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)
Role : Resolution Support Agent
Location : Radcliffe
Reporting to : Team Leader
Who are we?
Part of the VPS Group, Nexus has become the go to provider for outsourced security solutions in the UK. We provide all forms of security from mobile patrols to static guarding using our highly skilled and accredited supply chain of Network Partners.
The Role :
The Resolution Support Agent is responsible for overseeing and resolving activities within the Link system, actively engaging with network partners to address any missed or overdue tasks in real time.
This role plays a crucial part in maintaining an efficient and up-to-date supply chain, ensuring seamless operations and delivering the services required in a timely manner in line with customer SLA’s.
What to Expect :
Who are we looking for :
Essential :
Desirable :
Mission :
We are fully committed to achieving our vision : To be a World Class Security Organisation and are focused on delivering the VPS Group Security Services mission :
Benefits :
Last updated : 2024-03-29