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Dispute Resolution Specialist Jobs (NOW HIRING)

RemX

Be Seen First

Healthcare Reimbursement & Dispute Resolution Specialist

Houston, TX · On-site

$22 - $23/hr

RemX is seeking a detail-oriented Healthcare Reimbursement & Dispute Resolution Specialist for a growing healthcare organization. This is an excellent opportunity for individuals with experience in ...

Exponent Inc.

Principal - Dispute Resolution

Oakland, CA · On-site

$230K - $320K/yr

D.s * 90+ Disciplines * 30+ Offices globally Our Opportunity We are currently seeking a Principal - Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ...

Exponent Inc.

Principal - Dispute Resolution

Manhattan, NY · On-site

$230K - $320K/yr

D.s * 90+ Disciplines * 30+ Offices globally Our Opportunity We are currently seeking a Principal - Dispute Resolution for our Construction Consulting Practice in our New York, NY office. In this ...

Exponent Inc.

Principal - Dispute Resolution

Alexandria, VA · On-site

$230K - $320K/yr

D.s * 90+ Disciplines * 30+ Offices globally Our Opportunity We are currently seeking a Principal - Dispute Resolution for our Construction Consulting Practice in our New York, NY or Alexandria, VA ...

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Dispute Resolution Specialist information

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$34K

$70.3K

$114.5K

How much do dispute resolution specialist jobs pay per year?

As of Aug 23, 2026, the average yearly pay for dispute resolution specialist 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 specialist?

Dispute Resolution Specialists are professionals who help resolve conflicts or disagreements between parties, such as customers and companies, employees and employers, or business partners. They use negotiation, mediation, and problem-solving techniques to facilitate fair and efficient resolutions without the need for litigation. Their work often involves investigating cases, communicating with all involved parties, and recommending solutions that comply with relevant laws and company policies. Dispute Resolution Specialists are essential in maintaining positive relationships and minimizing legal risks for organizations.

What does a dispute resolution specialist do?

As a dispute resolution specialist, your responsibilities focus on mediation and problem solving for clients. You may deal with a wide range of situations and should feel comfortable working through conflict and directing others. Your duties require you to investigate and gather all relevant information to the claims brought forth. In this role, you may work in court or labor management to resolve complaints. You may work with a customer or to maintain employer-employee relationships for a company. In any situation, your goal is to tactfully negotiate and reach a resolution where both parties are satisfied.

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

To thrive as a Dispute Resolution Specialist, you need a solid understanding of conflict resolution techniques, negotiation, and relevant legal or regulatory frameworks, often supported by a degree in law, business, or a related field. Familiarity with case management systems, mediation software, and certification in mediation or arbitration are typically valuable. Exceptional communication, emotional intelligence, and impartiality help you build trust and facilitate fair outcomes. These skills are crucial for efficiently resolving conflicts, minimizing legal risks, and maintaining positive relationships among involved parties.

What are the typical challenges a dispute resolution specialist faces when mediating between conflicting parties?

Dispute Resolution Specialists often encounter challenges such as managing heightened emotions, ensuring impartiality, and facilitating effective communication between parties who may be unwilling to compromise. It's common to handle complex cases where the underlying issues are deeply rooted or where there is a significant power imbalance. Successful specialists use active listening, strong negotiation skills, and a calm demeanor to guide parties toward mutually agreeable solutions, often working closely with legal, HR, or compliance teams depending on the organization.

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

AspectDispute Resolution SpecialistCustomer Service Representative
Required CredentialsRelevant certifications, conflict management skillsHigh school diploma or equivalent, communication skills
Work EnvironmentLegal, financial, or corporate settings handling disputesCall centers, retail, service industries
Employer & Industry UsageFinancial institutions, insurance, legal firmsRetail, telecommunications, hospitality
Common Search & ComparisonYesYes

Dispute Resolution Specialists focus on resolving conflicts through negotiation and legal procedures, often requiring specialized certifications. Customer Service Representatives handle general customer inquiries and support, typically with less formal credentials. While both roles involve communication skills, Dispute Resolution Specialists work in more formal, conflict-heavy environments, whereas Customer Service Representatives operate in customer-facing settings. Understanding these differences helps job seekers find roles aligned with their skills and career goals.

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Dispute Resolution Specialist jobs near you
Infographic showing various Dispute Resolution Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $70,345 per year, or $33.8 per hour.

PROVIDER DISPUTE RESOLUTION SPECIALIST

NORTH EAST MEDICAL SERVICES

Burlingame, CA • On-site

$42.79 - $48.75/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 19 days ago

Job description

The MSO department seeks a PDR Specialist with strong verbal and written communication skills to handle provider disputes and appeals related to claims payments. This role involves researching, evaluating, and resolving claims disputes in line with regulations, policies, and industry standards. The specialist will also conduct root cause analyses, process claims readjustments, support system improvements, and manage the overpayment recoupment process.

The role requires an individual with strong analytic skills and critical thinking/problem solving skills. This individual must also have exceptional interpersonal skills to build and maintain positive working relationships.

Key Responsibilities:

  • Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare Advantage, and PACE programs.
  • Respond to complex provider inquiries regarding claims adjudication and payments.
  • Ensure timely and accurate resolutions to disputes per regulatory guidelines.
  • Maintain accurate records of dispute resolutions and update tracking systems.
  • Identify and correct claims payment errors, process adjustments, and handle provider overpayment refunds.
  • Analyze payment trends and escalate training or process improvement needs.
  • Assist with health plan audits and other projects related to provider dispute process as required.
  • Identify system configuration issues and report for resolution.
  • Performs other job duties as required by manager/supervisor and NEMS Management Team.
  • Bachelor’s degree preferred. Associate degree with relevant experience may be considered.
  • Minimum five years of experience in medical claims adjudication required.
  • Strong analytical, problem-solving, and communication (written & verbal) skills.
  • Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
  • Familiarity with healthcare compliance (HIPAA, CMS, DHCS, AB1455).
  • Understanding of medical terminology, coding, and claim forms.
  • Detail-oriented with strong organizational and time management skills.
  • Proficiency in PC-based software and database management.

LANGUAGE:

  • Must be able to fluently speak, read and write English.
  • Fluent in other languages are an asset.

STATUS:

  • This is an FLSA Non-Exempt position.
  • This is not an OSHA high-risk position.
  • This is a full-time position.


NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).

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