Appeal Resolution Manager jobs in the United States

Appeal Resolution Manager manages the grievance process to review, investigate, document, process, negotiate, and resolve disputed medical, insurance, and other claims. Oversees work activity that is compliant with all regulatory guidelines and policy protocols. Being an Appeal Resolution Manager allocates team resources to ensure an effective and balanced case workload. Applies industry standards and uses best practices in the preparation of legal briefs. Additionally, Appeal Resolution Manager may represent the organization at hearings. Requires a bachelor's degree. Typically reports to a senior manager or head of a unit/department. The Appeal Resolution Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be an Appeal Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Charlotte, NC: Manager
  • Resolution Economics
  • Charlotte, NC FULL_TIME
  • Title Charlotte, NC: Manager Position Los Angeles, CA: Manager Location Charlotte Req Number CON-24-00007 Description

    Company Description:

    Resolution Economics is a leading economic consulting firm focused on providing economic, statistical, and financial analysis; litigation and consulting support; and expert testimony to the world's leading companies and law firms. Resolution Economics is headquartered in Los Angeles with offices in Washington, D.C., Chicago, New York City, and Charlotte.

    The Labor and Employment Practice typically engages in matters related to Wage and Hour or Discrimination litigation as well as other employment-related business consulting. We regularly provide analysis and support related to class action minimum wage/overtime claims, meal and rest break claims, employee misclassification claims, and discrimination matters related to hiring, pay, promotion, and/or wrongful termination. We conduct our work at all stages of the litigation process. Clients rely on us to provide complex exposure models, expert reports, preparation for depositions, rebuttals to the work of other experts, and expert testimony at deposition or trial. Our services are also retained for data collection efforts in the form of surveys, video content analysis, and on-site observational studies.

    Working at Resolution Economics is a rewarding experience where teamwork, creativity, and academic rigor combined to generate real-world results. We regularly apply data analytical, statistical, and economic methods to create compelling narratives that are accessible to non-technical audiences. Our work often plays and important role in influencing State and Federal case law and directly impacts the outcomes of future litigation and the contours of work place policy. In addition, the analyses that we perform inform settlement discussions and arbitration proceedings, as parties attempt to resolve issues out of Court. Given the high-stakes and the large number of individuals potentially impacted by these cases, our clients rely on our adaptability, efficiency, and ability to maintain a high degree of reliability in our work.

    Job Description:

    The Manager role is a highly demanding yet highly fulfilling position. Those operating as Managers are expected to have a thorough understanding of the relevant case law as it applies to their projects. Managers generally oversee multiple projects simultaneously and will be required to assess the staffing needs for these projects and effectively allocate their own time among them. Managers are responsible for personally conducting and/or overseeing the majority of the programming work required on their projects and for ensuring that all work is error-free, replicable, and sufficiently documented. Managers are further responsible for ensuring that: a) work moves forward in an efficient manner, b) data issues and/or methodological concerns are resolved or brought to the attention of project Directors or Partners, c) results and findings are presented in a way that is 'client-ready' (e.g. visually pleasing and free of typographical errors), and d) work is completed on or ahead of schedule or that delays are effectively anticipated and communicated. Though not all cases will require direct contact with clients, Managers are expected to be able to accurately interpret client requests and to communicate with clients both orally and via e-mail in a professional manner. Resolution Economics Managers also serve as mentors to junior staff, providing guidance with tasks such as programming, organization, and the strategic approach to case work.

    This is a highly selective experienced position. Applicants with less than five years of work experience should instead consider applying for the Consultant or Senior Consultant position.

    Salary Scale:

    Managers are paid an annual salary of between $128,800 and $154,500, subject to all required deductions and withholding, and not including the value of benefits under any Resolution Economics-maintained benefit plan. The Manager position is classified as exempt from overtime pay requirements under applicable federal and state law.

    Responsibilities for this position will include:

    • Determining (through a review of legal documents and discussion with co-workers and counsel) the types of data required to address the claims at issue in a case
    • Formulating quantitative approaches to address the claims at issue in a case
    • Programming competently in SAS, including the use of advanced functionality (e.g. loops, arrays, macros, PROC SQL)
    • Understanding common data structures and formats
    • Evaluating the completeness and quality of data and devising approaches for dealing with data insufficiencies
    • Using EXCEL in a formula-driven way for computational and graphical purposes
    • Creating fully-linked, self-updating Excel models that incorporate user-selected parameters
    • Organizing data from multiple sources and proactively anticipating updates
    • Ensuring 100% accuracy of programs and output
    • Preparing write-ups, presentations, and exhibits to display or accompany quantitative findings
    • Communicating complex issues to a non-technical audience, including clients
    • Actively contributing to work at all levels within the life cycle of a project
    • Keeping Partners and Directors informed of work progress, delays, and potential issues
    • Managing and mentoring junior staff
    • Assisting with office recruiting and training efforts

    Job Qualifications:

    Skills and Abilities

    • Minimum 5 years of experience in validating, processing, and analyzing data (prior litigation consulting experience very strongly preferred)
    • Demonstrated ability to write code in SAS and to conduct complex data analysis (additional programming languages a plus)
    • High proficiency in Excel, experience building dynamic exposure models a plus
    • Strong written, verbal, and interpersonal communication skills for presenting work product to Directors, Partners, and clients
    • Ability to respond to unexpected client requests and to handle quickly changing priorities
    • Extremely close attention to detail
    • Ability to quickly learn and apply new concepts
    • Ability to respectfully work in a team environment
    • Ability to balance several projects simultaneously
    • Understanding of economic damages and statistical concepts
    • General knowledge of labor and employment law and the legal framework is preferred
    • Willingness to work a flexible schedule (occasional weekend/evening work may occur)
    • Above all, the ability to develop a sense of ownership and personal responsibility for each project you are assigned

    Education and Work Experience

    • Bachelor's degree in Economics, Statistics, Mathematics, or other quantitative fields
    • Master's degree a plus
    • 5-8 years of experience working in a high-demand consulting (or equivalent) environment
    • 5-8 years of SAS programming experience

    Resolution Economics, LLC is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by applicable law.

    About the Organization With offices in Los Angeles, New York, Chicago, the District of Columbia, and Charlotte, Resolution Economics offers a fast paced environment where we utilize analytical and creative problem solving to achieve results that our clients use to support and improve their position. We utilize a project based business model that allows our staff to collaborate within different teams and across a variety of industries.

    Our success as a firm is dependent on the success of our staff, which is comprised of talented, determined, and hardworking individuals. To this end, we are committed to providing employees with a stimulating work environment that fosters their professional growth and development. EOE Statement Resolution Economics, LLC is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by applicable law.

    This position is currently accepting applications.



    Resolution Economics, LLC is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

     

  • 1 Month Ago

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Chicago, IL: Manager
  • Resolution Economics
  • Chicago, IL FULL_TIME
  • Title Chicago, IL: Manager Position Los Angeles, CA: Manager Location Chicago Req Number CON-24-00006 Description Company Description: Resolution Economics is a leading economic consulting firm focuse...
  • 1 Month Ago

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Los Angeles, CA: Manager
  • Resolution Economics
  • Los Angeles, CA FULL_TIME
  • Title Los Angeles, CA: Manager Position Los Angeles, CA: Manager Location Century City Req Number CON-24-00005 Description Company Description: Resolution Economics is a leading economic consulting fi...
  • 1 Month Ago

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Business Insurance Sr. Account Manager (P & C)
  • Resolution Technologies
  • Peachtree, GA FULL_TIME
  • Business Insurance Sr. Account Manager (P&C) Description : The main goal and... 3 days ago
  • 1 Month Ago

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Business Insurance Sr. Account Manager (P & C)
  • Resolution Technologies
  • Raymond, GA FULL_TIME
  • Business Insurance Sr. Account Manager (P&C) Description : The main goal and... 2 days ago
  • 1 Month Ago

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LOGISTIC AND TRAVEL OFFICER AT HUMAN APPEAL, TEXAS , DALLAS
  • Human Appeal Inc.
  • Irving, TX FULL_TIME
  • Here at Human Appeal US we have an exciting opportunity for a Logistics and Travel Officer to join our team, based in Dallas office. You will join us on a full-time basis as part of an initial 1-year ...
  • 26 Days Ago

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Human Resources Director
  • Shulman Rogers
  • Potomac, MD
  • ON-SITE with some opportunity for limited Hybrid work - LAW FIRM EXPERIENCE STRONGLY PREFERRED Shulman Rogers is searchi...
  • 3/28/2024 12:00:00 AM

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Network System Engineer
  • Columbia Technology Partners
  • Annapolis Junction, MD
  • Description: We are seeking a skilled and experienced Network Engineer to join our dynamic team. As a Network Engineer, ...
  • 3/28/2024 12:00:00 AM

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Policy and Disputes Analyst
  • PKH Enterprises
  • Rockville, MD
  • Job Description Job Description Policy and Disputes Analyst – PKH Enterprises is looking for several candidates to join ...
  • 3/27/2024 12:00:00 AM

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Facilitator, Mid-Level, Federal Contracting
  • IMSolutions, LLC
  • Gaithersburg, MD
  • IMSolutions seeks a strategic and experienced Mid-Level Facilitator to fill an exciting opportunity working in federal g...
  • 3/27/2024 12:00:00 AM

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Facilitator - Senior Level, Federal Contracting
  • IMSolutions, LLC
  • Gaithersburg, MD
  • IMSolutions seeks a strategic and experienced Senior Facilitator to fill an exciting opportunity working in federal gove...
  • 3/27/2024 12:00:00 AM

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ParaLegal Support - TS/SCI w/ Poly
  • General Dynamics Information Technology
  • Reston, VA
  • HOW AN EXECUTIVE ADMINISTRATIVE SUPPORT I WILL MAKE AN IMPACT Serve as liaison between the designated government staff a...
  • 3/26/2024 12:00:00 AM

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ServiceNow Program Manager (Remote)
  • ICF International, Inc.
  • Reston, VA
  • The IT modernization and digital transformation division of ICF is seeking a motivated ServiceNow IT Program Manager wit...
  • 3/26/2024 12:00:00 AM

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Legal Counsel - Remote or Onsite
  • Bilfinger
  • Reston, VA
  • Legal Counsel - Remote or Onsite The Bilfinger group of companies enhances the efficiency of assets, ensures a high leve...
  • 3/25/2024 12:00:00 AM

Income Estimation for Appeal Resolution Manager jobs
$93,334 to $121,300