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Investigation Resolution Specialist Jobs (NOW HIRING)

Encova Insurance

Injury Resolution Specialist

Columbus, OH · On-site

$69K - $110K/yr

Encova Insurance has an immediate opening for an Injury Resolution Specialist. This role will be ... Investigate, evaluate, negotiate and settle bodily injury claims and any related coverages within ...

Encova Mutual Insurance Group.

$69K - $110K/yr

Encova Insurance has an immediate opening for an Injury Resolution Specialist. This role will be ... JOB OBJECTIVE Investigate, evaluate, negotiate and settle bodily injury claims and any related ...

Encova Insurance

Injury Resolution Specialist

Concord, NC · Remote

$69K - $110K/yr

Encova Insurance has an immediate opening for an Injury Resolution Specialist. This role will be ... Investigate, evaluate, negotiate and settle bodily injury claims and any related coverages within ...

Encova Insurance

Injury Resolution Specialist

$69K - $110K/yr

Encova Insurance has an immediate opening for an Injury Resolution Specialist. This role will be ... Investigate, evaluate, negotiate and settle bodily injury claims and any related coverages within ...

Taylor White

AR Resolution Specialist

Plant City, FL · On-site

AR Resolution Specialist | Plant City, FL | Competitive Salary + Full Benefits Join a fast-growing ... Manage credit and rebilling workflows by investigating discrepancies, applying adjustments, and ...

LeafHome

Resolution Specialist

Hudson, OH · On-site

S. and Canada, with continued expansion Position Summary The Resolution Specialist is responsible ... Review, investigate, and resolve high risk or escalated customer disputes in accordance with ...

LeafHome

Resolution Specialist

Hudson, OH

S. and Canada, with continued expansion Position Summary The Resolution Specialist is responsible ... Review, investigate, and resolve high risk or escalated customer disputes in accordance with ...

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 ... Investigate and follow-up on all open balances for accounts that have received a payment or denial ...

Qualfon

Resolution Specialist

Harlingen, TX · On-site

Overview The Resolution Specialist serves as a senior escalation resource for highly sensitive ... investigation, and de-escalation skills. * Strong judgment and analytical skills with the ability ...

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How much do investigation resolution specialist jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for investigation 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.

What cities are hiring for Investigation Resolution Specialist jobs?

Cities with the most Investigation Resolution Specialist job openings:

What states have the most Investigation Resolution Specialist jobs?

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Infographic showing various Investigation Resolution Specialist job openings in the United States as of August 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

Grievance Resolution Specialist (Provider Resolution)

Orange, CA • On-site

Aroha Technologies
Software Development • 51 - 200 employees
Learn more about Aroha Technologiesexternal

$24 - $32/wk

Contractor

Re-posted 5 days ago

Job description

Grievance Resolution Specialist (Provider Resolution)

Job Title: Grievance Resolution Specialist (Provider Resolution)

Location: Orange County, CA (500 City Parkway West)

Work Schedule: Monday – Friday | 8:00 AM – 5:00 PM

Work Setting: 100% Onsite

Job Overview

We are seeking a detail-oriented Grievance Resolution Specialist (Provider Resolution) to support the Grievance & Appeals department. In this role, you will investigate provider grievances and appeals, coordinate with internal teams, communicate with providers, and ensure timely, accurate case resolution while maintaining compliance with healthcare regulations.

Key Responsibilities
  • Review and process provider grievances and appeals.
  • Gather, analyze, and document case information.
  • Create and maintain accurate case records and reports.
  • Communicate with providers and internal departments regarding case status.
  • Research provider contracts, policies, and regulatory requirements.
  • Draft professional resolution letters and correspondence.
  • Respond to provider inquiries by phone and email.
  • Coordinate with operational teams to resolve complex issues.
  • Identify trends and recommend process improvements.
  • Maintain confidentiality and comply with healthcare regulations.
  • Perform additional administrative duties as assigned.
Minimum Qualifications
  • High School Diploma or GED.
  • At least 1 year of experience in one or more of the following:
    • Provider Dispute Resolution
    • Medicare or Medi-Cal Appeals
    • Grievance & Appeals
    • Claims Administration
    • Regulatory Compliance
    • Healthcare Customer Service
  • Strong written and verbal communication skills.
  • Ability to work independently and manage multiple priorities.
  • Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint).
Preferred Qualifications
  • Associate degree in Business, Healthcare Administration, or a related field.
  • Experience with healthcare practice standards for government and commercial health plans.
  • Bilingual candidates (Spanish, Vietnamese, Chinese, Korean, Arabic, Farsi, or Russian) are encouraged to apply.
Skills
  • Strong analytical and problem-solving abilities
  • Excellent organizational skills
  • Attention to detail
  • Ability to manage multiple cases simultaneously
  • Professional customer service skills
  • Team-oriented with the ability to build positive working relationships
     
Thanks, and regards, 
Nick Glenn 
Healthcare Recruiter 
Direct: 510-455-4449
Aroha Technologies Inc.
www.arohatechnologies.com