Appeal Resolution Specialist jobs in Miami, FL

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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Counter-Threat Finance Analyst
  • Clear Resolution Consulting, LLC
  • Doral, FL FULL_TIME
  • OPPORTUNITIES TO IGNITE YOUR PASSION, CRC services include Intelligence Analysis, Business Management, Cyber Operations, and Information Technology Consulting Services to the Department of Defense (DoD), Intelligence Community (IC) and other Federal Agencies. We offer a wide range of career opportunities and exceptional benefits.

    JOB SUMMARY: CRC seeks qualified Counter Threat Finance Analyst for positions in Doral, FL or NCR.

    RESPONSIBILITIES: 
    • Provide intelligence analysis services pursuant to 10 U.S.C. 284 and to Section 1022 of the NDAA for FY 2004, as amended

    • Provide CTF/TFI analysis that contributes to DoD strategic, operational, and tactical support to law enforcement agencies. Analysts may contribute to the development of theater-wide TFI analytical products to support CTF activities

    • Provide CTF/TFI analysis to enable identifying, detecting, and providing targeting and interdiction recommendations for CD/CTOC/CT activities. This support may include research and analysis of AOR issues relevant to strategic effects planning

    • Provide support to the planning, organizing, and coordinating of CTF activities in respective CCMD AORs/AOIs, and in support of other DoD Components’ efforts to support law enforcement agencies. Support DoD CTF program reporting requirements by drafting correspondence and briefings for DoD and for USG law enforcement agency personnel

    • Monitor and provide CTF/TFI-related advice on finance-oriented assessments that contribute to DoD’s support to law enforcement agencies’ development of case files, evidentiary material, and designation packages, to include actionable intelligence. Analyze, develop courses of action, and provide specific operational alternatives to DoD Component leadership, in support of DoD’s responses to law enforcement agencies’ requests

    • Provide briefings to DoD Component leadership and provide analytical products to support DoD briefings to law enforcement agency personnel

    • Assist in the development of TFI analysis-derived action plans, papers, reports, and target packages described below, as required:

    • Action Plans: Narrative and/or briefing products that may include the following:

      • Descriptions of strategic, operational, and/or tactical objectives against an adversary's financial network

      • Lists of interagency operations, activities, and actions (OAAs) to be pursued to support an objective

      • Lists of interagency intelligence analysis activities that may help illuminate an adversary's financial vulnerabilities

      • Lists of interagency OAAs that can synchronize with military operations to increase impact against an adversary network

    • Papers: Narrative products that highlight:

      • an adversary's financial network (e.g., financial assets, methods of storage, processes for financial transfer)

      • the vulnerabilities in an adversary's financial network, and interagency capabilities that can exploit those vulnerabilities

    • Reports: Narrative and/or briefing products that provide updates to OAAs; describe lessons learned from OAAs; and summarize ongoing OAAs or intelligence analysis support

    • Target Packages: Combinations of narrative and/or briefing products that may describe a specific target, the significance of the target to the network in which they operate, the target's centers of gravity and vulnerabilities, the effect on the network if the target's activities are disrupted, and community reporting on the target. (The term “Target Packages” is used in the Law Enforcement sense, such as the target of an investigation.)

    • Provide program and policy support including, but not limited to:

    • Provide support for CTF-focused conferences, to include planning, set-up, execution, removal and follow-on support related to conference activities

    • Assist in drafting guidance and provide expertise on matters related to implementing DoD CD/CTOC/CTF policy and DoD efforts to support law enforcement agencies’ CD/CTOC/CTF/CT-related programs

    • Assist in the development of strategic documents, DoD Directives and Instructions, and other DoD policy issuances that affect DoD activities to counter-threat finance challenges to U.S. national security

    • Assist DoD’s work with the law enforcement and intelligence communities, and with other Federal departments and agencies for the purpose of supporting law enforcement agencies on CTF/CTOC/CD/CT issues

    • Analyze highly complex strategic, policy, and program issues, and provide analysis to DoD components as part of DoD’s support to law enforcement agencies

    • Receive and analyze TFI information disseminated by DoD Components or elements of the Intelligence Community, including Top Secret/Sensitive Compartmented Information (TS/SCI)



    MINIMUM REQUIREMENTS:
    • High School Graduate or G.E.D. with 10 years of specialized experience

    • Finance-specific analytical experience dealing with identifying / detecting, targeting, and interdicting threat, terrorist, and/or criminal finance activities, and networks.

    • Experience shall include CTF, and may include human intelligence and signals reporting, criminal and regulatory investigations, cases for designation, and experience with Bank Secrecy Act reporting mechanisms such as Suspicious Activity Reports (SAR).

    • Be competent in utilizing Specialized Intelligence Analysis tools (i.e., Proton, KaChing, DataXplorer, and Voltron Suite);

    • Be competent in utilizing Intelligence Report Aggregators/Automated Message Handling System search tools (i.e., TAC, RMT, and, NGT, Horizon);

    • Be competent in utilizing Intelligence Data Visualization Tools (i.e.Google Earth, Palantir, and, Analyst Notebook, Target Cop);

    • Be proficient in utilizing existing and new analytical tools to effectively exploit raw financial data, business registry, and corporate company data

    • Be knowledgeable of interagency threat finance cells;

    • Be skilled at implementing and utilizing best practices, proper tradecraft and determining relevancy of information disseminated against the standards set forth by the USG;

    • Possess experience with reviewing, prioritizing, and managing submitted requests;

    • Understand interagency restrictions and sensitivities on sharing certain types of data, as well as the steps necessary amongst the interagency to share said data;

    • Understand relevant DoD intelligence and intelligence oversight policies, procedures, and requirements

    • Individuals shall be able to show an expert level of skill in working with U.S Government Departments and Agencies (other than DoD) in areas such as policy formulation, acquisition, finance, drug law enforcement, security, policy formulation, and at disrupting and degrading the national security threats posed by drug trafficking, piracy, transnational organized crime, and threat finance networks reasonably related to illicit drug trafficking activities. In all cases, the specialized knowledge and experience shall directly support the technical requirements of this contract

    COMPANY DESCRIPTION

    Clear Resolution Consulting, LLC provides Intelligence Analysis, Business Management, Cyber Operations, and Information Technology Consulting Services to the Department of Defense (DoD), Intelligence Community (IC) and other Federal Agencies.

    This is a full-time position with employee and family medical, dental, and vision plans, life and AD&D insurance, generous holidays and personal leave, 401(K) with company matching, short-term/long-term disability insurance, and tuition assistance.

    Clear Resolution Consulting, LLC is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, any other non-merit factor, or any other characteristic protected by law.
  • 16 Days Ago

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Administrative-Super Human Admin Wanted!
  • Home Specialist MV LLC
  • Miami, FL FULL_TIME
  • Company: Boutique Business Development Firm specializing in helping companies in 5 vertical Industries generate more leads, more sales and increase profitability. Our team is comprised of business dev...
  • 3 Days Ago

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Sales and Marketing Assistant
  • Home Specialist MV LLC
  • Coral, FL FULL_TIME
  • Company: Boutique Business Development Firm specializing in helping companies in 5 vertical Industries generate more leads, more sales and increase profitability. Our team is comprised of business dev...
  • 3 Days Ago

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Bilingual (English/Spanish) Supervisor Recovery Resolution - Miami, FL
  • UnitedHealth Group
  • Miami, FL FULL_TIME
  • Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the...
  • 6 Days Ago

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Specialist
  • Apple
  • Miami, FL FULL_TIME
  • As a Business Specialist, you introduce Apple solutions, technology, and services to business customers. You spend time on the sales floor, meeting first-time and current business customers and learni...
  • 1 Month Ago

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Training Specialist
  • Kaseya Careers
  • Miami, FL FULL_TIME
  • Kaseya® is the leading provider of complete IT infrastructure and security management solutions for Managed Service Providers (MSPs) and internal IT organizations worldwide. Kaseya's best-in-breed tec...
  • 10 Days Ago

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0 Appeal Resolution Specialist jobs found in Miami, FL area

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Expert (Lincoln Road R115)
  • Apple
  • Miami Beach, FL
  • As an Expert, you are a leader in sales, product knowledge, and solutions, and highly influential in how you engage with...
  • 4/19/2024 12:00:00 AM

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Content Marketing Expert and Mentor
  • Fud
  • Miami, FL
  • Fud, the World's First Social Hustling Community, is seeking a Content Marketing Expert and Mentor to join our community...
  • 4/19/2024 12:00:00 AM

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Sales and Service Expert
  • 24 Hour Fitness, INC.
  • Homestead, FL
  • **FULL-TIME** Part-time **LOCATION** 3314 NE 7th Street Homestead FL 33033 **Who we?are** At 24 Hour Fitness,?we are ded...
  • 4/18/2024 12:00:00 AM

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Real Estate Expert and Mentor
  • Fud, Inc.
  • Miami, FL
  • We are a growing start-up company looking for a Real Estate Expert and Mentor to join our community. As a Real Estate Ex...
  • 4/18/2024 12:00:00 AM

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Data Analyst Expert
  • Elite Agency Health
  • Deerfield Beach, FL
  • Job Description Job Description Join our dynamic EXECUTIVE TEAM at ELITE AGENCY!! Opportunities like this are RARE & WON...
  • 4/16/2024 12:00:00 AM

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Customer Care Expert
  • Wix.Com Ltd
  • Miami, FL
  • 348001 **Customer Care Expert** Miami **We are:** Wixs Customer Care Team in Miami. We build amazing products that help ...
  • 4/16/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Miami, FL
  • Job Summary: We are actively searching for a Subject Matter Expert (SME) with a comprehensive background in health admin...
  • 4/15/2024 12:00:00 AM

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Content Marketing Expert and Mentor
  • Fud Inc.
  • Miami, FL
  • Fud, the World's First Social Hustling Community, is seeking a Content Marketing Expert and Mentor to join our community...
  • 4/15/2024 12:00:00 AM

Miami, officially the City of Miami, is the cultural, economic and financial center of South Florida. Miami is the seat of Miami-Dade County, the most populous county in Florida. The city covers an area of about 56.6 square miles (147 km2), between the Everglades to the west and Biscayne Bay on the east; with a 2017 estimated population of 463,347, Miami is the sixth most densely populated major city in the United States. The Miami metropolitan area is home to 6.1 million people and the seventh-largest metropolitan area in the nation. Miami's metro area is the second-most populous metropolis i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$46,001 to $56,987
Miami, Florida area prices
were up 2.9% 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