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Resolution Manager Jobs in Florida (NOW HIRING)

Professionally manages complex member billing issues after initial triage by Member Services ... Confirms resolution directly with members, ensuring satisfaction. * Manages complex member issues ...

Strada is a people, payroll, and technology leader simplifying international workforce management ... resolution while delivering a high standard of customer service. This is a full-time, in-person ...

Strada is a people, payroll, and technology leader simplifying international workforce management ... resolution while delivering a high standard of customer service. This is a full-time, in-person ...

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Resolution Manager information

See Florida salary details

$19.5K

$53.8K

$102.8K

How much do resolution manager jobs pay per year?

As of Jul 15, 2026, the average yearly pay for resolution manager in Florida is $53,769.00, according to ZipRecruiter salary data. Most workers in this role earn between $32,660.00 and $65,320.00 per year, depending on experience, location, and employer.

What jobs pay $500,000 a year in the US?

Resolution Managers typically do not earn $500,000 annually; such high salaries are more common in executive roles, specialized surgeons, or successful entrepreneurs. High-paying jobs often require extensive experience, advanced skills, and sometimes ownership or leadership positions. Compensation at this level is rare and usually involves bonuses, profit sharing, or equity components.

How does a Resolution Manager typically collaborate with other departments to resolve complex issues?

Resolution Managers frequently work cross-functionally, partnering with teams such as customer service, operations, legal, and IT to address and resolve challenging cases or disputes. Effective communication and coordination are essential, as Resolution Managers often facilitate meetings, gather input from multiple stakeholders, and ensure everyone is aligned on the resolution approach. This collaborative process not only helps in resolving issues efficiently but also provides broader insight into recurring problems, allowing the company to implement long-term process improvements.

What is a resolution manager?

A resolution manager is a professional responsible for addressing and resolving customer issues, complaints, or disputes efficiently. They often coordinate with other departments, utilize problem-solving skills, and may use customer relationship management (CRM) tools to ensure timely solutions and maintain customer satisfaction.

What is the 3 month rule for jobs?

The 3 month rule for jobs often refers to a probationary period, typically lasting three months, during which an employer evaluates a Resolution Manager's performance and suitability for the role. During this time, employees may have limited job security and benefits, and successful completion can lead to permanent employment status. This period also allows the employer to assess skills, adaptability, and fit within the team.

Is a CSA job stressful?

A Customer Service Associate (CSA) role can be stressful due to high call volumes, customer complaints, and the need for strong communication skills. Managing difficult interactions and meeting performance metrics may contribute to job stress, but some employers offer training and support to help manage workload and reduce stress levels.

What are the key skills and qualifications needed to thrive as a Resolution Manager, and why are they important?

To thrive as a Resolution Manager, you need strong problem-solving abilities, conflict resolution skills, and a background in business administration or a related field. Familiarity with case management software, CRM platforms, and sometimes certifications in mediation or dispute resolution are typically required. Exceptional communication, negotiation, and emotional intelligence help you manage stakeholder expectations and diffuse tense situations. These skills are crucial for efficiently resolving disputes, maintaining client satisfaction, and protecting organizational reputation.

What is the difference between Resolution Manager vs Customer Service Manager?

AspectResolution ManagerCustomer Service Manager
Primary FocusResolving complex issues and disputes efficientlyOverseeing customer service teams and satisfaction
Required SkillsProblem-solving, conflict resolution, technical knowledgeLeadership, communication, customer relationship management
Work EnvironmentOperations, support centers, client-facing rolesCall centers, retail, service industries
CertificationsRelevant industry certifications, conflict resolution trainingCustomer service certifications, management training

While both roles focus on customer interactions, the Resolution Manager specializes in resolving complex issues and disputes, often requiring technical or specialized knowledge. The Customer Service Manager oversees overall customer satisfaction and team management. Understanding these differences helps in choosing the right career path or hiring the appropriate professional for specific needs.

What are the most commonly searched types of Resolution jobs in Florida? The most popular types of Resolution jobs in Florida are:
What are popular job titles related to Resolution Manager jobs in Florida? For Resolution Manager jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Resolution Manager jobs in Florida look for? The top searched job categories for Resolution Manager jobs in Florida are:
What cities in Florida are hiring for Resolution Manager jobs? Cities in Florida with the most Resolution Manager job openings:
Infographic showing various Resolution Manager job openings in Florida as of July 2026, with employment types broken down into 82% Full Time, 15% Part Time, 2% Temporary, and 1% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $53,769 per year, or $25.9 per hour.

Member Resolution Specialist

Leon Health Plan

Doral, FL โ€ข Remote

Other

Posted 8 days ago


Job description

The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and resolution of member billing inquiries and complex member issues. This position ensures validation of cases, maintains communication with providers, manages claim tracking, and confirms resolution with members. The role also supports Member Services Representatives during peak call volumes.

ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Professionally manages complex member billing issues after initial triage by Member Services Representatives.
  • Handles cases originating from member centers via email or fax, managing initial outreach and subsequent follow-ups.
  • Ensures thorough validation and comprehensive investigation of each case.
  • Maintains ongoing communications with providers and tracks claims from submission through payment.
  • Confirms resolution directly with members, ensuring satisfaction.
  • Manages complex member issues requiring extensive investigation that do not qualify as grievances or appeals.
  • Provides backup support to Member Services Representatives during periods of high call volume.
  • Clearly documents case progress, communications, and resolutions in the call center system.
  • Develops and maintains positive member relations, ensuring consistent and efficient resolution of issues.
  • Actively participates in training and department meetings.
  • Complies with organizational policies and procedures, maintaining confidentiality according to state and federal laws.
REQUIRED QUALIFICATIONS
  • Bilingual in Spanish and English.
  • Knowledge and experience working with Medicare and Medicare products, preferably through a Medicare Advantage Organization.
  • Minimum one (1) year of experience in member services, billing, or claims resolution within insurance managed care, preferably a Medicare HMO.
  • Basic understanding of Medicare regulatory requirements and standard operating procedures.
  • Proficient in Microsoft Word, Microsoft Excel, and CRM software

CERTIFICATES, LICENSES, REGISTRATIONS

  • Billing / Coding License Preferred.