Appeal Resolution Manager jobs in Wisconsin
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)
Recently Added Appeal Resolution Manager jobs
Complaint Resolution Manager - Hybrid
- Aqua Finance, Inc.
-
Schofield, WI
FULL_TIME
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Team Manager, Complaint Resolution - Hybrid
In compliance with the company policies and procedures, the purpose of the Team Manager, Complaint Resolution is to lead a high functioning Complaints Resolution team and provide an unmatched experience for our customers. The Team Manager, Complaint Resolution is responsible for leading the complaints management processes, ensuring complaints are resolved accurately within set SLAs, and reporting on complaint trends. This role will also provide support to the Customer Experience team for 2nd shift and in the absence of a team manager.
Essential Functions- Lead a high performing complaints resolution team to deliver exemplary customer experience.
- Review, assign, and provide supervision of all complaint resolution activity to ensure compliance with regulatory requirements, specific resolution procedures, and in accordance with applicable laws.
- Manage team’s performance by tracking and analyzing improvement opportunities and effectively coaching the team as needed.
- Track, report, and analyze SLA performance on a daily, weekly, and monthly basis to ensure complaints are closed within the set SLAs.
- Execute, maintain, and enhance the complaint management program to ensure adequate processes are in place for identifying, logging, and managing complaints.
- Complete ad hoc root cause investigation of complaints escalated to the executive team and regulatory bodies.
- Coordinate with AVP-Customer Complaint Management on team performance, complaints, and resolution trends.
- Collaborate with Dealer Oversight, Sales, Compliance, and Legal teams to find agreeable resolutions for complaints and address complaints/ trends.
- Lead daily/weekly/monthly meetings with cross-functional teams to discuss emerging trends and tactical action plans.
- Assist in the ongoing development and improvement of the Complaints Resolution group.
- Ongoing training of current and new team members.
- Monitor and manage day to day responsibilities of the Complaints Resolution team.
- Support Team Manager, Customer Experience with answers to complex customer questions, requests, concerns, and complaints.
- Answer incoming manager escalation calls.
- Solve customer questions, requests, concerns, and complaints.
- Communicate effectively and professionally with customers and employees both written and verbally.
- Responsible for onsite managerial support including office operations, safety coordination, and facilities coordination
- Perform other duties as assigned
- High School Diploma or GED equivalent required.
- Bachelor’s degree preferred.
- 5 years complaint resolution or accounts/claims investigation experience required.
- 3 years leadership experience in the financial industry preferred.
- Bilingual (English and Spanish) candidates strongly preferred.
- Ability and willingness to provide excellent customer service to resolve problems, answer questions, and manage difficult situations that arise.
- Strong research and analytical skills, with attention to detail.
- Strong problem-solving skills, with the ability to seek out and offer business-oriented and customer-oriented solutions.
- Ability to prioritize and manage multiple tasks with a high level of efficiency and flexibility.
- Ability to use a computer, fax, or telephone application to manage large amounts of information, including creating and editing simple databases, systems, and software by inputting data, retrieving specific documents, and creating reports to communicate information.
- Proficient in the utilization of Microsoft Office Suite.
- Attention to detail and accuracy required.
- Excellent verbal and written communication skills required.
While performing the duties of this job, the employee is frequently required to sit, stand, walk, visualize, talk, hear, and handle or touch objects or controls. The employee may occasionally lift, push, or pull up to 20 pounds.
This position is an office-based position where you must be able to sit for long periods of time. The employee will be working on a computer 90% of the time. - 10 Days Ago
Problem Resolution Manager
- POL Aptiv Services Poland S.A.
-
Krakow, WI
FULL_TIME
- As a Problem Resolution Manager, you will play a critical role in ensuring the smooth operation of our automotive technology projects, particularly in the Advanced Driver Assistance Systems (ADAS) dom...
- 26 Days Ago
Certified Public Accountant
- Alliance Tax Resolution Firm
-
Brookfield, WI
FULL_TIME
- Company Description Alliance Tax Resolution Firm is a dedicated team of Tax Professionals based in Brookfield, WI. We are committed to serving our clients with skill and compassion, and have a no judg...
- Just Posted
Certified Yoga Instructor
- Resolution Health Collaborative
-
Madison, WI
PART_TIME
- Resolution Health Collaborative is a wellness clinic in downtown Madison with a goal of enhancing each clients wellness journey. We are seeking a qualified, highly motivated instructor to join our gro...
- 15 Days Ago
Doctor of Chiropractic
- Resolution Health Collaborative
-
Madison, WI
CONTRACTOR
- Resolution Health Collaborative is an alternative healthcare clinic in downtown Madison with a goal of enhancing each clients wellness journey. If you are an energetic, highly skilled, motivated, lice...
- 15 Days Ago
Credit Resolution Rep
- Children's Wisconsin
-
West, WI
FULL_TIME
- At Children’s Wisconsin, we believe kids deserve the best.Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary ca...
- 5 Days Ago
Appeal Resolution Manager jobs at Popular Companies
Transportation Attorney
- Elite Forces LLC
-
Rancho Cucamonga, CA
- Our client prides themsleves on delivering excellence in transportation and logistics services. With a robust fleet and ...
- 6/10/2024 12:00:00 AM
Head of Legal
- Raydar
-
- Hybrid - New York City Our client, a Series A Health IT/SaaS platform, is revolutionizing the healthcare industry throug...
- 6/10/2024 12:00:00 AM
Resolution Manager
- Gallagher
-
Mechanicsburg, PA
- About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best pos...
- 6/9/2024 12:00:00 AM
Paralegal
- Prinston Pharmaceutical Inc.
-
Somerset, NJ
- Paralegal Prinston Pharmaceutical Inc. About Us: Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical comp...
- 6/9/2024 12:00:00 AM
General Counsel
- Gotham Technology Group
-
Montvale, NJ
- We are a privately held technology consulting firm with 20+ years of solid performance and growth. We service corporate ...
- 6/9/2024 12:00:00 AM
Baking Assistant (Part Time / As Need)
- Resolute Management Group LLC
-
Hyattsville, MD
- Sweet Almond, a premier French macaron shop is currently seeking a talented and dedicated PRN Baking Assistant to join o...
- 6/8/2024 12:00:00 AM
Associate Attorney
- Donaldson Stewart, PC
-
Chandler, AZ
- Donaldson Stewart, PC is seeking a Family Law Attorney to join our Chandler, Arizona team. If you or someone you know ma...
- 6/7/2024 12:00:00 AM
Senior Litigation Attorney
- TAULER SMITH
-
Los Angeles, CA
- Tauler Smith LLP is a small litigation firm specializing in privacy, consumer rights, and class action cases. We are cur...
- 6/7/2024 12:00:00 AM
About Wisconsin
Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast.
With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$92,893 to $120,726
Most Popular Cities in Wisconsin for Appeal Resolution Manager Jobs
What does an Appeal Resolution Manager do?
Appeal Resolution Manager in Bergenfield, NJ
The appeals conference is an informal meeting in which an impartial officer settles the dispute in the same way a judge does between a plaintiff and defendant in court.
January 01, 2020
Appeal Resolution Manager in Concord, NH
A number of local governments have already passed the resolutions and others are expected to consider the measures.
January 04, 2020
Appeal Resolution Manager in Appleton, WI
If your tax return was recently under examination and you received written notification of an adjustment the IRS is making to your tax return, such as disallowing a deduction or credit, you have the right to disagree and the right to appeal its decision.
December 23, 2019