Appeal Resolution Specialist jobs in Utah

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)

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Customer Service Specialist (Complaint Resolution)
  • Dexian DISYS
  • Salt Lake, UT FULL_TIME
  • Customer Service Specialist (Complaint Resolution)
    Job details
    Posted
    16 April 2024
    Location
    Salt Lake City, UT
    Job type
    Permanent
    Reference
    915302
    Job description

    Title: Customer Service Specialist (Complaint Resolution)

    Address: Salt Lake City, UT 84116

    Pay Rate: $33-$34/hr

    Shift: M-F, 8:00am-4:30pm 30 days of training onsite - then will move to a hybrid model of 5 days onsite/5 days work remote

    Duration: 6-12 month contract, Conversion/Extension Eligible

    Job Description:

    • Operational and service complaints are on a variety of subject matter....anything ranging from poor service received at a branch or in the contact center to back office functions and transacting on the account. Case advisors have to perform research on each to determine if the issue has already been resolved and communicated to the client, and if not, work with the back office/front office and or the client to obtain information and resolve.

    Most resolutions are done in writing to the client, but there may be times where it makes sense to deliver it verbally. Also, clients may call in for an update on their case or for questions after receiving the resolution letter.

    Given this is a client facing role, need to be adept at diffusing situations and able to translate the information in a way the client would understand (refraining from acronyms and adding additional color to the explanation to educate the client).

    • The cases will be assigned to a queue on a routine basis, where you are responsible for around 50 complaints at any given time (number subject to change based on business need). As the cases come in, you should work to triage the cases frequently and ensure working the cases in the order of risk/age.
    • Expected to autonomously work through cases/deliverables. Close 8-10 cases per week on average (average because we understand some weeks you have a harder time getting responses or have harder cases, but the next week should make up for that when responses come back along with new cases being researched) with a 95% or higher quality rating assigned by the QA team.
    • When working through the cases, it is important to recognize escalation needs (Elder abuse, ADA concerns, etc.) as well as opportunities to advocate for the client where needed. We may see that an error may have harmed the client financially, investigate to see if money is owed, or maybe the back office is requiring paperwork that may not necessarily be required, so we should be recognizing when we should provide credible challenge back to the business to see if they can process as is.

    Qualification:

    • MUST HAVE active FINRA Series 7 License (or was active within last 18 month window so it can be re-activated quickly)
    • 6 months of retail brokerage experience (ideally)
    • MUST have Microsoft Office experience - importing, exporting, and manipulating data
    • Strong attention to detail
    • Strong problem solving skills
    • Strong and accurate data entry skills
    • Strong organizational, multi-task, and prioritizing skills
    • Must be able to work in a team environment
    • Excellent verbal, written, and interpersonal communication skills.

    Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.

    Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit https://dexian.com/ to learn more.

    Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.


    Digital Intelligence Systems, LLC. is an Equal Opportunity Employer/Affirmative Action employer. It is our policy to provide equal opportunity to all applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status.

     

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Account Resolution Specialist (Formerly Service Center Help Desk)
  • Mountain America Credit Union
  • Sandy, UT FULL_TIME
  • The Account Resolution Specialist supports internal customers (Service Center Agents, Branches, Corporate Departments) by answering questions and resolving issues regarding MACU systems, ITC, TCR, DPC...
  • 18 Days Ago

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Case Resolution Analyst
  • TEKsystems c/o Allegis Group
  • Salt Lake, UT FULL_TIME
  • Job Details**Must have FINRA Series 7 license to apply.**Contract: 6 Month Contract-to-HireLocation: Hybrid in St. Louis, MODescription:The Case Resolution Analyst will be supporting a top firm's Weal...
  • 3 Days Ago

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Hand
  • Larson Tower Specialist
  • Riverton, UT FULL_TIME
  • Seize the Summit : Join the Larson Tower Team as a Top Hand! Are you a seasoned tower climber ready to lead the way? Do you possess the technical prowess and unwavering spirit to guide our crew to eve...
  • 1 Day Ago

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Warehouse
  • Larson Tower Specialist
  • Riverton, UT FULL_TIME
  • Job Description Job Description Benefits : Basic Life insurance SIRA 3% Match Dental insurance Health insurance Paid time off Profit sharing Training & development Vision insurance Company Overview : ...
  • 7 Days Ago

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Telecommunications Tower Technician Green Hand
  • Larson Tower Specialist
  • Riverton, UT FULL_TIME
  • Benefits: SIRA matching Bonus based on performance Company parties Competitive salary Dental insurance Employee discounts Health insurance Opportunity for advancement Paid time off Profit sharing Trai...
  • 1 Month Ago

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Subject Matter Expert
  • Goldbelt
  • Selma, AL
  • OverviewGoldbelt Frontier is committed to providing support for a range of health technology management operations, proj...
  • 4/28/2024 12:00:00 AM

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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...
  • 4/28/2024 12:00:00 AM

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USNAVSO Subject Matter Expert
  • Smx Corporation
  • Jacksonville, FL
  • USNAVSO Subject Matter Expertat SMX(View all jobs) (https://www.smxtech.com/careers/)Jacksonville, FLSMX is seeking a Se...
  • 4/28/2024 12:00:00 AM

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Hydrogen Subject Matter Expert
  • Kbr Inc
  • Vernal, UT
  • Hydrogen Subject Matter Expert page is loaded Hydrogen Subject Matter Expert Apply locations Houston, Texas Remote - U.S...
  • 4/28/2024 12:00:00 AM

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IT Subject Matter Expert
  • Contact Government Services, LLC
  • Hollywood, FL
  • IT Subject Matter Expert Employment Type: Full Time, Experienced level Department: Information Technology As an IT Subje...
  • 4/27/2024 12:00:00 AM

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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...
  • 4/26/2024 12:00:00 AM

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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...
  • 4/26/2024 12:00:00 AM

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Subject Matter Expert Technical Specialist
  • Peraton
  • Chantilly, VA
  • Responsibilities: Peraton is seeking a Subject Matter Expert Technical Specialist to join our team of qualified and dive...
  • 4/26/2024 12:00:00 AM

Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau. Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$45,334 to $56,160

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