible person to join our detailing team. We have full-time positions available for a detailer on first shift, Monday through...
  • 8 Days Ago

M
Automotive Detailer
  • Mark’s Detailing specialist
  • Holland, MI FULL_TIME
  • Mark's Detailing Specialist is seeking a high energy, hardworking and responsible person to join our detailing team. We have full-time positions available for a detailer on first shift, Monday through...
  • 8 Days Ago

C
Services Specialist Assistant
  • CPS & Foster Care Services Specialist 9-12 -...
  • Allegan, MI FULL_TIME
  • Salary $1,742.40 - $2,400.00 Biweekly Location Allegan, MI Job Type Limited Term (position has expiration date) Job Number 4308-23-ALLEGAN-010-EST Department Health and Human Services - Counties Openi...
  • Just Posted

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Appeal Resolution Specialist jobs found in Grand Rapids, MI area

G
Compliance Specialist
  • Grand River Aseptic Manufacturing
  • Grand Rapids, MI
  • Quality, Service, Collaboration, Courage. Do you exhibit these values and wish to be around others that do too? Are you ...
  • 4/26/2024 12:00:00 AM

P
Product Development Chemist, Expert
  • PPG Industries, Inc.
  • Grand Haven, MI
  • As the S&T Product Development Chemist, Expert you will be part of the PPG Powder Coatings team and responsible for form...
  • 4/25/2024 12:00:00 AM

M
Mobile Expert, Metro - Retail Sales
  • Metropcs
  • Grand Rapids, MI
  • **Retail** **Mobile Expert, Metro Retail Sales** At T-Mobile, we strongly encourage everyone, including people of color,...
  • 4/24/2024 12:00:00 AM

G
Manufacturing Training and Documentation Specialist
  • Great Lakes Coca-Cola
  • Grand Rapids, MI
  • Overview: Reyes Coca-Cola Bottling is a proud West Coast and Midwest bottler and distributor of Coca-Cola brands. We del...
  • 4/23/2024 12:00:00 AM

A
Merchandiser Specialist
  • Acosta, Inc
  • Grand Rapids, MI
  • Merchandiser Specialist General Information Company: PRE-US Location: GRAND RAPIDS, Michigan, 49512 Ref #: 49835 Functio...
  • 4/22/2024 12:00:00 AM

B
Senior Payroll Specialist
  • Bradford White
  • Middleville, MI
  • About the Company: Throughout a history dating back to 1881, Bradford White Corporation has been manufacturing some of t...
  • 4/22/2024 12:00:00 AM

A
Merchandiser Specialist
  • Acosta, Inc
  • Spring Lake, MI
  • Merchandiser Specialist General Information Company: PRE-US Location: SPRING LAKE, Michigan, 49456 Ref #: 61898 Function...
  • 4/22/2024 12:00:00 AM

C
Senior Legal Specialist Health Plan
  • Corewell Health
  • Grand Rapids, MI
  • Job Summary The Senior Legal Specialist is a key member of the Priority Health Legal Specialists team. Someone in this r...
  • 3/27/2024 12:00:00 AM

Grand Rapids is the second-largest city in Michigan, and the largest city in West Michigan. It is on the Grand River about 30 miles (48 km) east of Lake Michigan. As of the 2010 census, the city population was 188,040. In 2010, the Grand Rapids metropolitan area had a population of 1,005,648, and the combined statistical area of Grand Rapids-Muskegon-Holland had a population of 1,321,557. Grand Rapids is the county seat of Kent County. A historic furniture-manufacturing center, Grand Rapids is home to five of the world's leading office furniture companies, and is nicknamed Furniture City. Its ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$46,240 to $57,282
Grand Rapids, Michigan 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