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Live In Claims Resolution Specialist Jobs (NOW HIRING)

Claims Resolution Specialist

Lafayette, LA ยท On-site

$14 - $18.50/hr

Claims generation * Establishes and maintains effective communication and good working ... Experience: * 3-5 Years in DME or medical billing experience preferred. * Minimum of 1 year of ...

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Live In Claims Resolution Specialist information

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$23

$43

How much do live in claims resolution specialist jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for live in claims resolution specialist in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What is the difference between Live In Claims Resolution Specialist vs Claims Adjuster?

AspectLive In Claims Resolution SpecialistClaims Adjuster
CredentialsRelevant insurance certifications, claims trainingInsurance licenses, certifications often required
Work EnvironmentOn-site, often in client homes or officesOffice-based or remote, fieldwork possible
Employer & IndustryInsurance companies, third-party administratorsInsurance carriers, independent agencies
Search & Comparison IntentSimilar roles handling claims, resolution processClaims processing, settlement, and adjustment

Both roles involve handling insurance claims, but Live In Claims Resolution Specialists typically work directly with clients on-site to resolve claims, while Claims Adjusters often work in offices or remotely to evaluate and settle claims. The roles share similar certifications and industry usage, but differ mainly in work environment and daily responsibilities.

What cities are hiring for Live In Claims Resolution Specialist jobs? Cities with the most Live In Claims Resolution Specialist job openings:
What are the most commonly searched types of Claims Resolution Specialist jobs? The most popular types of Claims Resolution Specialist jobs are:
What states have the most Live In Claims Resolution Specialist jobs? States with the most job openings for Live In Claims Resolution Specialist jobs include:

(REMOTE) Dental Claims Resolution Specialist 1

Widescope Consulting and Contracting Services LLC

Powder Springs, GA โ€ข Remote

$17.75/hr

Full-time

Medical, Retirement, PTO

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Locations: Must reside in Texas, Georgia, Alabama, Florida, North Carolina, Washington State, Illinois or Virginia

Pay: Hourly pay with base rate of $17.75 per hour and a health and welfare benefit paid per hour of an additional $5.55. If health benefits are not needed (e.g., candidate has TRICARE, VA, or spousal health coverage), the $5.55/hour is contributed to a 401(a) tax-deferred account, with a 3% company match. If health benefits are needed, the $5.55/hour is used to cover benefit selections.

Training: One week of mandatory paid training will be provided remotely. Training is conducted live via Microsoft Teams and requires full video participation for the duration. Successful completion of this training is required to graduate and transition into production work.

Attendance: Candidates must not have any planned absences during the training week. Unplanned time off is only acceptable in cases of emergency.

Time Off and SCA Benefits:
This role is covered under the Service Contract Act (SCA). In accordance with SCA guidelines, employees are eligible for: - 11 paid federal holidays per year (88 hours annually) - Paid vacation: 2 weeks (80 hours) of paid vacation annually after one year of service - Paid sick leave in compliance with state and local laws - Health and welfare fringe benefit of $5.36/hour to be used toward health coverage or contributed to a retirement account if coverage is waived

Position Metrics: This role focuses on accuracy and detail rather than call volume. Metrics include time logged into systems, appropriate use of break/lunch periods, quality of claim processing, and compliance with training standards. Prior experience with dental claims, billing, or healthcare administrative support is highly valued.

Equipment: Widescope provides all necessary computer equipment, including PC, monitors, and cables. Employees must provide reliable high-speed internet with the ability to connect via LAN for optimal performance.

Position Overview:
The Dental Claims Resolution Specialist I supports accurate and timely data entry for dental claims under the Veterans Affairs Community Care Network (VACCN). The specialist will review incoming claims via fax, portal, or paper, ensuring claims are processed with precision and compliance.

Key Responsibilities: - Enter dental claims data into internal systems with accuracy - Correct OCR (optical character recognition) claim issues - Respond to claim-related emails in the VACCN queue - Assist with failed EDI claim resolution - Maintain and update claim tracking spreadsheets to prevent aging backlogs - Collaborate with team leads on complex claims - Apply independent judgment and problem-solving skills