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Remote Dispute Resolution Analyst Jobs in Nebraska

Claims Quality Analyst | Remote Job Type: Full time Work Setup: Remote Reports to: Claims ... Develop and track performance related to claims accuracy, turnaround time, and dispute resolution ...

Claims Quality Analyst | Remote Job Type: Full time Work Setup: Remote Reports to: Claims ... Develop and track performance related to claims accuracy, turnaround time, and dispute resolution ...

Chargeback and Abuse Risk Analyst

Omaha, NE ยท On-site +1

$80K - $90K/yr

Support the pre-dispute alert review process. Evaluate alerts, apply classification logic, and ... Metrics-driven work style; demonstrated ability to drive unstructured problems to resolution ...

$95K - $140K/yr

... dispute resolution; assist with various legal matters as assigned. * Review and proactively ... advice and analysis to business units and the Legal team, in both verbal and written form.

Manager Chargeback Recovery

Omaha, NE ยท On-site +1

$100K - $107K/yr

... dispute deflection analysis, volume trends, and capacity gaps. * Stay current on card network ... Topstep is an engaging working environment which ranges from fully remote to hybrid. We foster a ...

Hospital Billing Analyst

Omaha, NE ยท Remote

$45K - $61K/yr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... support complex claim resolution, and meet productivity and quality standards A successful ...

... analyses, driving resolution on critical issues, and delivering insights that inform business ... Please note we are hiring for this role remote anywhere in the United States with the following ...

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Remote Dispute Resolution Analyst information

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

AspectRemote Dispute Resolution AnalystCustomer Service Representative
CredentialsTypically requires conflict resolution, negotiation, or legal certificationsUsually requires high school diploma or equivalent, customer service training
Work EnvironmentRemote, often in legal, financial, or e-commerce sectorsRemote or on-site, in retail, telecom, or service industries
Employer & IndustryFinancial institutions, e-commerce companies, legal firmsRetail stores, telecom providers, service companies

The Remote Dispute Resolution Analyst focuses on resolving conflicts through negotiation and legal knowledge, often in specialized industries. Customer Service Representatives handle general customer inquiries and support. While both roles may work remotely, the Analyst role requires specific dispute resolution skills and certifications, making it more specialized than the Customer Service Representative position.

What are popular job titles related to Remote Dispute Resolution Analyst jobs in Nebraska? For Remote Dispute Resolution Analyst jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Remote Dispute Resolution Analyst jobs in Nebraska look for? The top searched job categories for Remote Dispute Resolution Analyst jobs in Nebraska are:
Infographic showing various Remote Dispute Resolution Analyst job openings in Nebraska as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Claims Quality Analyst - Remote

Imagenet

Omaha, NE โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago


Job description

Claims Quality Analyst | Remote
Job Type: Full time
Work Setup: Remote
Reports to: Claims Supervisor
Position Summary:
The Claims Quality Analyst plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution. The ideal candidate has hands on experience with EZCap, auditing claims, analyzing dispute claims and evaluating internal policies and regulatory requirements, with a particular focus on Medi-Cal and commercial health plans. This role is responsible to partners closely with cross-functional teams to drive continuous improvement and operational excellence.
Key Duties:
  • Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy and compliance with provider contracts and regulatory guidelines.
  • Analyze provider disputes for patterns or recurring issues.
  • Identify root causes and work with relevant teams to implement corrective actions and process improvements.
  • Develop and track performance related to claims accuracy, turnaround time, and dispute resolution efficiency.
  • Conduct thorough root cause analyses on high-impact errors or escalations.
  • Support training initiatives by identifying knowledge gaps and assisting in the development of updated procedures and documentation based on audit results.
  • Ensure all reviewed processes align with applicable regulatory requirements. Participate in internal and external audits as needed.

Qualifications:
  • High school diploma or equivalent
  • At least 3-5 years of Quality Analyst in healthcare, TPA, or health plan settings/ healthcare claims or in a claims processing/adjudication environment
  • Hands-on experience with EZCap (strongly preferred)
  • Familiarity with Medi-Cal and Commercial insurance claim
  • Strong analytical and problem-solving skills
  • Excellent verbal and written communication
  • Attention to detail in documentation and compliance
  • Ability to manage multiple tasks and meet deadlines
  • Experience with other claim adjudication platforms and provider systems.
  • Familiarity with DHCS, DMHC, CMS dispute handling regulations.

What We Offer
  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth

COMPANY OVERVIEW:
Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.
Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.