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Dispute Resolution Representative Jobs (NOW HIRING)

Camdennational

Payment Dispute Specialist

Berlin, NH

... dispute resolution. * Monitor and manage dispute case timelines to ensure compliance with ... Support branches and customer service representatives in researching and resolving dispute-related ...

New

Camdennational

Payment Dispute Specialist

Camden, ME · On-site

... dispute resolution. * Monitor and manage dispute case timelines to ensure compliance with ... Support branches and customer service representatives in researching and resolving dispute-related ...

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Dispute Resolution Representative information

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$34K

$70.3K

$114.5K

How much do dispute resolution representative jobs pay per year?

As of Aug 28, 2026, the average yearly pay for dispute resolution representative in the United States is $70,345.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $86,500.00 per year, depending on experience, location, and employer.

What is a dispute resolution representative?

Dispute Resolution Representatives are professionals who handle conflicts and disagreements between parties, often in areas such as customer service, finance, or legal matters. Their main responsibility is to investigate disputes, communicate with involved parties, and facilitate a fair resolution according to company policies and relevant regulations. They may work with customers, businesses, or internal teams to resolve issues efficiently and maintain positive relationships. Strong communication, problem-solving, and negotiation skills are essential for this role. Dispute Resolution Representatives often document case details and escalate complex cases when necessary.

What are some typical challenges a dispute resolution representative faces when handling complex cases?

Dispute Resolution Representatives often encounter challenges such as managing high volumes of cases, navigating emotionally charged interactions with clients, and interpreting complex policies or contracts to find fair solutions. Balancing the interests of all parties while adhering to company guidelines and legal requirements can make negotiations intricate. Effective communication, patience, and strong problem-solving skills are essential for overcoming these obstacles and ensuring positive outcomes.

What are the key skills and qualifications needed to thrive as a dispute resolution representative, and why are they important?

To thrive as a Dispute Resolution Representative, you typically need strong analytical skills, attention to detail, and a relevant educational background such as a degree in business, law, or a related field. Familiarity with case management systems, CRM software, and knowledge of industry regulations or certifications like ADR (Alternative Dispute Resolution) are often required. Excellent communication, conflict resolution, and negotiation skills are crucial soft skills for success in this role. These abilities ensure disputes are handled efficiently, fairly, and in compliance with policies, maintaining positive client relationships and organizational reputation.

What is the difference between Dispute Resolution Representative vs Customer Service Representative?

AspectDispute Resolution RepresentativeCustomer Service Representative
Required CredentialsHigh school diploma; some roles may prefer certifications in conflict resolutionHigh school diploma or equivalent; customer service training often provided
Work EnvironmentCall centers, corporate offices, financial institutionsRetail stores, call centers, online support
Employer & Industry UsageFinancial services, telecommunications, insuranceRetail, hospitality, e-commerce
Common Search & Comparison IntentUnderstanding dispute resolution roles and skillsCustomer support and service functions

Dispute Resolution Representatives focus on resolving conflicts, often involving financial or contractual issues, requiring negotiation skills and some certifications. Customer Service Representatives handle general customer inquiries, providing support and information. While both roles involve communication skills, Dispute Resolution Representatives typically deal with more complex issues related to disputes, whereas Customer Service Representatives focus on everyday customer interactions.

More about Dispute Resolution Representative jobs

What job categories do people searching Dispute Resolution Representative jobs look for?

The top searched job categories for Dispute Resolution Representative jobs are:

Dispute Resolution Representative jobs near you
Infographic showing various Dispute Resolution Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 65% Physical, 1% Hybrid, and 34% Remote job distribution, with an average salary of $70,345 per year, or $33.8 per hour.

Provider Dispute Resolution Specialist

LSMA Management Inc

San Bernardino, CA • On-site

$33.50 - $39.50/hr

Full-time

Re-posted 13 hours ago

Job description

Description:

JOB SUMMARY

The Provider Dispute Resolution Specialist is responsible for the accurate, timely, and compliant review and resolution of provider disputes and appeals related to claims adjudication, reimbursement, coding, and authorization determinations. This role ensures compliance with applicable California state and federal regulations, contractual obligations, and internal policies while supporting positive provider relations.

Requirements:

MINIMUM & PREFERRED QUALIFICATIONS


Education/Training

Minimum: High school diploma or equivalent.

Preferred: Coursework or training in healthcare administration, medical billing, or related field.

Experience 

Minimum: 5+ years of experience processing managed care health claims.

Preferred: 2+ years of direct Provider Dispute Resolution and/or Appeals experience within Medicare, Medi-Cal/Medicaid, Commercial, PPO, and/or HMO environments.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.


Skills, Knowledge & Abilities

· Strong working knowledge of managed care claims operations and regulatory requirements, including dispute and appeal timeliness standards.

· Proficiency with medical coding concepts (ICD-10, CPT, HCPCS, DRG, ASC).

· Experience with UB-04 and CMS-1500 claim forms.

· Ability to analyze complex data, identify discrepancies, and apply contract terms accurately.

· Strong written and verbal communication skills in English.

· Effective time management skills with the ability to manage competing priorities and workload volumes.

· Intermediate proficiency with Microsoft Office applications, including Word and Excel.

· Demonstrated problem-solving skills and attention to detail.


PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. This position primarily involves sedentary work with routine use of a computer and standard office equipment. The role may require occasional light physical activity (up to 10 pounds) and brief periods of bending, reaching, or filing. The employee must be able to maintain concentration for extended periods, analyze detailed information, and meet regulatory deadlines, with or without reasonable accommodation.


PAY RANGE

$33.50 - $39.50 / hourly

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