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Case Resolution Specialist Jobs (NOW HIRING)

Archer Systems

Lien Resolution Specialist

Austin, TX · On-site

The Case Analyst ensures all cases are progressing towards completion and all duties ARCHER is ... Austin, TX (ON SITE) JOB RESPONSIBILITIES • Identify data required for lien resolution and ...

Archer Systems

Compass Case Specialist

Austin, TX · On-site

The Case Specialist is integral to our Compass lien resolution operation. This individual will prepare, send, process, and receive large volumes of correspondence exchanged with various agencies and ...

MAOF

Family Case Specialist

Salinas, CA · On-site

$27 - $28.55/hr

Family Case Specialist Department: CalWORKs Stage 1, 2, 3, APP & FCCHEN Salary: $27.00 - $ 28.55 ... Excellent customer service and problem resolution skills. * Computer skills with proficiency in ...

MAOF

Family Case Specialist

Ontario, CA · On-site

$24.99 - $26.32/hr

Family Case Specialist Department: FCCHEN (San Bernardino County) Salary: $24.99 - $26.32 FLSA ... Excellent customer service and problem resolution skills. * Computer skills with proficiency in ...

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Case Resolution Specialist information

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$10

$20

$31

How much do case resolution specialist jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for case resolution specialist in the United States is $20.76, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $23.32 per hour, depending on experience, location, and employer.

What is the difference between Case Resolution Specialist vs Claims Adjuster?

AspectCase Resolution SpecialistClaims Adjuster
Required CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; licensing or certification often required
Work EnvironmentCustomer service centers, insurance companiesInsurance companies, field work, offices
Employer & Industry UsageInsurance, healthcare, legal sectorsInsurance industry primarily
Common Search & Comparison IntentUnderstanding job roles, responsibilities, and qualificationsComparing claims processing and settlement roles

The main difference is that a Case Resolution Specialist focuses on resolving customer cases, often involving communication and problem-solving, while a Claims Adjuster primarily evaluates insurance claims, investigates damages, and determines payouts. Both roles require strong communication skills and knowledge of insurance processes, but their daily tasks and focus areas differ.

What is a Case Resolution Specialist?

A Case Resolution Specialist is a professional responsible for managing and resolving customer or client cases, complaints, or disputes within an organization. They investigate issues, communicate with relevant parties, and work to find timely and satisfactory solutions. Case Resolution Specialists often document case details, follow company policies, and may suggest process improvements to prevent future issues. Their goal is to ensure customer satisfaction while maintaining compliance with regulations and company standards.

How does a Case Resolution Specialist typically collaborate with other departments to resolve client issues?

As a Case Resolution Specialist, you will often work closely with teams such as customer service, technical support, legal, and operations to gather information and coordinate solutions for complex client cases. Effective communication and a collaborative approach are essential, as you may need to facilitate meetings, share case updates, and ensure all stakeholders are aligned on resolution steps. This cross-functional teamwork not only speeds up case resolution but also helps in identifying process improvements for future cases.

What are the key skills and qualifications needed to thrive as a Case Resolution Specialist, and why are they important?

To thrive as a Case Resolution Specialist, you need strong problem-solving abilities, attention to detail, and a background in dispute resolution or customer service, often supported by a relevant degree or equivalent experience. Familiarity with CRM systems, case management software, and documentation tools is typically required. Excellent communication, patience, and negotiation skills help build rapport and facilitate effective conflict resolution. These competencies are crucial for efficiently resolving cases, maintaining customer satisfaction, and upholding organizational standards.
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Case Resolution Specialist jobs near you
Infographic showing various Case Resolution Specialist job openings in the United States as of July 2026, with employment types broken down into 67% Full Time, 11% Temporary, and 22% Contract. Highlights an 89% In-person, and 11% Hybrid job distribution, with an average salary of $43,188 per year, or $20.8 per hour.
CW Provider Network Resolution Specialist

CW Provider Network Resolution Specialist

Robert Half

Mountlake Terrace, WA • On-site

$25.50/hr

Temporary

Posted 15 days ago

Job description

Provider Network Resolution Specialist Remote, United States Contract Assignment

Pay Rate: $25.50/hour

Target Start Date: August 10, 2026

Anticipated End Date: December 31, 2026

Schedule: Monday through Friday, 8:00 AM to 4:30 PM PST


We are seeking five detail-oriented and customer-focused Provider Network Resolution Specialists for a remote contract opportunity. This role is ideal for professionals with healthcare payer, provider relations, claims, appeals, network management, or healthcare operations experience. Selected candidates will begin on the same start date for training purposes. The Provider Network Resolution Specialist will support provider issue resolution by researching, analyzing, documenting, and resolving provider-related concerns. This may include provider disputes, billing concerns, claims issues, authorization questions, escalation trends, provider data discrepancies, network participation questions, and related operational matters. Please note that this role follows a Pacific Time schedule. Candidates must be available to work 8:00 AM to 4:30 PM PST, regardless of their local time zone.


Key Responsibilities

  • Research and resolve provider network issues, including claims, billing, authorization, provider data, and participation-related concerns.
  • Review provider disputes and escalation trends to identify root causes and recommend appropriate resolution steps.
  • Navigate multiple internal systems, provider databases, CRM tools, claims systems, spreadsheets, and case management platforms.
  • Validate information across systems to ensure provider data, documentation, and resolution outcomes are accurate.
  • Document issue details, actions taken, decisions made, and follow-up requirements in a clear, consistent, and audit-ready manner.
  • Partner with internal teams, including provider relations, contracting, claims, compliance, operations, and leadership, to support timely and accurate resolution.
  • Maintain professionalism and responsiveness when addressing provider concerns and internal escalations.
  • Use sound judgment to determine when issues can be resolved independently and when escalation is required.
  • Adapt quickly to internal processes, systems, network rules, compliance expectations, and evolving business priorities.

Preferred Attributes

  • Strong ownership and accountability.
  • Collaborative and team-oriented approach.
  • Ability to work independently in a remote environment.
  • Sound judgment and escalation awareness.
  • Adaptability and willingness to learn new systems and processes quickly.
  • Regulatory and compliance awareness, including documentation standards, timely resolution expectations, and audit readiness.
  • Additional Information This is a remote contract position based in the United States. Candidates must be available to start on August 10, 2026, and participate in training from 8:00 AM to 4:30 PM PST. A standard all candidates required to undergo background check is required.

Qualifications

  • Minimum of 2 years of experience in healthcare payer, provider relations, claims, appeals, network management, or related healthcare operations.
  • Knowledge of provider contracting, credentialing, network participation, provider directories, and payer/provider relationships preferred.
  • Experience researching claims issues, billing concerns, provider disputes, authorization questions, and healthcare-related escalations.
  • Strong analytical and problem-solving skills, with the ability to review data, identify root causes, and recommend resolution steps.
  • Comfort working across multiple healthcare systems, databases, spreadsheets, CRM tools, claims platforms, and case management tools.
  • Strong written communication and documentation skills.
  • High attention to detail and commitment to data accuracy.
  • Ability to manage multiple priorities while meeting deadlines and service-level expectations.
  • Professional, customer-service focused approach with strong follow-through and accountability.
Robert Half logo

About Robert Half

Sourced by ZipRecruiter

Founded in 1948, Robert Half pioneered the idea of professional talent solutions to connect opportunities at great companies with highly skilled job seekers. As business needs changed, we evolved to offer specialized talent solutions for finance and accounting, technology, administrative and customer support, creative and marketing, and legal fields. In 2002, we introduced our subsidiary, Protiviti, a global independent risk consulting and internal audit service, to support companies as they faced more strategic business challenges.

Industry

Recruiting and staffing services

Company size

10,000+ Employees

Headquarters location

San Ramon, CA, US

Year founded

1948

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