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Insurance Resolution Specialist Jobs (NOW HIRING)

Manpower

Deduction Resolution Specialist

Austin, MN · Hybrid

$20.15/hr

As a Deduction Resolution Specialist, you will be part of the Accounting department supporting the ... Supplemental Life Insurance * Short Term Disability Insurance * 401(k) If this is a role that ...

Select Medical

Claims Resolution Specialist

Camp Hill, PA · On-site

$18.50/hr

OverviewClaims Resolution Specialist (in-office - on-site role) Starting at $18.50/hr but flexible ... Our dynamic team has the responsibility of resolving outstanding insurance claims so that our ...

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Insurance Resolution Specialist information

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$13

$28

$55

How much do insurance resolution specialist jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for insurance resolution specialist in the United States is $28.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $36.06 per hour, depending on experience, location, and employer.

How to be a resolution specialist?

To become an Insurance Resolution Specialist, you typically need a high school diploma or equivalent, with some roles preferring a bachelor's degree in fields like business or insurance. Relevant skills include strong communication, problem-solving, and knowledge of insurance policies and claims processes. Certification programs such as the Certified Insurance Counselor (CIC) can enhance your qualifications, and experience in customer service or claims adjustment is often beneficial.

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

To thrive as an Insurance Resolution Specialist, you need strong analytical skills, attention to detail, and a solid understanding of insurance policies and claim procedures, often supported by experience in healthcare billing or insurance. Familiarity with claims management software, electronic health record (EHR) systems, and knowledge of medical coding (such as ICD-10 and CPT) are typically required. Excellent communication, problem-solving abilities, and persistence help professionals navigate disputes and collaborate with insurance companies and healthcare providers. These skills are crucial for efficiently resolving claim issues, minimizing denials, and ensuring timely reimbursement for services rendered.

How much do insurance specialists make in the US?

Insurance Resolution Specialists typically earn between $40,000 and $65,000 annually, depending on experience, location, and employer. They often require strong communication skills and knowledge of insurance policies to effectively resolve claims and disputes.

What are some common challenges faced by Insurance Resolution Specialists, and how are they typically addressed?

Insurance Resolution Specialists often encounter challenges such as navigating complex policy details, managing high volumes of claim disputes, and communicating with multiple stakeholders including clients, insurance carriers, and healthcare providers. These challenges are typically addressed by developing strong analytical and problem-solving skills, maintaining meticulous documentation, and fostering effective communication. Many teams also use specialized case management software and regular training sessions to stay updated on industry regulations and best practices, which supports efficient resolution of claims and enhances job performance.

Do I need a degree to be a claims specialist?

Insurance resolution specialists typically do not require a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include knowledge of insurance policies, strong communication, and attention to detail; certifications like the Certified Claims Professional (CCP) can enhance job prospects.

What does an Insurance Resolution Specialist do?

An Insurance Resolution Specialist is responsible for handling and resolving issues related to insurance claims. They investigate discrepancies, communicate with insurance companies, and ensure claims are processed accurately and in a timely manner. Their role involves reviewing claim denials, appealing decisions, and working closely with patients, healthcare providers, and insurers to resolve billing or payment issues. Ultimately, they help ensure that claims are paid correctly and that any problems are addressed efficiently.

What position in insurance pays the most?

In insurance, executive roles such as Chief Underwriting Officer, Chief Risk Officer, or Chief Claims Officer typically have the highest salaries. These positions require extensive experience, leadership skills, and often advanced certifications, and they oversee large teams and strategic decision-making within insurance companies.

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

AspectInsurance Resolution SpecialistClaims Adjuster
Required CredentialsHigh school diploma or equivalent; certifications like CPCU or ARM beneficialHigh school diploma or equivalent; licensing may be required depending on state
Work EnvironmentOffice settings, customer service interactions, claims processingField work and office settings, investigating claims
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Common Search & ComparisonInsurance Resolution Specialist vs Claims Adjuster

The main difference is that Insurance Resolution Specialists focus on resolving customer issues and managing claims through communication and documentation, often working in customer service roles. Claims Adjusters investigate and evaluate claims, sometimes in the field, to determine coverage and settlement. Both roles require knowledge of insurance policies, but their daily tasks and work environments differ slightly.

More about Insurance Resolution Specialist jobs
What job categories do people searching Insurance Resolution Specialist jobs look for? The top searched job categories for Insurance Resolution Specialist jobs are:
Insurance Resolution Specialist jobs near you
Infographic showing various Insurance Resolution Specialist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.
Insurance Resolution Specialist

Insurance Resolution Specialist

Ogden Clinic

South Weber, UT • On-site

$17/hr

Other

Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Ogden Clinic rating

6.2

Company rating: 6.2 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

696th of 882 rated healthcare providers

Job description

Insurance Resolution Specialist

Under the direct supervision of the Business Services Assistant Manager, the Insurance Resolution Specialist is responsible for all issues relating to patient accounts receivable.

Ogden Clinic provides competitive pay and benefits. Full-Time employees have access to:

  • Medical (including a partially company funded HSA option and in-house discount plan)
  • Dental, Vision, Disability and other plan coverage options.
  • Company paid life insurance for employees and their families.
  • Employee Assistance Program that provides free counseling to employees and their families.
  • Paid Time Off and Holidays
  • Scholarship Program
  • 401k with generous profit sharing contributions.
  • In nearly all cases, no nights, weekends or holiday shifts.
  • Competitive pay starting at $17.00+ an hour depending on experience.
  • Annual Performance/Merit Increase Program that offers up to a 5% pay increase.
  • Salary ranges reviewed annually.
  • Limited benefits for non-Full-Time employees.

Full job description is available upon request by emailing talent@ogdenclinic.com

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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About Ogden Clinic

Sourced by ZipRecruiter

Ogden Clinic is a leading healthcare provider based in Ogden, Utah, USA. Operating in the medical industry, the clinic offers a comprehensive range of healthcare services including primary care, specialty care, and urgent care services. Founded in 1950, Ogden Clinic has grown to become one of the most trusted healthcare providers in the region, boasting a network of over 20 locations and more than 150 healthcare providers. The clinic is committed to improving community health, guided by its core values of integrity, collaboration, excellence, and compassion. Their mission is to provide superior and personalized healthcare, changing lives for the better.

Industry

Outpatient health care

Company size

201 - 500 Employees

Headquarters location

Ogden, UT, US

Year founded

1950

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