... Resolution Specialist, you will play a critical frontline role in investigating and resolving ... Key Responsibilities Manage and prioritize a daily caseload to ensure cases are resolved accurately ...
... Resolution Specialist, you will play a critical frontline role in investigating and resolving ... Key Responsibilities Manage and prioritize a daily caseload to ensure cases are resolved accurately ...
Discrepancy Resolution Specialist
Mount Laurel, NJ · On-site
$40K - $60K/yr
RetireeFirst, a LaborFirst solution, provides end-to-end Retiree Benefits Management. In partnership with plan sponsors, brokers, and consultants, we design, implement, manage, and administer ...
Discrepancy Resolution Specialist
Mount Laurel, NJ · On-site
$40K - $60K/yr
RetireeFirst, a LaborFirst solution, provides end-to-end Retiree Benefits Management. In partnership with plan sponsors, brokers, and consultants, we design, implement, manage, and administer ...
Order Resolution Coordinator
Willingboro, NJ · On-site
$19 - $27/hr
Experience in purchase order management * Experience resolving order discrepancies * Experience ... Strong problem resolution and analytical skills * Organizational skills * Strong attention to ...
Order Resolution Coordinator
Willingboro, NJ · On-site
$19 - $27/hr
Experience in purchase order management * Experience resolving order discrepancies * Experience ... Strong problem resolution and analytical skills * Organizational skills * Strong attention to ...
Recognize and implement alternate means of resolution. * Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective ...
Recognize and implement alternate means of resolution. * Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective ...
Order Resolution Specialist
$20 - $22.50/hr
Order Resolution Specialist Radwell International LLC | Order Fulfillment Operations Full-Time | ... manage multiple priorities • Attention to detail • Problem-solving abilities • Strong ...
Order Resolution Specialist
$20 - $22.50/hr
Order Resolution Specialist Radwell International LLC | Order Fulfillment Operations Full-Time | ... manage multiple priorities • Attention to detail • Problem-solving abilities • Strong ...
Discrepancy Resolution, Team Lead
Mount Laurel, NJ · On-site
$60K - $70K/yr
Position Summary The Discrepancy Resolution Team Lead manages the team responsible for identifying, investigating, and resolving complex Medicare enrollment and eligibility discrepancies. This ...
Discrepancy Resolution, Team Lead
Mount Laurel, NJ · On-site
$60K - $70K/yr
Position Summary The Discrepancy Resolution Team Lead manages the team responsible for identifying, investigating, and resolving complex Medicare enrollment and eligibility discrepancies. This ...
Drive meaningful improvements in risk management and business resilience * Work across a diverse ... In addition to salary, Resolution Life US offers a comprehensive benefits package, including our ...
Drive meaningful improvements in risk management and business resilience * Work across a diverse ... In addition to salary, Resolution Life US offers a comprehensive benefits package, including our ...
Manages conflict-of-interest screening, recusals, and reassignment protocols for investigators and ... Alternative Resolution Facilitator Pool * Designs, recruits, vets, trains, and maintains a pool of ...
Manages conflict-of-interest screening, recusals, and reassignment protocols for investigators and ... Alternative Resolution Facilitator Pool * Designs, recruits, vets, trains, and maintains a pool of ...
Drive meaningful improvements in risk management and business resilience * Work across a diverse ... In addition to salary, Resolution Life US offers a comprehensive benefits package, including our ...
Drive meaningful improvements in risk management and business resilience * Work across a diverse ... In addition to salary, Resolution Life US offers a comprehensive benefits package, including our ...
Manages conflict-of-interest screening, recusals, and reassignment protocols for investigators and ... Alternative Resolution Facilitator Pool * Designs, recruits, vets, trains, and maintains a pool of ...
Manages conflict-of-interest screening, recusals, and reassignment protocols for investigators and ... Alternative Resolution Facilitator Pool * Designs, recruits, vets, trains, and maintains a pool of ...
You will manage the third-party investment accounting service provider to ensure a timely close ... You are confident in the subject area and can take ownership in the identification and resolution ...
You will manage the third-party investment accounting service provider to ensure a timely close ... You are confident in the subject area and can take ownership in the identification and resolution ...
Mortgage Protection Resolution Specialist
Philadelphia, PA · Remote
$1.6K - $1.8K/wk
Mortgage Protection Resolution Specialist Location: Remote Position/Work from Home Job Type ... Ability to work independently while managing your schedule effectively * Basic computer skills for ...
New
Quick apply
Mortgage Protection Resolution Specialist
Philadelphia, PA · Remote
$1.6K - $1.8K/wk
Mortgage Protection Resolution Specialist Location: Remote Position/Work from Home Job Type ... Ability to work independently while managing your schedule effectively * Basic computer skills for ...
New
Product Owner
West Chester, PA · Hybrid
Manage Product Owner team resource capacity and demand. * Partner with Agile Coaches to drive adoption and maturity of Resolution Life Agile Ways of Working across the enterprise to ensure ...
Product Owner
West Chester, PA · Hybrid
Manage Product Owner team resource capacity and demand. * Partner with Agile Coaches to drive adoption and maturity of Resolution Life Agile Ways of Working across the enterprise to ensure ...
Product Owner
West Chester, PA · On-site
Manage Product Owner team resource capacity and demand. * Partner with Agile Coaches to drive adoption and maturity of Resolution Life Agile Ways of Working across the enterprise to ensure ...
Product Owner
West Chester, PA · On-site
Manage Product Owner team resource capacity and demand. * Partner with Agile Coaches to drive adoption and maturity of Resolution Life Agile Ways of Working across the enterprise to ensure ...
... resolution of complex problems involving multiple parties and senior stakeholders. Duties And ... Act as a key accounting advisor to Investment Management, Third-Party Asset Managers, and Cedants
... resolution of complex problems involving multiple parties and senior stakeholders. Duties And ... Act as a key accounting advisor to Investment Management, Third-Party Asset Managers, and Cedants
Strong organizational skills and ability to manage multiple reporting deliverables concurrently Location: West Chester, PA; New York, NY (Hybrid - 3 days per week in the office), Resolution Life US ...
Strong organizational skills and ability to manage multiple reporting deliverables concurrently Location: West Chester, PA; New York, NY (Hybrid - 3 days per week in the office), Resolution Life US ...
Strong organizational skills and ability to manage multiple reporting deliverables concurrently Location: West Chester, PA, New York, NY. (Hybrid - 3 days per week in the office), Resolution Life US ...
Strong organizational skills and ability to manage multiple reporting deliverables concurrently Location: West Chester, PA, New York, NY. (Hybrid - 3 days per week in the office), Resolution Life US ...
Project Manager
$100K - $150K/yr
Plumbing Project Manager / Estimator Who Are We? We're Plumbing Resolution, a growing commercial plumbing company based in the Philadelphia area. For over 10 years, we've built a reputation for ...
Quick apply
Project Manager
$100K - $150K/yr
Plumbing Project Manager / Estimator Who Are We? We're Plumbing Resolution, a growing commercial plumbing company based in the Philadelphia area. For over 10 years, we've built a reputation for ...
PharMerica The Client Success Manager, Senior Living cultivates and maintains an on-going strategic ... resolution and overall retention of their clients. Territory: Philadelphia and parts of PA Ideal ...
PharMerica The Client Success Manager, Senior Living cultivates and maintains an on-going strategic ... resolution and overall retention of their clients. Territory: Philadelphia and parts of PA Ideal ...
Owns client issue escalation and resolution process. Prepares for and participates in a client ... Compiles Client reports and assists with CRM data management and issue resolution management.
Owns client issue escalation and resolution process. Prepares for and participates in a client ... Compiles Client reports and assists with CRM data management and issue resolution management.
Resolution Manager information
What jobs pay $500,000 a year in the US?
How does a Resolution Manager typically collaborate with other departments to resolve complex issues?
What is a resolution manager?
What is the 3 month rule for jobs?
Is a CSA job stressful?
What are the key skills and qualifications needed to thrive as a Resolution Manager, and why are they important?
What is the difference between Resolution Manager vs Customer Service Manager?
| Aspect | Resolution Manager | Customer Service Manager |
|---|---|---|
| Primary Focus | Resolving complex issues and disputes efficiently | Overseeing customer service teams and satisfaction |
| Required Skills | Problem-solving, conflict resolution, technical knowledge | Leadership, communication, customer relationship management |
| Work Environment | Operations, support centers, client-facing roles | Call centers, retail, service industries |
| Certifications | Relevant industry certifications, conflict resolution training | Customer 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.

Full-time
Posted 12 days ago
Independence Blue Cross rating
8.4
Based on 24 frontline employees who took The Breakroom Quiz
114th of 299 rated insurance
Job description
As an Issue Resolution Specialist, you will play a critical frontline role in investigating and resolving complex cases. This is an opportunity to apply your analytical skills, problem-solving abilities, and attention to detail to make a meaningful impact on member experiences while navigating a dynamic and highly regulated environment.
Key Responsibilities
Manage and prioritize a daily caseload to ensure cases are resolved accurately, efficiently, and within required compliance timeframes
Investigate and analyze case details, identify root causes, and determine effective resolutions
Collaborate with cross-functional teams to drive timely and accurate case outcomes
Draft clear, professional, and comprehensive written responses addressing consumer concerns
Interpret and apply ACA, CMS, and State-Based Exchange regulations in all casework
Identify trends and recommend process improvements to enhance operational performance
Provide regular status updates on open cases and assigned work
Support team training and knowledge sharing
Ensure a positive member experience through accurate, timely, and compliant resolutions
Perform additional duties as assigned
Bachelor's degree preferred
2-3 years of experience in the healthcare industry
Skills & Experience
Working knowledge of healthcare operations such as billing, claims, enrollment, benefits, accounts receivable/payable.
Strong analytical, investigative, and problem-solving skills
Excellent written and verbal communication skills, with the ability to clearly explain complex information
Ability to interpret regulations and apply them in real-world scenarios
Highly organized, detail-oriented, and able to manage multiple priorities
Sound judgment and decision-making skills
Ability to thrive in a fast-paced, evolving environment
Proficiency in Microsoft Office (Excel, Access, Word, PowerPoint, Outlook)
Familiarity with ACA, CMS, and State-Based Exchange regulations is a plus
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
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About Independence Blue Cross
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1938