Appeal Resolution Specialist jobs in Saint Petersburg, 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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Supv-Customer Service Resolution
  • L'Oreal
  • Saint Petersburg, FL FULL_TIME
  • Job Summary:


    This position is responsible for managing and developing a team of customer experience reps by providing daily support through feedback and coaching, as well as on regular basis vs performance KPI’s. This position is responsible for ensuring quality standards and SOPs are met and followed through all channels of communication. The Customer Experience Supervisor will also support Customer Experience through managing task volume and assigning tasks as needed to ensure service levels are being met. Updating SOPs and reporting of trends to leadership team is also part of your role. You also enjoy supporting Customer Experience by performing daily Customer Experience tasks.


    Position Responsibilities:


    • Manage the day-to-day assignments of tasks/volume of the team and balance teams workload
    • Manages daily support and adherence and ensures the team is following department SOPs with empathy for the customer experience for escalation resolution
    • Provide direct reports with guidance, direction and supervision; provide feedback and directly addresses performance issues
    • Maintain a positive work environment by regularly communicating with employees and respond to employee issues and concerns in a timely manner
    • Actively promote all company policies and expectations and leads weekly huddle
    • Report trends/ performance to management
    • Work towards continuous improvement with our SOPS and ensure continuous updating of SOPs and customer care policies
    • Ability to identify appropriate stakeholders and communicates and collaborates with stakeholders as needed
    • Participates in daily customer care tasks according to volume needed

    Requirements:


    • 3 years of Customer Service experience, preferably in a distribution or supply chain environment
    • High school diploma or GED required; Bachelor’s degree preferred
    • 1 year or more of successful supervisory experience leading a team of Customer Care representatives, preferred
    • Proficiency in all Microsoft Office programs required, SAP experience a plus
    • Strong leadership and communication skills. Excellent written communication skills
    • Strong analytical skills and problem-solving ability required
    • Conflict management skills essential to handle difficult or challenging customer situations with diplomacy, tact, and professionalism
    • Strong multi-task skills and able to work in a very fast paced environment and meet deadlines
    • Ability to work across multiple levels and cross-departmentally in the organization

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  • 1 Month Ago

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AR Specialist
  • Tampa Bay Medical Billing
  • St. Petersburg, FL FULL_TIME
  • Medical Insurance Billing (St. Petersburg), Full-timeCentral Billing Office responsible for collecting accounts receivable for group of Tampa Bay surgeons. Duties included, but are not limited to:If n...
  • 11 Days Ago

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Merchandiser Specialist
  • Acosta Group
  • Pinellas Park, FL FULL_TIME
  • **Start your career with Premium.** \#WeArePremium **Merchandiser Specialist** **General Information** **Company:** PRE-US **Location:** PINELLAS PARK, Florida, 33781 **Ref #:** 50344 **Function:** Me...
  • 11 Days Ago

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Peer Specialist
  • BOLEY CENTER
  • Saint Petersburg, FL FULL_TIME
  • Peer Specialist – Part Time, 20 hours per week ABOUT THE ORGANIZATION: Established in 1970, Boley Centers, Inc., is a private, non-profit organization serving individuals with mental disabilities, ind...
  • 13 Days Ago

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Billing Specialist
  • R'Club Child Care, Inc.
  • Saint Petersburg, FL FULL_TIME
  • POSITION OVERVIEW: Responsible for, but not limited to, client accounts receivable, client billing, and account collection. ESSENTIAL JOB FUNCTIONS: Process and maintain client information, accounts r...
  • 14 Days Ago

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Wellness Specialist
  • VSL Corporate Positions
  • Saint Petersburg, FL FULL_TIME
  • Looking for a road warrior with up to 100% travel across any of our 24 communities. Must have a RN compact license 2 years' experience preferred.: We are looking for a Wellness Specialist to join our ...
  • 14 Days Ago

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0 Appeal Resolution Specialist jobs found in Saint Petersburg, FL area

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Systems Expert
  • CAE USA INC
  • Tampa, FL
  • Role and Responsibilities Summary The Systems Expert is proficient in all aspects of design, analysis, implementation an...
  • 4/19/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm, Inc.
  • Tampa, FL
  • Is your current job a nightmare? Make it a dream job at Mattress Firm! Join Mattress Firm as a Sleep Expert and have the...
  • 4/19/2024 12:00:00 AM

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Regional Subject Matter Expert (SME)
  • Global Dimensions Llc
  • Tampa, FL
  • Global Dimensions is recruiting for an upcoming opportunity and seeking candidates who will be available upon award. Glo...
  • 4/18/2024 12:00:00 AM

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SOF Basing & Posture Subject Matter Expert
  • Global Dimensions Llc
  • Tampa, FL
  • Global Dimensions is recruiting for an upcoming opportunity and seeking candidates who will be available upon award. Glo...
  • 4/18/2024 12:00:00 AM

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Configuration Management Expert
  • General Dynamics Information Technology
  • Tampa, FL
  • GDIT is looking for a ZT Enterprise - Configuration Expert to join Team GDIT. Make a direct impact on our customer's mis...
  • 4/18/2024 12:00:00 AM

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Regional Subject Matter Expert (SME)
  • Global Dimensions, LLC
  • Tampa, FL
  • Global Dimensions is recruiting for an upcoming opportunity and seeking candidates who will be available upon award. Glo...
  • 4/17/2024 12:00:00 AM

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SOF Basing & Posture Subject Matter Expert
  • Global Dimensions, LLC
  • Tampa, FL
  • Global Dimensions is recruiting for an upcoming opportunity and seeking candidates who will be available upon award. Glo...
  • 4/17/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Tampa, 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

St. Petersburg is a city in Pinellas County, Florida, United States. As of the 2015 census estimate, the population was 257,083, making it the fifth-most populous city in Florida and the largest in the state that is not a county seat (the city of Clearwater is the seat of Pinellas County). St. Petersburg is the second-largest city in the Tampa Bay Area, after Tampa. Together with Clearwater, these cities comprise the Tampa–St. Petersburg–Clearwater Metropolitan Statistical Area, the second-largest in Florida with a population of around 2.8 million. St. Petersburg is located on the Pinellas pen...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$45,191 to $55,983
Saint Petersburg, Florida area prices
were up 1.1% 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