Appeal Resolution Specialist jobs in Salt Lake City, UT

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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Account Resolution Specialist (Formerly Service Center Help Desk)
  • Mountain America Credit Union
  • Sandy, UT FULL_TIME
  • The Account Resolution Specialist supports internal customers (Service Center Agents, Branches, Corporate Departments) by answering questions and resolving issues regarding MACU systems, ITC, TCR, DPC, DPS and Symitar. In addition, the Account Support Manager receives and responds to all escalated member calls from the Service Center, Branches, LSI, Collections, and other member-related corporate departments. This position provides quality service across multiple communication channels to enhance our members’ financial relationships with the credit union.

    LOCATION:

    Remote MACU Footprint

    SCHEDULE:

    Tues - Sat 12:30-9

    IMPORTANT INFORMATION:

    • Minimum Qualifications must be met in order to be considered, please review job description

    • Help guide and train other team members to Help our members.

    • Average 600 Escalation calls a month

    • Average 28,000 Help Desk calls a month

    • Account Resolution is a great way to learn and grow your leadership IDP & Career Goals


    JOB DESCRIPTION:

    • Receives and responds to all escalated member calls from Service Center, Branches, LSI and other member related corporate departments.
    • Receives and responds to executive level escalations to provide quality service and resolve any problems that may arise.
    • Assists the Accounting Department with TCR, Primelink and ITC calls.
    • Assist coworkers with their problems while educating/training then to drive self-sufficiency.
    • Assists the Service Center Help Desk with calls from Service Center, Branches, and other member related corporate departments.
    • Provides management level override approval for member transactions.
    • Develops and maintains a working relationship with departments and branches to help front internal calls.
    • Provides service center management and the Service Center QA team with immediate feedback to improve processes.
    • Acts as a resource to the Service Center and branches in the absence of management.
    • Trains and coaches Service Center new hires.
    • Mentors and trains new help desk agents
    • Researches submitted tickets using member information to find answers and resolutions for our members.
    • Asked to perform many additional tasks including but not limited to: Management approvals for SC and Branches and utilizing judgement and responsibility in fulfilling member’s needs using the credit union policies and the hierarchy of decision- making.
    • Complies with all internal (MACU) guidelines as well as all external (Federal) regulations.
    • Represents the credit union in a professional manner, in both dress and actions.
    • Performs other duties as assigned.

    Experience
    3-5 years of customer service or related experience and at least 6 months of Service Help Desk experience or 18 months of MACU experience

    Education
    High school diploma

    Licenses, Certificates, Registrations
    Must meet all expectations of an Agent 3

    Computer/Office Equipment Skills

    Basic computer operating skills. Advanced skills in Microsoft Office (Outlook, Word, Excel) Must have a good knowledge and confidence in working with Symitar. Type a minimum of 35 words per minute. 10-Key experience.

    Managerial Responsibility

    Have no supervisory/managerial responsibilities

    Other Skills, Knowledge, and Abilities

    Ability to work in a multi-channel (phone, chat, email) environment.
    Ability to deliver exceptional member experiences in the most difficult situations.
    Ability to show effective decision-making skills and recognize the appropriate action needed when reviewing higher risk situations.
    Ability to work with many business partners in troubleshooting complex situations.

    PHYSICAL ABILITIES / WORKING CONDITIONS

    Physical Demands

    Ability to talk on the phone, hear, sit, use hands to handle or feel and reach with hands and arms consistently

    Vision Requirements

    Close vision (clear vision at 20 inches or less)

    Distance Vision (clear vision at 20 feet or more)

    Weight Lifted or Force Exerted

    Ability to lift up to 10 pounds consistently and up to 25 pounds occasionally

    Environmental

    There are no unusually environmental factors

    Noise Environment

    Moderate noise (business office with computers and printers, light traffic)

    ***This Job is not eligible to be performed in Colorado or Connecticut, either remotely or in-person.***

  • 9 Days Ago

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Telecommunications Tower Technician Green Hand
  • Larson Tower Specialist
  • Riverton, UT FULL_TIME
  • Benefits: SIRA matching Bonus based on performance Company parties Competitive salary Dental insurance Employee discounts Health insurance Opportunity for advancement Paid time off Profit sharing Trai...
  • 30 Days Ago

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Account Resolution Representative Cards - Bilingual
  • Wells Fargo
  • SALT LAKE CITY, UT FULL_TIME
  • About this role:Wells Fargo is seeking an Account Resolution Representative - Bilingual for Credit Card Collections. Learn more about our career areas and lines of business at wellsfargojobs.comIn thi...
  • 26 Days Ago

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Associate Account Resolution Representative Cards - Bilingual
  • Wells Fargo
  • SALT LAKE CITY, UT FULL_TIME
  • About this role:Wells Fargo is seeking an Associate Account Resolution Representative - Bilingual for Credit Card Collections. Learn more about our career areas and lines of business at wellsfargojobs...
  • 26 Days Ago

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Associate Account Resolution Representative (Collections & Servicing) Bilingual Spanish
  • Wells Fargo
  • SALT LAKE CITY, UT FULL_TIME
  • About this role:Wells Fargo is seeking an Associate Account Resolution Representative Bilingual Spanish Required in Collections and Servicing as part of Consumer Lending. Learn more about the career a...
  • 1 Month Ago

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Specialist
  • Deloitte
  • Salt Lake, UT FULL_TIME
  • Position Summary State Medicaid Data Warehouse Analytics SME Are you a Medicaid Management Information System (MMIS) subject matter expert with technical / functional State Medicaid Data Warehouse Ana...
  • 3 Days Ago

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0 Appeal Resolution Specialist jobs found in Salt Lake City, UT area

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Networking/F5 Subject Matter Expert, Onsite Layton Utah, $Signing Bonus, Relocation Assistance provi
  • Smoothstack
  • Layton, UT
  • (((URGENT/Interviewing/Hiring NOW!!!))) We Pay Referral Fees! F5 NETWORKS CERTIFIED, Subject Matter Expert Onsite Layton...
  • 4/18/2024 12:00:00 AM

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Expert Technical Project Manager
  • Acxiom LLC
  • Salt Lake City, UT
  • The Expert Technical Project Manager will run the execution of projects, product releases, and programs within the Profe...
  • 4/18/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm
  • Riverdale, UT
  • Is your current job a nightmare? Make it a dream job at Mattress Firm®! Join Mattress Firm as a Sleep Expert® and have t...
  • 4/17/2024 12:00:00 AM

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Customer Care Expert
  • Select Portfolio Servicing, Inc.
  • Salt Lake City, UT
  • Job Description Job Description The Customer Care Expert (CCE) is responsible for delivering personalized service to the...
  • 4/16/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Salt Lake City, UT
  • Job Summary: We are actively searching for a Subject Matter Expert (SME) with a comprehensive background in health admin...
  • 4/16/2024 12:00:00 AM

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Customer Experience Expert - Hybrid
  • StubHub
  • Draper, UT
  • Job Description Job Description Come join STUBHUB, the world’s largest ticket marketplace. With tickets available for ov...
  • 4/16/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Salt Lake City, UT
  • 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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Internet TV Sales Expert
  • Acosta, Inc
  • Salt Lake City, UT
  • Internet TV Sales Expert General Information Company: PRE-US Location: SALT LAKE CITY, Utah, 84117 Ref #: 52400 Function...
  • 4/15/2024 12:00:00 AM

Salt Lake City has an area of 110.4 square miles (286 km2) and an average elevation of 4,327 feet (1,319 m) above sea level. The lowest point within the boundaries of the city is 4,210 feet (1,280 m) near the Jordan River and the Great Salt Lake, and the highest is Grandview Peak, at 9,410 feet (2,868 m). The city is in the northeast corner of the Salt Lake Valley surrounded by the Great Salt Lake to the northwest, the steep Wasatch Range to the east, and Oquirrh Mountains to the west. Its encircling mountains contain several narrow canyons, including City Creek, Emigration, Millcreek, and Par...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$46,240 to $57,282
Salt Lake City, Utah area prices
were up 2.3% 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