Claims Research Resolution Rep

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Claims Research Resolution Rep based in the United States.

As a Claims Research Resolution Representative, you will play a vital role in resolving complex healthcare claims and ensuring accurate, timely outcomes for members and healthcare providers. You will investigate claim discrepancies, review supporting documentation, and apply your knowledge of healthcare policies and procedures to address challenging cases.

Working with providers, members, collection agencies, and internal teams, you will help streamline claims resolution and improve the overall service experience. This remote opportunity is ideal for a detail-oriented professional who thrives in a structured, fast-paced environment and can manage competing priorities independently.

You will receive comprehensive virtual training to develop your expertise in claims operations, systems, and regulatory requirements. Your work will contribute directly to efficient healthcare administration and reliable member support.