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Resolution Analyst Jobs

Resolution Analyst Jobs
By CDK Global At United States
Updates management on potential issues. Makes recommendations on resolution and ways to prevent future issues, after root cause evaluation
Minimum 2 years of experience in a finance, customer service or collection, or contracting background
Resolves escalated client issues/disputes using problem solving skills
Knowledge of Oracle ERP system is a plus
Bilingual (English /French (Canada)) is a requirement
Researches issues which includes contacting internal CDK business groups to determine resolution
A/R Research And Resolution Representative
By US Acute Care Solutions At , Remote $12.91 - $21.52 an hour
At least one year of medical insurance or billing experience or equivalent training or education.
Maintains knowledge of current government and/or carrier regulations relevant to the industry.
Knowledge of medical insurance and its terminology.
Basic knowledge of ICD-10 and CPT codes.
Ability to work effectively in remote setting.
Serves as an active contributor in team meetings.
Claims Resolution Coordinator Jobs
By GAIUS Networks (Flipped.ai) At United States
Answercustomer service lines as necessary and responds toprovider inquiries either byphone, email,or in person regardingclaims-related questions.
Reviews, researches, and workswith various departments to resolve complex providerinquiries, appeals, and grievances.
ProcessesCIFs and adjustments as needed.
Writesand runsreports in Business Objects to obtain needed claim data.
Tracksand analyzesprovider trends with denials and CIFsto provide support toproviderswith an opportunity to improve.Distributesprovider scorecards.
Trackscomplaints, appeals, and grievances by the program. Reportsactivities on a quarterlybasis to IQI, PHC Compliance Coordinator,and Claims Director.
Issue Resolution & Quality Coordinator
By DeKalb County, GA At , Decatur, Ga $58,662 - $94,446 a year

Salary Range: $58,662-$94,446 FLSA: Exempt The purpose of this classification is to monitor and coordinate quality assurance and resolution of complex customer service issues for the ...

Resolution Analyst I - Remote
By Co-op Solutions At Omaha, NE, United States
Must be detail oriented, demonstrate excellent time management skills, display good follow-up skills and demonstrate a positive team attitude.
Manages technical problems within the Client Care Team through expert problem solving skills.
Evaluate significant client events and report to management service impairments.
Strong knowledge of card processing operations and credit issuer responsibilities.
Familiarity with product and project management methodologies.
Strong analytical skills with an emphasis on problem solving and offering creative solutions.
Director – Dispute Resolution Jobs
By SOCOTEC USA At Atlanta, GA, United States
B.S. in Engineering, Architecture or Construction Management
Expertise with P6, MS Project, large data management, and graphic communication tools
Preparing statements of qualification and engagement letters
10+ years of construction dispute resolution or related experience
Industry networking and opportunity development
Develop project strategy, work plans and budgets
Claims Resolution Spec, Apd
By Liberty Mutual Insurance At United States
Reports coverage denials to manager.
General knowledge of contract language, including regulatory and policy differences, legal liability and general insurance policy coverage
Excellent oral, written and interpersonal communication skills, and the capacity to multi-task in a structured work environment, are required
Associates degree or equivalent training plus generally two or more year's auto non-injury claims handling experience
Requires frequent coverage research and analysis resulting in final coverage decision.
Negotiates coverage and liability decisions with insured, claimant, claimant carrier.
Issue Resolution Analyst Jobs
By Visionaire Partners At Atlanta Metropolitan Area, United States
2 years of professional work experience resolving large ticket volume issues
Experience executing a project from start to end
Intermediate Excel skills - ability to do VLOOKUPS, Pivot tables, formulas
Excellent communication and customer service skills
Reviewing internal, web-based system to resolve issues that have been recorded in the system for resolution
Working as a liaison between the field and cross functional partners to meet resolution
Manager, Business Resolution Jobs
By Tesla Industries, Inc. At Fremont, CA, United States

The Business Resolution team consists of intelligent and driven individuals that use their industry experience and problem-solving skills to tackle complex business challenges. This team collaborates ...

Senior Recovery / Resolution Analyst - National Remote
By Optum At Dallas, TX, United States
1+ years project management experience
Investigate and pursue recoveries and payables on subrogation claims and file management
Initiate phone calls to members, providers, and other insurance companies to gather coordination of benefits information
Experience working with medical claims platforms
2+ years of experience with claims auditing and researching claims information
1+ years of experience analyzing data and identify cost saving opportunities
Ap Resolution Processor Jobs
By MORSCO INC At , Dallas, 75248, Tx

A successful Accounts Payable Processor must be able to work at a fast pace and be very deadline oriented. This person must be a team player and be able to interact well with others and be willing to ...

Dispute Resolution Analyst I
By FIS At United States
May provide guidance, coaching, and mentoring to less experienced associates
Bachelors degree; but not required, high school diploma or equivalent education
A broad range of professional education and personal development possibilities – FIS is your final career step!
A fantastic range of benefits designed to help support your lifestyle and wellbeing
Additional Information~ 100% remote. Must be bilingual in
Responds to requests for consumer reports received by internet, voice response unit, fax, or mail
Enrollment Resolution Examiner- 004465 Jobs
By Excellus BCBS At Rochester, NY, United States
Proven organizational, analytical, and time management skills.
In support of the Americans with Disabilities Act, this job description lists only those responsibilities and
Assist with Quality Control for Membership by identifying quality risk, knowledge sharing with peers, and maintaining departmental level quality scores.
A minimum of two (2) years health insurance operations experience preferred
Must have solid communication skills – both verbal and written.
Computer proficiency, including experience in Microsoft Office Suite.
Dispute Resolution Analyst Jobs
By EdgeLink At Charlotte, NC, United States
Cash management or accounts receivable experience
Bachelor's degree or equivalent combination of education and experience
Support customer experience enhancement and revenue goals
Independently manage accounts with minimal supervision
Manage time effectively and organize customer follow-ups
3+ years of related work experience in Fortune 500 account dispute and reconciliation
Dispute Resolution Analyst Jobs
By EdgeLink At Westborough, MA, United States
Cash management or accounts receivable experience
Bachelor's degree or equivalent combination of education and experience
Support customer experience enhancement and revenue goals
Independently manage accounts with minimal supervision
Manage time effectively and organize customer follow-ups
3+ years of related work experience in Fortune 500 account dispute and reconciliation
Executive Resolution And Payment Claims Analyst
By Early Warning Services At , Scottsdale, 85260, Az
Supports the company’s commitment to risk management and protecting the integrity and confidentiality of systems and data.
Own the consumer experience for all Early Warning Products, including Zelle and FCRA
Calling the consumer immediately to listen to their experience and recommend a solution to the problem
Proven record of payments fraud analysis experience in a consumer facing team environment
Excellent interpersonal and communication skills.
Understand the importance of decision making and the impact to regulatory requirement
Dispute Resolution Representative-1 Jobs
By Fifth Third Bank At Cincinnati, OH, United States
Minimum Knowledge, Skills And Abilities Required
Interact with the Internal departments to identify trends/issues and offer recommendations for improvements to policy and procedures, as applicable.
Refers exception cases to Escalations, Supervisor or Manager when they are outside of pre-established guidelines
Customer service skills to be able to contact customers or merchants as part of investigation.
Excellent oral and written communication skills.
Strong PC knowledge, including MS Office, Word, and Excel, PowerPoint.
Lead Accounts Resolution Rep
By Wellstar Health System At Marietta, GA, United States
Iv. apply appropriate supervisory, management and leadership techniques in an operational setting
iv. apply appropriate supervisory, management and leadership techniques in an operational setting
Review write-off requests, miscellaneous cash adjustments, and submits to manager for approval
Ensure optimal system capabilities by coordinating with IS, providing training, documentation system parameters, challenging systems and obtaining feedback from staff/users.
Experience as an Account Follow-up Representative II or three (3) years in hospital patient financial services or related area. Required
Strong interpersonal, mathematical, analytical, computer, problem solving and writing skills, with a ?take charge? attitude.
Senior Recovery Resolution Analyst - National Remote
By Optum At Dallas, TX, United States
Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting
Working knowledge of the healthcare insurance/managed care industry
High School Diploma / GED (or higher) OR 10+ years equivalent experience
Previous experience in claim processing, healthcare provider information and healthcare billing practices
Working knowledge of medical terminology and claim coding
Previous presentation or policy documentation experience
Alternative Dispute Resolution Jobs
By Clark County, NV At , Las Vegas, 89101, Nv $117,728 - $182,478 a year

THIS IS AN EXEMPT POSITION AND ANY RULES OR PROCEDURES GOVERNING THE COMPETITIVE PROCESS DO NOT APPLY.

Are you looking for a challenging and rewarding role as a Resolution Analyst? We are seeking an experienced professional to join our team and help us resolve customer issues quickly and efficiently. You will be responsible for analyzing customer inquiries, identifying root causes, and providing solutions that meet customer needs. If you have excellent problem-solving skills, a passion for customer service, and a desire to make a difference, this could be the perfect job for you!

Overview A Resolution Analyst is responsible for resolving customer complaints and disputes in a timely and efficient manner. They must be able to identify the root cause of the issue and provide a resolution that is satisfactory to both the customer and the company. Resolution Analysts must have excellent problem-solving and communication skills, as well as a strong understanding of customer service principles. Detailed Job Description The Resolution Analyst is responsible for resolving customer complaints and disputes in a timely and efficient manner. This includes researching customer inquiries, identifying the root cause of the issue, and providing a resolution that is satisfactory to both the customer and the company. The Resolution Analyst must be able to effectively communicate with customers and other stakeholders to ensure that the resolution is satisfactory. The Resolution Analyst must also be able to document all customer interactions and resolutions in the company’s database. Job Skills Required
• Excellent problem-solving skills
• Excellent communication skills
• Strong customer service skills
• Ability to work independently
• Ability to work in a fast-paced environment
• Ability to multi-task
• Ability to work under pressure
• Knowledge of customer service principles
• Knowledge of company policies and procedures
Job Qualifications
• Bachelor’s degree in Business, Communications, or a related field
• 2+ years of customer service experience
• Experience with dispute resolution
• Knowledge of customer service principles
• Knowledge of company policies and procedures
Job Knowledge
• Knowledge of customer service principles
• Knowledge of company policies and procedures
• Knowledge of dispute resolution processes
• Knowledge of customer service software
Job Experience
• 2+ years of customer service experience
• Experience with dispute resolution
• Experience with customer service software
Job Responsibilities
• Resolve customer complaints and disputes in a timely and efficient manner
• Research customer inquiries and identify the root cause of the issue
• Provide a resolution that is satisfactory to both the customer and the company
• Communicate effectively with customers and other stakeholders
• Document all customer interactions and resolutions in the company’s database
• Ensure customer satisfaction with the resolution
• Follow up with customers to ensure resolution is satisfactory