Appeal Resolution Manager jobs in Rock Springs, WY

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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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-Hire
    Location: Hybrid in St. Louis, MO
    Description:
    The Case Resolution Analyst will be supporting a top firm's Wealth Investment Management (WIM) line of business with a backlog of cases in their complaints system. Operational and service complaints are on a variety of subject matter. It could be anything ranging from poor service received at a branch or in the contact center to back office functions and transacting on the account. You will have to:
    • Receive cases as assigned to your queue on a routine basis
    • Perform research on each to determine if the issue has already been resolved and communicated to the client.
    • 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.

    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, so we should 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.
    Must-Have Requirements:
    • Licensed in FINRA Series 7
    • 6 months of retail brokerage experience

    Expectations:
    • You are responsible for around 50 cases 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 you are working the cases in the order of risk/age.
    • Expected to close 8-10 cases per week on average at 95% or higher quality rating assigned by the QA team.
    • Hitting these metrics is entirely feasible, but does require good time management, attention to detail and organizational skills.

    About TEKsystems:

    We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

    The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
  • 3 Days Ago

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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 (...
  • Just Posted

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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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Associate Account Resolution Representative (Collections & Servicing) Bilingual Spanish
  • Wells Fargo
  • SALT LAKE CITY, UT FULL_TIME
  • About this role:Wells Fargo is seeking an Associate Account Resolution Representative Bilingual Spanish Required in Collections and Servicing as part of Consumer Lending. Learn more about the career a...
  • 1 Month Ago

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Manager
  • Subway - Independently Owned and Operated
  • Sandy, UT FULL_TIME
  • System generated job type. Please do not delete or amend this job or job code
  • 22 Days Ago

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Manager
  • Franklin Ave
  • Salt Lake, UT FULL_TIME
  • Job Description:The Bourbon Group, one of Salt Lake City’s most beloved brands, is currently seeking Managers to join our downtown teams!Our mission is to help our guests by curating a dine-in experie...
  • 3 Days Ago

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0 Appeal Resolution Manager jobs found in Rock Springs, WY area

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Employee Relations Coordinator
  • Western Wyoming Community College
  • Rock Springs, WY
  • Posting Details Position Summary Information Posting Number P2009 Job Title Employee Relations Coordinator Students Only...
  • 4/28/2024 12:00:00 AM

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Journeyman Station Wireman - Local 127 (Rock Springs, WY) - #111470
  • PacifiCorp
  • Rock Springs, WY
  • JOIN OUR TEAM! PacifiCorp is seeking customer-centric candidates to grow and sustain our commitment to a culture of cust...
  • 4/28/2024 12:00:00 AM

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Retail Associate (PT & FT openings)
  • Ross
  • Rock Springs, WY
  • With 2,000 retail locations and distribution centers, come see what Ross has in store for you Ross is currently seeking ...
  • 4/28/2024 12:00:00 AM

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Warehouse Associate (PT or FT)
  • Fedex
  • Rock Springs, WY
  • FedEx is inviting candidates to assist in moving the world forward as a Warehouse Associate. In return, FedEx helps Team...
  • 4/28/2024 12:00:00 AM

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Retail Store Associate (PT, FT, Seasonal)
  • Cvs
  • Rock Springs, WY
  • CVS welcomes Part-time, Full-time and Seasonal Retail Store Associate candidates to bring their heart to work. With comp...
  • 4/28/2024 12:00:00 AM

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Warehouse Associate (PT or FT Available)
  • Frito-lay
  • Rock Springs, WY
  • Frito-Lay is seeking Warehouse Associates to help prepare delicious snacks for distribution across the country. Full-tim...
  • 4/28/2024 12:00:00 AM

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Electrical and Instrumentation Construction Coordinator
  • Industrial Systems Consulting
  • Green River, WY
  • Job Title: Electrical and Instrumentation Construction Coordinator Location: Green River, Wyoming Company Overview: Indu...
  • 4/26/2024 12:00:00 AM

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Electrical and Instrumentation Construction Coordinator
  • Industrial Systems Consulting
  • Green River, WY
  • Job Title: Electrical and Instrumentation Construction Coordinator Location: Green River, Wyoming Company Overview: Indu...
  • 4/25/2024 12:00:00 AM

Rock Springs is a city in Sweetwater County, Wyoming, United States. The population was 23,036 at the 2010 census, making it the 5th most populated city in the state of Wyoming, and the most populous city in Sweetwater County. Rock Springs is the principal city of the Rock Springs micropolitan statistical area, which has a population of 37,975. Rock Springs is known as the Home of 56 Nationalities because of the influx of immigrants from all over the world who came to work in the coal mines that supplied the fuel to power the steam engines of the Union Pacific Railroad. The city's rich cultu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$88,597 to $115,143
Rock Springs, Wyoming area prices
were up 2.3% from a year ago

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