Appeal Resolution Specialist jobs in Knoxville, TN

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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Dispute Resolution Specialist I
  • Knoxville TVA Employees Credit Union
  • Knoxville, TN FULL_TIME
  • The schedule for this position is Monday through Friday, 10:15am - 7:00pm.


    Our Mission is to help Members grow financially.

    Our Vision is to be Members' First Choice for all Financial Services.

    We can achieve these goals through our commitment to providing excellent service to our membership and our communities. And it all starts with YOU! We are looking for a service-minded individual to join our team in order to continue to provide the high-quality service our members expect from us.

    Our full-time team members enjoy a wealth of benefits including employer-paid medical and dental insurance premiums, competitive pay, and a 401(k) plan with an employer match. The great service we provide to our Members is reflected in our team environment and the professional development opportunities our positions offer. People Helping People is what we do every day.

    Submit your application to us today and let us be the First Choice for your new career journey!

    About Us:

    Knoxville TVA Employees Credit Union is a not-for-profit, Member-owned, and locally operated financial institution serving the financial needs of its communities of Membership. We have 25 locations throughout East Tennessee and we serve more than 264,000 Members. The Credit Union helps Members grow financially by offering a variety of accounts including: checking, savings and investments. Also offered are competitive loan rates on new and used autos and recreational vehicles, mortgages, personal loans and credit cards.

    Pay: Starting Range is $18.50 - $20.50, depending on work experience

    Benefits:

    • Employer-paid health and dental insurance monthly premiums
    • Accrual of paid PTO Leave
    • Employer-matched 401k, 50% match up to 6% of employee contributions
    • Employer-paid Group Life Insurance and Long-Term Disability benefits
    • Potential bonus up to 11% of average salary over the past year based on Credit Union-wide goals
    • Paid Holidays and Paid Training
    • Potential pay increases through additional training opportunities
    • Opportunity to earn incentive pay
    • The ability to help serve your local community through our mindset of People Helping People!

    PRIMARY RESPONSIBILITIES:

    Review disputes and error resolutions.

    Daily chargeback reports.

    Monitor dispute general ledgers and ensure accurate balancing.

    Report operating loss.

    Working knowledge of Centrix Dispute tracking system.

    Research and process disputes and retrieval requests.

    Communicate with members or merchant to obtain proper documentation and additional information.

    Maintain up-to-date knowledge of products, procedures and policy of the department.

    Complete required annual trainings.

    Follow all Credit Union policies, procedures and regulations.

    Represent the Credit Union in a professional manner (including but not limited to appearance, behavior and performance).

    Maintain regular and predictable attendance.

    Work cooperatively with others.

    All other duties as assigned.

    POSITION COMPETENCIES:

    Service – Excellent interpersonal skills and professional demeanor. Ability to develop relationships with members to meet financial needs through the relevant suggestion and referral of Credit Union products and services.

    Job Knowledge – Technically and professionally skilled in all position responsibilities and duties. Seeks new skills and opportunities for self-development. Basic knowledge of governing Federal regulations. Sufficient bookkeeping knowledge to be able to balance and reconcile reports and
    balance members accounts

    Quality – Ability to be flexible and have a service-oriented view to fulfill member, employee and Credit Union needs. Perform tasks with a high level of accuracy while maintaining attention to detail.

    Teamwork – Ability to work as a team as well as independently to meet goals and objectives and to meet the needs of all members.

    Analytical – Work systemically and logically to resolve problems, identify causation and anticipate unexpected results. Manage issues by drawing on own experience and knowledge and call on other resources as necessary.

    Communication – Ability to handle situations with tact and respect. Ability to maintain confidentiality of member information.

    Initiative – Demonstrate a desire to do the job to the best of ability and have a desire to learn new techniques and skills.

    Planning/Organizing – Ability to work under deadlines with frequent interruption; and the ability to balance multiple projects/activities with varying deadlines.

    Quantity – Ability to meet established goals.

    QUALIFICATIONS:

    Education/Experience – High school diploma or general education degree (GED). Minimum of two years’ experience with dispute resolution and fraud mitigation. Financial industry experience strongly preferred.

    Qualifications and Requirements – Individual must possess the knowledge skills and ability required to execute the essential functions in a satisfactory manner.

    Language – Ability to read and interpret documents such as operating instructions, and policies and procedures. Ability to write correspondence and use proper grammar, punctuation and spelling. Ability to speak effectively before groups of members or employees of the organization.

    Mathematical – Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent.

    Reasoning – Ability to use sound reasoning in order to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Possess analytical and problem-solving skills to assist members using independent judgment.

    Computer – Ability to operate related computer applications including Word, Excel and Email. Proficient typing skills. Ability to operate other business equipment including adding machine, coin and money counting machines and telephone.

    WORK ENVIRONMENT:

    • Work is typically done in the office at the company’s principal base of business or branches.
    • Travel is required occasionally. May be required to travel to various work locations, both local and surrounding counties.
    • Maintain access to reliable transportation.
    • Ability to hear average or normal conversations and receive ordinary information. The noise level in the work environment is usually moderate.
    • Responsibilities may require off site attendance at seminars or meetings with consultants, professional, or community groups.
    • Position requires flexible hours, including occasional and/or regular Saturdays.

    PHYSICAL DEMANDS:

    • Seldom lift/move up to 25 pounds.
    • Specific vision abilities required for this job include close vision. Average, ordinary visual acuity necessary to prepare or inspect documents or products or operate machinery.
    • Frequently required to talk or hear, sit, use hands to finger, handle, or feel.
    • Occasionally required to stand, walk, reach with hands or arms.
    • Seldom required to climb or balance, stoop, kneel, crouch, or crawl.

    Education

    Required
    • High School or better

    Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

    The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

  • 1 Month Ago

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Dispute Resolution Specialist I
  • KTVAECU
  • Knoxville, TN FULL_TIME
  • The schedule for this position is Monday through Friday, 10:15am - 7:00pm. Our Mission is to help Members grow financially. Our Vision is to be Members' First Choice for all Financial Services. We can...
  • 1 Month Ago

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Lawn Specialist
  • TruGreen - Lawn Specialist - Alcoa, TN
  • Fontana Dam, NC FULL_TIME
  • TruGreen is Hiring Residential Lawn Specialists Immediate Openings in Alcoa, TN At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGr...
  • 29 Days Ago

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Specialist, Medical Office
  • TruGreen - Lawn Specialist - Alcoa, TN
  • Fontana Dam, NC FULL_TIME
  • Immediate Openings in Alcoa, TN At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. 00 per hour Average income is $850 - $1,200 per week* - Based on ho...
  • 28 Days Ago

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Denials Resolution Representative
  • LHH
  • Alcoa, TN FULL_TIME
  • JOB DESCRIPTION OVERVIEW : Position is responsible for reviewing rejections assigned to Denials Resolution in ETM System. Maintains accuracy and production to ensure denials are being processed effici...
  • 15 Days Ago

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Denials Resolution Rep
  • LHH
  • Alcoa, TN FULL_TIME
  • Medical Denials Specialist Onsite in Louisville TN LHH is seeking a Medical Denials candidate with 1 or more years of experience, for our client in Louisville! This large healthcare organization is ad...
  • 24 Days Ago

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0 Appeal Resolution Specialist jobs found in Knoxville, TN area

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Direct Market Manager - Lifeline and ACP Expert (Tennessee - Knoxville)
  • ThinkTank LLC
  • Knoxville, TN
  • Job Description Job Description ThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market...
  • 4/23/2024 12:00:00 AM

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Event Specialist
  • RDI Technologies, Inc.
  • Knoxville, TN
  • Job Description Job Description EVENT SPECIALIST This is a full-time, in-office position within our Marketing department...
  • 4/23/2024 12:00:00 AM

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Compliance Specialist
  • Mortgage Investors Group
  • Knoxville, TN
  • Job Type Full-time Description POSITION SUMMARY The Compliance Specialist will assist in assuring all lending activities...
  • 4/22/2024 12:00:00 AM

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Local SEO Specialist
  • Internet Marketing Expert Group
  • Knoxville, TN
  • Company Overview: IMEG is a leading marketing firm specializing in driving business growth and in increasing revenue for...
  • 4/22/2024 12:00:00 AM

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Regional IT Support Specialist
  • Total Quality Logistics
  • Knoxville, TN
  • About the role:As part of our IT Operations Team, you will work in an enterprise environment, providing onsite and virtu...
  • 4/22/2024 12:00:00 AM

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Project Control Specialist IV
  • Nana Regional Corporation
  • Oak Ridge, TN
  • OverviewWork Where it MattersAkima Infrastructure Services (AIS), an Akima company, is not just another staffing contrac...
  • 4/22/2024 12:00:00 AM

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Customer Service Specialist
  • Rollins, Inc.
  • Knoxville, TN
  • ** Customer Service Specialist** **Job Category****:** Customer Service **Requisition Number****:** ORKIN025597 Showing ...
  • 4/21/2024 12:00:00 AM

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Specialist
  • Motion Recruitment
  • Oak Ridge, TN
  • This Oak Ridge, Tennessee based client is seeking an RSO and EHS Specialist for a full time opportunity. They are seekin...
  • 4/19/2024 12:00:00 AM

Knoxville is a city in the U.S. state of Tennessee, and the county seat of Knox County. The city had an estimated population of 186,239 in 2016 and a population of 178,874 as of the 2010 census, making it the state's third largest city after Nashville and Memphis. Knoxville is the principal city of the Knoxville Metropolitan Statistical Area, which, in 2016, was 868,546, up 0.9 percent, or 7,377 people, from to 2015. The KMSA is, in turn, the central component of the Knoxville-Sevierville-La Follette Combined Statistical Area, which, in 2013, had a population of 1,096,961. First settled in 178...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$43,713 to $54,153
Knoxville, Tennessee 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