Appeal Resolution Manager jobs in Louisiana

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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Manager of Purchasing and Production
  • Plush Appeal, LLC
  • Orleans, LA FULL_TIME
  • POSITION SUMMARY

    Responsible for customer relationship management and development, overseeing the production team and collaborating with suppliers to deliver custom merchandise. Provide leadership to the production team to ensure that purchase orders are created timely and correctly, pre-production samples are obtained, detailed spreadsheets are maintained and ensuring that accurate and timely shipping and billing is provided to customers.


    POSITION RESPONSIBILITIES

    Manage Customer Relationships

    • Ability to listen to customers and envision the custom creations they desire and then implement a production plan to create their merchandise
    • Product knowledge to explain cost, production time and options to customers
    • Propose alternative styles or materials
    • Oversee outside sales events when requested by customers
    • Oversee the develop, maintenance and support of customer websites

    Manage the Production Team

    • Provide leadership and training to the Purchasing and Production Coordinators
    • Provide training and oversight to ensure that purchase orders are prepared accurately and submitted timely for approval
    • Ensure that the Production team collaborates with other departments to establish customer, vendor and item records
    • Establish and maintain SOPs that the Production team utilizes to create and maintain detailed spreadsheets
    • Accurate, organized and consistent with SAP to allow efficient transfer of data
    • Up to date and in sync with open documentation (sales order, purchase order, delivery ticket and AR invoice)
    • Establish and maintain SOPs for the Production team to utilize for customer billing
    • Ensure that billing is accurate and delivered timely
    • Consistent with established payment terms and include customer’s required tax obligations
    • Establish and maintain SOPs to ensure that added costs required for production of merchandise or services provided to the customer are factored into customer pricing

    Supplier Relationships

    • Manage the development, sourcing and production of custom orders
    • Create and maintain a standard pricelist for the company’s core product lines that the Production Department and Sales Team can utilize to efficiently provide competitive pricing to customers
    • Ability to envision the custom creations customer’s desire and then implement a production plan to create their merchandise
    • Product knowledge to provide cost, production and delivery time options
    • Review and approve product specifications prior to submission to suppliers to obtain bids
    • Maintain standards that provide clear and concise specifications, instructions and descriptions
    • Evaluate and negotiate bids to secure favorable cost
    • Require the Production team to obtain Pre-Production samples
    • Establish SOPs for the Production team to use to compare design specifications to pre-production sample
    • Communicate authorization to suppliers to start production
    • Review and approve orders for custom merchandise with overseas and stateside suppliers
    • Establish and maintain SOPs to ensure the timely shipping of orders by suppliers
    • Produce SWOT (strengths, weaknesses, opportunities, and threats) analysis to evaluate the company's competitive position and to develop strategic planning
    • Travel abroad to meet with vendors
    • Explore new vendor opportunities


    QUALIFICATIONS

    Education: Required B.S. Degree, preferably in Supply Chain Management, Business Discipline, or Fashion Merchandising


    Experience: Minimum of 8 years of International Purchasing/Production and at least 5 years of management experience


    Skills and Capabilities:

    • Strong negotiating skills
    • People Management
    • Strong verbal and written communication
    • Multi-tasking
    • Problem solving skills
    • Proficient computer skills required in Microsoft Office, specifically excel


    Work Environment

    The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


    This position operates primarily in an office setting. The noise level is usually moderately quiet. The work area has high lighting levels, is temperature controlled, and has limited potential for hazards. This position requires sitting at a desk and involves extensive computer work. Vision abilities include close vision and the ability to adjust focus.

    Overtime and/or the necessity to respond to issues during off hours may be required and at off-site locations for special events, networking, disaster response, etc.


    The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills. This job description does not constitute an employment agreement between the company and the employee and is subject to change as the needs of the company and requirements of the job change.


    Equal Opportunity Employer

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Staff Attorney
  • Third Circuit Court of Appeal, State of Louisiana
  • Charles, LA FULL_TIME
  • Main responsibilities- researching and writing memoranda on civil supervisory writ applications. Job Type: Full-time Pay: From $52,836.00 per year Benefits: Dental insurance Flexible spending account ...
  • 10 Days Ago

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Claims Resolution Specialist
  • AMG Integrated Healthcare Management
  • Lafayette, LA FULL_TIME
  • Job Category: Finance Job Type: Full-Time Job Location: LA-Lafayette Facility Type: Corporate Shift Type (Clinical Positions): Day Shift SummaryAt AMG we offer our employees much more than just a job ...
  • 2 Days Ago

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Account Resolution Advocate
  • Louisiana Federal Credit Union
  • Metairie, LA FULL_TIME
  • SCOPE: As a dedicated member of the OnPath FCU team, this role performs a variety of tasks that in partnership with the surrounding departments, provides cost effective financial services for the bene...
  • 3 Days Ago

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Resolution Specialist (Liability)
  • Acadian Ambulance
  • Lafayette, LA FULL_TIME
  • Job Location: Lafayette, LA - This position is primarily based in the office, but is eligible for periodic work from home. Summary of Duties: Responsible for processing, compiling, analyzing the recei...
  • 5 Days Ago

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Account Resolution Advocate
  • OnPath Federal Credit Union
  • Metairie, LA FULL_TIME
  • Job DetailsDescriptionSCOPE:As a dedicated member of the OnPath FCU team, this role performs a variety of tasks that in partnership with the surrounding departments, provides cost effective financial ...
  • 10 Days Ago

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Transportation Attorney
  • Elite Forces LLC
  • Rancho Cucamonga, CA
  • Our client prides themsleves on delivering excellence in transportation and logistics services. With a robust fleet and ...
  • 6/10/2024 12:00:00 AM

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Head of Legal
  • Raydar
  • Hybrid - New York City Our client, a Series A Health IT/SaaS platform, is revolutionizing the healthcare industry throug...
  • 6/10/2024 12:00:00 AM

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Resolution Manager
  • Gallagher
  • Mechanicsburg, PA
  • About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best pos...
  • 6/9/2024 12:00:00 AM

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Paralegal
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Paralegal Prinston Pharmaceutical Inc. About Us: Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical comp...
  • 6/9/2024 12:00:00 AM

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General Counsel
  • Gotham Technology Group
  • Montvale, NJ
  • We are a privately held technology consulting firm with 20+ years of solid performance and growth. We service corporate ...
  • 6/9/2024 12:00:00 AM

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Baking Assistant (Part Time / As Need)
  • Resolute Management Group LLC
  • Hyattsville, MD
  • Sweet Almond, a premier French macaron shop is currently seeking a talented and dedicated PRN Baking Assistant to join o...
  • 6/8/2024 12:00:00 AM

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Associate Attorney
  • Donaldson Stewart, PC
  • Chandler, AZ
  • Donaldson Stewart, PC is seeking a Family Law Attorney to join our Chandler, Arizona team. If you or someone you know ma...
  • 6/7/2024 12:00:00 AM

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Senior Litigation Attorney
  • TAULER SMITH
  • Los Angeles, CA
  • Tauler Smith LLP is a small litigation firm specializing in privacy, consumer rights, and class action cases. We are cur...
  • 6/7/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$89,415 to $116,205

Appeal Resolution Manager in Bergenfield, NJ
The appeals conference is an informal meeting in which an impartial officer settles the dispute in the same way a judge does between a plaintiff and defendant in court.
January 01, 2020
Appeal Resolution Manager in Concord, NH
A number of local governments have already passed the resolutions and others are expected to consider the measures.
January 04, 2020
Appeal Resolution Manager in Appleton, WI
If your tax return was recently under examination and you received written notification of an adjustment the IRS is making to your tax return, such as disallowing a deduction or credit, you have the right to disagree and the right to appeal its decision.
December 23, 2019