Appeal Resolution Specialist jobs in Virginia

Appeal Resolution Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Specialist typically reports to a supervisor. The Appeal Resolution Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Appeal Resolution Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

Z
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 involving all customer and trucker communications. Act as Liaison between various departments and Dispute team to facilitate timely resolution.

    Major areas of Responsibility:

    Drive efficiency – produce timely dispute resolutions.

    Promote system’s improvements.

    Document all dispute activity and research efforts into the specified database.

    Analyze data and trends analysis, in order to identify process improvements.

    Main Tasks:

    • Review and Analyze Customer disputes to validate and recommend solutions to clear all service failures and other issues that may prevent prompt payment from being received and applied.
    • Ensure required documentation is received to validate dispute case.
    • Ensuring the disputes are closed in the specified database properly and within set KPIs.
    • Analyze data and trends analysis, in order to identify process improvements.
    • Clearly document all work in concise and orderly fashion.
    • Communicate with the District, Sales, Logistics Customer Service, Contract Management and Finance Management as needed to escalate action on accounts.
    • To act as liaison between the various internal departments.
    • Ensure required information is received for the dispute.
    • To inform management of repeat service failures (Example: no response from location or same dispute type reoccurring).
    • Ensure payment related disputes and adjustments reviewed to determine the accuracy of the application.
    • Timely inform the area inquiring on behalf of the account holder of the outcome.
    • Escalate unresolved issues to management timely.
    • Ensuring all disputes are addressed and followed up on daily.
    • Ensuring the disputes are closed out properly.
    • The Weekly KPI Reports and other reports as needed by management.
    • Repeat service failures (Example: no response at location).
    • Determination reason for reoccurring dispute patterns by customer or charge.
    • Provide determinations to area inquiring on behalf of the account holder.
    • Ensure the account holder has provided all details for related to the disputed invoices.

    Requirements:

    • Minimum of three years of collections or dispute /AR/industry and/or related experience
    • Knowledge of SAP/AgenTeam and NWBC is preferred.
    • Working knowledge of Microsoft Office programs, Excel to include pivot tables, V-Lookup. Word, Power Point and Outlook.
    • Strong knowledge of commercial collections or dispute experience.

    Function:
    Finance

    Publish in Internal Career Page:
    No
  • 1 Month Ago

C
Exploitation Specialist (TS/SCI)
  • Clear Resolution Consulting, LLC
  • Springfield, VA FULL_TIME
  • This opportunity is contingent upon contract Task Order award in late 3rd quarter of 2024. Anticipated award date subject to change based on US Government schedule. Job Description: Exploitation Speci...
  • Just Posted

C
Office Management Specialist (TS/SCI required)
  • Clear Resolution Consulting, LLC
  • Reston, 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...
  • 4 Days Ago

E
Research and Resolution Specialist
  • Elizabeth River Crossings OpCo, LLC
  • Portsmouth, VA FULL_TIME
  • ERC covers the commuting cost of tolls at the Elizabeth River Tunnels for our employees. ERC is currently offering a hybrid schedule for the call center. (employees work 5 days in the office and 5 day...
  • 25 Days Ago

J
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 ...
  • 12 Days Ago

J
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...
  • 30 Days Ago

V
Subject Matter Expert
  • Vtg
  • Washington, DC
  • OverviewVTG is seeking aSubject Matter Expert(SME) to provide technical, program management, and analytical support to P...
  • 4/24/2024 12:00:00 AM

M
Electrical Subject Matter Expert
  • Meta
  • Newton, GA
  • Meta is seeking a data center Electrical Subject Matter Expert (SME) to join our Data Center Facility Operations team. O...
  • 4/24/2024 12:00:00 AM

K
Acquisition Subject Matter Expert
  • Kepler Research, Inc.
  • Woodbridge, VA
  • Acquisition and Program Management Subject Matter Expert supporting the Missile Defense Agency (MDA), Director of Acquis...
  • 4/23/2024 12:00:00 AM

K
Subject Matter Expert (SME)
  • Koniag Government Services
  • Arlington, VA
  • EHSJob ID 2415034Eagle Harbor Solutions, a Koniag Government Services company , is seeking a Subject Matter Expert (SME)...
  • 4/23/2024 12:00:00 AM

M
Electrical Subject Matter Expert
  • Meta
  • Kuna, ID
  • Meta is seeking a data center Electrical Subject Matter Expert (SME) to join our Data Center Facility Operations team. O...
  • 4/22/2024 12:00:00 AM

T
Subject Matter Expert
  • THR Partners
  • Houston, TX
  • Job Description Job Description This person will be an experienced engineer with sound understanding of HVAC systems tes...
  • 4/21/2024 12:00:00 AM

G
Polymer Specialist/Subject Matter Expert
  • Generis Tek, Inc.
  • Minneapolis, MN
  • Please Contact : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Rohan Salve at emai...
  • 4/21/2024 12:00:00 AM

K
Acquisition Subject Matter Expert
  • Kepler Research Inc.
  • Woodbridge, VA
  • Acquisition and Program Management Subject Matter Expert supporting the Missile Defense Agency (MDA), Director of Acquis...
  • 4/21/2024 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 Specialist jobs
$47,813 to $59,231

Appeal Resolution Specialist in Tallahassee, FL
Are you interested in a position that supports the federal judiciary's mission of ensuring equal justice under the law? Come join our talented and diverse team at the Court of Appeals! About the Court The United States Court of Appeals for the 9th.
December 31, 2019
Appeal Resolution Specialist in Monterey, CA
SummaryThe Appeals Manager Owns the output of a single work area within Appeals and typically manages a team of Appeals job family roles.
December 28, 2019
Appeal Resolution Specialist in Middlesex, NJ
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions.
January 25, 2020