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Alternate job titles: Appeals and Grievances Supervisor | Grievance and Appeals Resolution Supervisor

Supervises a team responsible for review of appeals and grievances to ensure the resolutions are legal and follow company guidelines and procedures. Monitors the research, investigation, negotiation and resolution of all types of appeals and grievances. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. Typi more...



Alternate job titles: Appeals and Grievances Investigator | Grievance and Appeals Resolution Specialist

Logs, tracks, and processes appeals and grievances. Contacts customers to gather information and communicate disposition of case. Conducts pertinent research in order to evaluate, respond to, and close appeals. Builds case files for each grievance and ensures compliance with organizational and regulatory guidelines. Requires a bachelor's degree. Typically reports to a supervisor or manager. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience. more...


Alternate job titles: Appeals and Grievances Manager | Grievance and Appeals Resolution Manager

Plans, organizes, and directs the work activity of the appeal and grievance team consistent with organizational policies and procedures and which is compliant with state and federal guidelines. Oversees research, investigation, negotiation and resolution of all types of appeals and grievances. Prepares formal briefs and appears at hearings as a representative of the organization. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/departme more...


Alternate job titles: Appeal Resolution Supervisor | Appeals and Grievances Supervisor

The Grievance and Appeals Resolution Supervisor monitors the research, investigation, negotiation and resolution of all types of appeals and grievances. Supervises a team responsible for review of appeals and grievances to ensure the resolutions are legal and follow company guidelines and procedures. Being a Grievance and Appeals Resolution Supervisor typically reports to a manager or head of a unit/department. Requires a bachelor's degree. The Grievance and Appeals Resolution Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactiona more...



Alternate job titles: Appeal Resolution Manager | Appeals and Grievances Manager

The Grievance and Appeals Resolution Manager oversees research, investigation, negotiation and resolution of all types of appeals and grievances. Plans, organizes, and directs the work activity of the appeal and grievance team consistent with organizational policies and procedures and which is compliant with state and federal guidelines. Being a Grievance and Appeals Resolution Manager requires a bachelor's degree. Prepares formal briefs and appears at hearings as a representative of the organization. In addition, Grievance and Appeals Resolution Manager typically reports to a manager or head more...


Alternate job titles: Appeal Resolution Specialist | Appeals and Grievances Investigator

The Grievance and Appeals Resolution Specialist contacts customers to gather information and communicate disposition of case. Logs, tracks, and processes appeals and grievances. Being a Grievance and Appeals Resolution Specialist builds case files for each grievance and ensures compliance with organizational and regulatory guidelines. Conducts pertinent research in order to evaluate, respond to, and close appeals. In addition, Grievance and Appeals Resolution Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Being a Grievance and Appeals Resolution Speciali more...



Alternate job titles: Contact Center Representative II - Inbound | Call Center Representative II - Inbound | Inbound Customer Support and Service Representative II

The Inbound Customer Resolution Specialist II researches and resolves complaints to ensure customer retention and satisfaction. Answers call inquiries regarding the company product and service information by following standard scripts and procedures. Being an Inbound Customer Resolution Specialist II typically requires a high school diploma or its equivalent. Tracks the questions and answers in the contact center system as well as updates or checks the order status. In addition, Inbound Customer Resolution Specialist II typically reports to a supervisor or manager. Being an Inbound Customer Re more...


Alternate job titles: Contact Center Representative III - Inbound | Call Center Representative III - Inbound | Inbound Customer Support and Service Representative III

The Inbound Customer Resolution Specialist III researches and resolves complaints to ensure customer retention and satisfaction. Answers call inquiries regarding the company product and service information. Being an Inbound Customer Resolution Specialist III may handle difficult situations and assist in training lower level contact center representatives. Tracks the questions and answers in the contact center system as well as updates or checks the order status. In addition, Inbound Customer Resolution Specialist III may require an associate's degree. Typically reports to a supervisor or manag more...


Alternate job titles: Contact Center Representative IV - Inbound | Call Center Representative IV - Inbound | Inbound Customer Support and Service Representative IV

The Inbound Customer Resolution Specialist IV researches and resolves complaints to ensure customer retention and satisfaction. Answers call inquiries regarding the company product and service information. Being an Inbound Customer Resolution Specialist IV handles difficult situations and assists in training lower level contact center representatives. Tracks the questions and answers in the contact center system as well as updates or checks the order status. In addition, Inbound Customer Resolution Specialist IV may require an associate's degree. Typically reports to a supervisor or manager. B more...



Alternate job titles: Contact Center Representative I - Inbound | Call Center Representative I - Inbound | Inbound Customer Support Representative I

The Inbound Customer Resolution Specialist I researches and resolves complaints to ensure customer retention and satisfaction. Answers routine call inquiries regarding the company product and service information by following standard scripts and procedures. Being an Inbound Customer Resolution Specialist I typically requires a high school diploma or its equivalent. Tracks the questions and answers in the contact center system as well as updates or checks the order status. In addition, Inbound Customer Resolution Specialist I typically reports to a supervisor or manager. Being an Inbound Custom more...


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