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Remote Appeals Representative Jobs in Michigan (NOW HIRING)

Manulife

Senior Underwriting Consultant

Wyoming, MI · On-site +1

$89K - $105K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... Process formal underwriting appeals and complaints. * Review underwriting fraud referrals for ...

Manulife

$89K - $105K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... Process formal underwriting appeals and complaints. * Review underwriting fraud referrals for ...

BeneSys, Inc.

Claims Analyst (Troy, MI)

Troy, MI · Remote

Applicants for this remote role will only be considered if they live in these locations: Arizona ... Ability to represent the department on workgroups and new system implementation. Qualifications ...

New

Integra Partners

Director of Utilization Management

Troy, MI · On-site +1

$160K - $160K/yr

... and appeals * Responsible for UM-related quality improvement activities, including conducting ... As needed, represent the UM team in support of client-facing efforts such as business development ...

USAA

Trial Attorney PIP & BI/UM

Bloomfield Hills, MI · On-site +1

$114K - $218K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... As a dedicated PIP & BI/UM personal injury Trial Attorney, you will provide legal representation to ...

USAA

Trial Attorney PIP & BI/UM

Bloomfield Hills, MI · On-site +1

$114K - $218K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... As a dedicated PIP & BI/UM personal injury Trial Attorney, you will provide legal representation to ...

All JobsAppeals Representative JobsRemote Appeals Representative JobsRemote Appeals Representative Jobs in Michigan

Remote Appeals Representative information

What is the difference between Remote Appeals Representative vs Remote Customer Service Representative?

AspectRemote Appeals RepresentativeRemote Customer Service Representative
Required CredentialsHigh school diploma or equivalent; some roles may require knowledge of appeals processesHigh school diploma or equivalent; customer service experience often preferred
Work EnvironmentHome-based, handling appeals cases for insurance, healthcare, or government agenciesHome-based, assisting customers with inquiries, billing, and product support
Employer & IndustryInsurance companies, healthcare providers, government agenciesRetail, telecommunications, service providers
Common Search & ComparisonAppeals process, claims review, dispute resolutionCustomer support, help desk, client assistance

The Remote Appeals Representative focuses on reviewing and resolving appeals related to claims or benefits, requiring specific knowledge of appeals procedures. In contrast, the Remote Customer Service Representative handles general customer inquiries and support. Both roles are remote, but they serve different functions within their industries.

What are the key skills and qualifications needed to thrive as a remote appeals representative?

To thrive as a Remote Appeals Representative, you need a solid understanding of healthcare policies, claims processing, and insurance guidelines, often supported by experience in medical billing or a related field. Familiarity with claims management software, electronic health records (EHRs), and proficiency in Microsoft Office Suite are typically required. Exceptional attention to detail, strong written communication, and problem-solving skills help individuals excel in this role. These abilities are crucial for accurately reviewing, processing, and resolving appeals while ensuring compliance and member satisfaction.

How does a remote appeals representative typically collaborate with other departments to resolve complex cases?

As a Remote Appeals Representative, you will frequently interact with departments such as claims processing, medical review, and customer service to gather necessary information and clarify case details. Collaboration often involves virtual meetings, secure messaging, and shared documentation platforms to ensure all stakeholders are aligned and have access to relevant data. This cross-functional teamwork is essential for resolving complex or escalated appeals efficiently while maintaining compliance with company and regulatory standards.

What does a remote appeals representative do?

A Remote Appeals Representative reviews and processes appeals from customers, often related to insurance claims, billing disputes, or service denials. They work from a remote location, communicating with clients, healthcare providers, or other stakeholders to gather necessary information and documentation. Their primary role is to assess the validity of appeals, ensure compliance with company policies and regulations, and provide clear resolutions. Attention to detail, strong communication skills, and knowledge of relevant laws and procedures are essential for this job.

What are the most commonly searched types of Appeals Representative jobs in Michigan?

The most popular types of Appeals Representative jobs in Michigan are:

What cities in Michigan are hiring for Remote Appeals Representative jobs?

Cities in Michigan with the most Remote Appeals Representative job openings:

Remote Appeals Representative jobs near you

Sales Representative Hybrid Remote

Surface Experts

Ann Arbor, MI • On-site, Remote

$50K - $80K/yr

Full-time

PTO

Re-posted 18 days ago

Job description

Benefits:
  • Bonus based on performance
  • Competitive salary
  • Flexible schedule
  • Paid time off
  • Training & development

Do you get excited about growing with a new business? Do you value autonomy and yet can thrive in accountability? Do you enjoy meeting new people and solving problems every day? If so, this could be the role for you.
We are seeking a motivated and dynamic Outside Sales Representative to join our team. This role is ideal for individuals who thrive in a fast-paced environment and possess a strong ability to connect with clients. The Sales Representative will be responsible for driving sales growth through effective communication, relationship building, and strategic account management. The ideal candidate will have experience in outside sales, business development, and a passion for delivering exceptional customer service. We welcome applicants from all backgrounds.
WE OFFER:
  • Competitive Pay:
    • Competitive pay with a base salary + commission + bonuses.
    • An average annual earnings range between $50k and $80k+.
  • Flexibility & Freedom:
    • Flexible schedule - This is not a typical 9-5 desk job.
    • Sales representative will split time between customer visits in Ann Arbor area and at home work.
  • Sales Support:
    • Access to a dedicated Support Center for client management assistance.
    • Quality leads and a powerful CRM tool to help you succeed.
    • An annual trip to Surface Experts corporate for sales training from world-class experts.
  • Company Perks:
    • Paid holidays and paid time off
    • Mileage reimbursement
    • Paid Training
    • Opportunity to work in for a small, local business with an owner who works alongside the team each day

WHAT YOU'LL DO:
  • Visit 10 to 15 apartment communities, hotels, and commercial properties each workday
  • Introduce property and maintenance teams to Surface Experts' repair solutions
  • Build trust by educating customers on how repairs save money and time compared to replacement
  • Follow the sales process and document your activity in the CRM
  • Coordinate with repair technicians and the franchise owner to ensure customer satisfaction

WHO THRIVES IN THIS ROLE:
  • Goal-oriented, self-starter who is disciplined with our process
  • Service-minded and relationship-focused
  • Preference for candidates with property or facilities management backgrounds
  • No prior sales experience required, we provide all training
  • Valid driver's license with a clean record and reliable transportation

ABOUT SURFACE EXPERTS:
Surface Experts is an all-inclusive surface repair service provider. We repair small damage to surfaces like Floors, Countertops, Bathtubs, Cabinets, Appliances, Furniture, Elevator Panels ... Almost Everything!
  • Most repairs are simple and smaller than a dinner plate, yet our competition focuses on complete resurfacing. Our objective is a happy customer and a long-term relationship. We focus on saving our customers time, money and wasted materials that end up in a landfill.
  • Our typical repair requires only 1 to 2 tablespoons of product so our technicians can carry their entire set of tools and equipment in a small vehicle. Our approach is clean and free of odors in less than two hours.

VISION
  • To establish and lead a nationally recognized market for surface repair as an alternative to replacement or complete refinishing.
  • Our goal is to be represented in every major metropolitan area and for our brand to be synonymous with spot repair among all facilities and maintenance management.

MISSION
  • Our mission is to develop outstanding teams by investing in strong relationships.
  • Together, we work to solve our customers' problems by reducing the waste of time, money, and materials that end up in landfills.

VALUES
  • Serve Others
    • Put Relationships First
    • No Jerks
    • Be Humble
  • Be a Problem Solver
    • Be Curious
    • Seek to Understand the Cause of the Problem
    • Work Smart
    • Constantly Improve
  • Trust the Process
    • Be Organized
    • Be Teachable
    • Put Business Needs Above Personal Wants

This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Surface Experts Corporate.
Compensation: $50,000.00 - $80,000.00 per year
About Surface Experts
Surface Experts is an all-inclusive surface repair service provider. We repair small damage to surfaces like Floors, Countertops, Bathtubs, Cabinets, Appliances, Furniture, Elevator Panels ... Almost Everything!. We pride ourselves in our ability to provide incredibly fast service, while maintaining a friendly and professional atmosphere in our support center and on jobsites. We combine old school skill sets with new technology and products, resulting in a durable and appealing repair all provided with a smile.
  • Most repairs are simple and smaller than a dinner plate, yet our competition focuses on complete resurfacing. Our objective is a happy customer and a long-term relationship. We focus on saving our customers time, money and wasted materials that end up in a landfill.
  • Our typical repair requires only 1 to 2 tablespoons of product so our technicians can carry their entire set of tools and equipment in a small vehicle. Our approach is clean and free of odors in less than two hours.
Our Mission
Our mission is to develop outstanding teams by investing in strong relationships. Together we work to solve our customers' problems by reducing the waste of time, money and materials which end up in landfills.
Our Vision
To establish and lead a nationally recognized market for surface repair as an alternative to replacement or complete refinishing. Our goal is to be represented in every major metropolitan area, and for our brand to be synonymous with spot repair among all facilities and maintenance management.
Core Values
Serve Others
  • Put Relationships First
  • No Jerks
  • Be Humble

Be a Problem Solver
  • Be Curious
  • Seek to Understand the Cause of the Problem
  • Work Smart
  • Constantly Improve

Trust the Process
  • Be Organized
  • Be Teachable
  • Put Business Needs Above Personal Wants

This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Surface Experts Corporate.

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