The Claims Resolution Specialist I is responsible for the timely and accurate submission ... High School Diploma or GED Work Experience and Additional Information 2 years' experience in ...
The Claims Resolution Specialist I is responsible for the timely and accurate submission ... High School Diploma or GED Work Experience and Additional Information 2 years' experience in ...
The Claims Resolution Specialist I is responsible for the timely and accurate submission ... High School Diploma or GED Work Experience and Additional Information 2 years' experience in ...
The Claims Resolution Specialist I is responsible for the timely and accurate submission ... High School Diploma or GED Work Experience and Additional Information 2 years' experience in ...
Member Resolution Specialist
Doral, FL · On-site
The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and ... Minimum one (1) year of experience in member services, billing, or claims resolution within ...
Member Resolution Specialist
Doral, FL · On-site
The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and ... Minimum one (1) year of experience in member services, billing, or claims resolution within ...
The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and ... Minimum one (1) year of experience in member services, billing, or claims resolution within ...
The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and ... Minimum one (1) year of experience in member services, billing, or claims resolution within ...
Senior Casualty Claims Resolution Specialist - Complex Northwest
MA · On-site +1
$75K/yr
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex Northwest
MA · On-site +1
$75K/yr
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
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 ...
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 ...
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Independently resolve suspended claims using the resolution screens in accordance with operational procedures and process recoupments. * Determine when to use a "Forcible" disposition to override the ...
Independently resolve suspended claims using the resolution screens in accordance with operational procedures and process recoupments. * Determine when to use a "Forcible" disposition to override the ...
Bachelor's degree in business administration, accounting, finance or a related field is preferred. Experience Required: * Three (3) years of experience in claims adjudication, dispute resolution, or ...
Bachelor's degree in business administration, accounting, finance or a related field is preferred. Experience Required: * Three (3) years of experience in claims adjudication, dispute resolution, or ...
Aspire Allergy & Sinus is seeking a full-time Medical Claims Resolution Specialist to evaluate ... Work correspondence in a timely fashion to include submission of medical records when requested
Aspire Allergy & Sinus is seeking a full-time Medical Claims Resolution Specialist to evaluate ... Work correspondence in a timely fashion to include submission of medical records when requested
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Marlton, NJ · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Marlton, NJ · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Warrenville, IL · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Warrenville, IL · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Billing, Coding, and Claims Resolution Specialist
Plano, TX · On-site
$60K - $80K/yr
Billing & Coding Specialist (Hospital Claims Analyst) Dallas, TX (ONSITE) $60, 000-$80, 000/year ... Comfort working in a research-heavy role focused on older claims * Bachelor's degree preferred Key ...
Billing, Coding, and Claims Resolution Specialist
Plano, TX · On-site
$60K - $80K/yr
Billing & Coding Specialist (Hospital Claims Analyst) Dallas, TX (ONSITE) $60, 000-$80, 000/year ... Comfort working in a research-heavy role focused on older claims * Bachelor's degree preferred Key ...
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Suwanee, GA · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Suwanee, GA · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Albany, NY · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Albany, NY · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Chandler, AZ · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Chandler, AZ · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Plano, TX · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Plano, TX · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Orlando, FL · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Senior Casualty Claims Resolution Specialist - Complex - Central/Southwest Region
Orlando, FL · On-site +1
... Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a ... you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office)
Live In Claims Resolution Specialist information
See salary details
$12.74 - $15.49
8% of jobs
$17.33 is the 25th percentile. Wages below this are outliers.
$15.49 - $18.25
25% of jobs
The median wage is $20.35 / hr.
$18.25 - $21
22% of jobs
$21 - $23.75
15% of jobs
$25.01 is the 75th percentile. Wages above this are outliers.
$23.75 - $26.51
11% of jobs
$26.51 - $29.26
5% of jobs
$29.26 - $32.01
3% of jobs
$32.01 - $34.77
3% of jobs
$34.77 - $37.52
3% of jobs
$37.52 - $40.28
3% of jobs
$40.28 - $43.03
1% of jobs
$12
$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?
| Aspect | Live In Claims Resolution Specialist | Claims Adjuster |
|---|---|---|
| Credentials | Relevant insurance certifications, claims training | Insurance licenses, certifications often required |
| Work Environment | On-site, often in client homes or offices | Office-based or remote, fieldwork possible |
| Employer & Industry | Insurance companies, third-party administrators | Insurance carriers, independent agencies |
| Search & Comparison Intent | Similar roles handling claims, resolution process | Claims 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:
Claims Resolution Specialist 1 - USFTGP UMSA RCO Back End
Tampa, FL • On-site
Full-time
Re-posted 23 days ago
Tampa General Hospital rating
7.3
Based on 155 frontline employees who took The Breakroom Quiz
367th of 1,020 rated hospitals
Job description
The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution of third-party insurance claims to ensure correct reimbursement for services rendered. This position reviews assigned accounts, conducts status inquiries, processes appeals, and determines appropriate actions needed to resolve outstanding balances in accordance with departmental policies, payer guidelines, and regulatory requirements. The Specialist identifies trends impacting claims, assists with clean claim filing, and participates in special projects related to accounts receivable management. The role requires effective communication with payers, attention to detail, and adherence to State, Federal, and carrier regulations to support optimal financial performance for the organization.
Qualifications
Required:
High School Diploma or GED
Work Experience and Additional Information
2 years' experience in physician billing and collection experience
• CPT ICD10 experience
• Experience with EPIC software
Technical Knowledge, Skills, and Abilities
Qualifications
Required:
High School Diploma or GED
Work Experience and Additional Information
2 years' experience in physician billing and collection experience
• CPT ICD10 experience
• Experience with EPIC software
Technical Knowledge, Skills, and Abilities
- Understanding of third-party payer processes, claim workflows, denial reasons, and reimbursement methodologies.
- Knowledge of State and Federal regulations, payer policies, appeal requirements, and compliance standards related to insurance claims.
- Ability to analyze claim issues, identify trends, determine root causes, and recommend solutions that support clean claim submission and reduce denials.
- Strong written and verbal communication skills for contacting payers, preparing appeals, and documenting claim activity accurately and professionally.
- Skills to manage a high-volume workload, prioritize tasks, meet deadlines, and follow department protocols to ensure timely claim resolution.
- Ability to use billing systems, claim scrubbers, payer portals, and standard office software to review accounts, submit appeals, and track claim status.
What Tampa General Hospital employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Tampa General Hospital
Sourced by ZipRecruiter
Tampa General Hospital was named the #1 hospital in Tampa Bay by U.S. News & World Report, 2020-2021, and recognized as one of America's Best Hospital's in five medical specialties: Cardiology & Heart Surgery, Diabetes & Endocrinology, Gastroenterology & GI Surgery, Nephrology, and Orthopedics. Tampa General Hospital has been designated a Magnet Hospital by the American Nurses Credentialing Center (ANCC), the highest recognition for nursing excellence, for the fourth consecutive time - an accomplishment that fewer than one percent of hospitals nationwide have earned. TGH is accredited by The Joint Commission and was awarded disease-specific certification in five medical specialties. TGH is also accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). *Air transport provided by Metro Aviation, Inc.
Industry
Hospitals
Company size
5,001 - 10,000 Employees
Headquarters location
Tampa, FL, US
Year founded
1927