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)
Job Description Manager
Classification: Salary (Exempt)
Reports to: General Manager and Assistant GM
Department: Home Office
Duties and Responsibilities: Primary duties and responsibilities include, but are not limited to, the following:
Skills and Qualifications:
Essential Physical Requirements:
Position Type/Expected Hours of work:
This is a salary paid position, and is exempt from overtime regulations. Business operates seven (7) days a week; and due to the cyclical nature of the restaurant industry days and hours of work vary according to clientele and job requirements.
Work Environment:
This job operates in a professional dining establishment. The dining and lounge are is the primary work area for this position. There are frequent visits to the kitchen required for this position, and the kitchen as well as other work areas may be slippery or wet during the shift and employees are prone to slips and falls. This role will require high level of gracious communication with clients and respectable communication with staff. Professional attire is necessary.
The Restaurant Manager provides leadership and assistance to the General and Assistant General Manager to ensure that all team members are guest-focused and team-focused. The Restaurant Manager will exercise knowledge of restaurant operations, manage staff resources, provide counsel, develop and coach team members and help to build sales and profits while maintaining operating standards.
Travel:
Little or no travel is expected for this position.