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)
Description
To preserve the Credit Union's assets by controlling delinquent accounts, collecting delinquent loan payments and/or recovering collateral; scheduling, training, and monitoring the work of employees in the department; disposing of repossessed collateral.
-Establishes and maintains effective collection procedures on loan accounts that are late, potentially delinquent, and previously charged off.
-Oversees and monitors the work of employees in the department: conducts performance reviews; allocates resources to meet operational needs; reviews and approves, denies, or modifies department recommendations from Team members.
-Analyzes financial situations of delinquent borrowers to recommend potential solutions; takes action to repossess collateral when arrangements to bring loan current are unsuccessful.
-Responsible for the proper legal repossession of collateral securing a delinquent loan and for the legal disposition of that collateral, including the consideration of additional investment to be made in the collateral to maximize return.
-Determines that delinquency notices are mailed promptly after due date and that an adequate follow up program is maintained.
-Works with attorneys, 3rd party collection agencies and "credit repair" companies and takes appropriate action to arrange a satisfactory settlement of delinquent accounts.
-Prepares a list of accounts to be charged off monthly.
-Reviews and recommends accounts that require legal action.
-Gives information on delinquent accounts to Leadership Team.
-Oversees training of new employees in all department operations/procedures.
-Testifies at legal proceedings as required.
-Performs other job related duties as assigned.
Requirements
8-10 years similar or related experience
(1) A two year college degree or (2) Completion of a specialized course of study at a business or trade school or (3) Completion of a specialized and extensive in-house training or apprenticeship program.
A significant level of trust and diplomacy is required, in addition to normal courtesy and tact. Work involves extensive personal contact with others and is usually of a personal or sensitive nature. Work may involve motivating, influencing or training others. Outside contacts become important and fostering sound relationships with other entities (companies and/or individuals) becomes necessary and often requires the ability to influence and/or sell ideas and services to others.
-Maintain a cohesive, highly trained, motivated staff sufficient to meet daily department demands.
-Maximize the collection and/or recovery of Credit Union assets from delinquent and charged off accounts.
-Ensure all collection activity meets regulatory requirements and follows credit union policy, keeping the Leadership Team informed of operational issues affecting the credit union's collection activities.
-Provide professional, timely and accurate services and support to all Team members and members.
-Develop recommendations for cost efficiencies and enhancements to policies, procedures, and processes by monitoring trends in collections.
-Note observations of employee performance. Give and receive feedback from Team members, completing performance reviews within the prescribed time frame.