Appeal Resolution Manager jobs in Virginia

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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Resolution Manager
  • ZIM
  • Norfolk, VA FULL_TIME
  • Main Purpose of the Role:

    The Resolution & Dispute Analytics Manager’s main purpose to manage the resolution team and optimize the process of resolving issues related to billing to truckers and customers. It involves identifying, tracking, researching, and communicating with customers to resolve disputes and documenting the resolution.

    Major Areas of Responsibility:

    • Manage a team of dispute resolution specialists that handles dispute intake and dispute resolution processes.
    • Monitor team performance and drive process efficiency, ensuring that we can efficiently and effectively address business disputes, regulatory and industry updates.
    • Collaborate closely with multiple teams, including Collection, Logistic, Operation, Legal ,Sales and IT to continually improve our systems, tools, and processes.

    Main Tasks:

    • Manage a team of dispute resolution specialists that handles dispute intake and dispute resolution processes.
    • To streamline the resolution process and act as liaison between the various internal departments and external parties.
    • Ensure compliance in dispute submission and resolution according to company’s procedures and within company’s SLA .
    • Analyze and present Disputes root cause and propose agenda to prevent disputes.
    • Weekly KPI Reports on resolution team performance and dispute types, root cause and other reports as needed by management.
    • Partner with Collection, Logistic, Operation, Legal ,Sales and IT to address repeated disputes , mitigate company’s exposures and risk .
    • Ensure the dispute resolution specialist perform according to the dispute procedure and according to finance management guidelines

    Requirements:

    • BA degree in one of the following subjects: Finance, management, accounting or supply chain.
    • At least seven years of firsthand experience with the dispute management process at Supply chain roles.
    • At least four years of experience managing teams.
    • A thorough understanding of the Carrier dispute management rules, regulations, and recommended response data and a thorough understanding of dispute resolution root cause.
    • Experience escalating disputes cases, risk to management.
    • Experience working with interna legal counselor and external advisors.
    • Outstanding communication skills and ability to influence priorities.
    • Experience partnering closely with Sales, logistic and operational teams.
    • Dexterity and appetite to manage a high-performing team while working closely with operational teams to mitigate new disputes.
    • Ability to think strategically and analytically about complex business scenarios and technical challenges and overcoming technical challenges.

    Function:
    Finance

    Publish in Internal Career Page:
    No
  • 25 Days Ago

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Workflow Manager (TMT)
  • Clear Resolution Consulting, LLC
  • Falls, VA FULL_TIME
  • OPPORTUNITIES TO IGNITE YOUR PASSION, CRC services include Intelligence Analysis, Business Management, Cyber Operations, and Information Technology Consulting Services to the Department of Defense (Do...
  • Just Posted

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Mowing Crew Member
  • Jones Curb Appeal
  • Smithfield, VA FULL_TIME
  • We’re looking for a skilled and hard-working mowing crew member to add to our team. In this position, it will be your responsibility to help us manage our clients’ outdoor spaces. Your main job will b...
  • Just Posted

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Mowing Crew Leader (FT)
  • Jones Curb Appeal
  • Smithfield, VA FULL_TIME
  • Landscape duties and responsibilities include: Valid Drivers License and DMV Report, must have reliable transportation to and from work, must have the ability to start on time at 0730am each day. Job ...
  • 3 Days Ago

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Administrative Assistant
  • Jones Curb Appeal
  • Smithfield, VA FULL_TIME
  • Family owned landscaping company in its 16th year of business that is growing quickly and is in need of a second administrative assistant. We work with both residential and commercial landscaping as w...
  • 21 Days Ago

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Resolution Specialist
  • ZIM
  • Norfolk, VA FULL_TIME
  • Main purpose of the Role: Responsible for Reviewing & Analyze disputes within established KPIs. Ensuring Disputes are handled according to the UIIA’s and FMC regulations; resolving escalated matters i...
  • 1 Month Ago

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Coordinator, Legal Affairs
  • Universal Orlando
  • Orlando, FL
  • JOB SUMMARY: Responsible for maintenance of digital files for merchandise vendor contracts. Responsible for file managem...
  • 4/16/2024 12:00:00 AM

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Claims Resolution Manager - Trucking Company
  • We Guide, You Grow LLC.
  • Pittsburgh, PA
  • Job Description Job Description We Guide, You Grow LLC is recruiting a Claims Resolution Manager for a large trucking co...
  • 4/16/2024 12:00:00 AM

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Office Clerk
  • Global Channel Management, Inc.
  • Miamisburg, OH
  • Job Description: Office Support needs office support, administrative assisting experience Office Support requires: Admin...
  • 4/16/2024 12:00:00 AM

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Litigation Associate
  • Honcho Executive Search Group, LLC
  • Honcho, acting as the search firm on behalf of an East Coast based law firm is currently seeking a Civil Litigation Atto...
  • 4/15/2024 12:00:00 AM

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VP, General Counsel - Remote US
  • Seamless.AI
  • The Opportunity: We are looking for a business-savvy lawyer who can balance risk, make sound judgments and win negotiati...
  • 4/15/2024 12:00:00 AM

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Regional Sales Manager
  • Fuse Specialty Appliances
  • Naples, FL
  • We are seeking a dynamic and results-driven Regional Sales Manager to join our team. The successful candidate will be re...
  • 4/15/2024 12:00:00 AM

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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...
  • 4/13/2024 12:00:00 AM

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Insurance Consultant
  • LanceSoft, Inc.
  • Phoenix, AZ
  • Position Description : Position will be required to come into office 1x a week on Thursdays. Possible travel of less tha...
  • 4/12/2024 12:00:00 AM

Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$93,836 to $121,952

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