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Resolution Processing Jobs in California (NOW HIRING)

The Patient Resolution Specialist (PRS) is responsible for handling inquiries from patients ... Basic knowledge of estimates, general medical billing process and insurance Preferred ...

... processes, ensure the safety and health of their users, and address the challenges of ... Significant experience in contract dispute resolution and construction claims, litigation services ...

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Resolution Processing information

What is the difference between Resolution Processing vs Claims Processor?

AspectResolution ProcessingClaims Processor
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires insurance or claims processing certifications
Work EnvironmentOffice settings, call centers, or remote work; primarily administrative and customer serviceOffice or remote; handling insurance claims, data entry, and customer communication
Industry UsageInsurance, healthcare, financeInsurance, healthcare, government agencies
Common Search/ComparisonResolution Processing vs Claims Processor

Resolution Processing and Claims Processors both handle insurance-related tasks, often in similar environments. Resolution Processing typically focuses on resolving claims issues, discrepancies, or appeals, while Claims Processors primarily review and process insurance claims from submission to payout. Both roles require similar credentials and are used across insurance and healthcare industries. Understanding their differences helps job seekers identify the right career path within the claims and resolution field.

What job categories do people searching Resolution Processing jobs in California look for? The top searched job categories for Resolution Processing jobs in California are:
What cities in California are hiring for Resolution Processing jobs? Cities in California with the most Resolution Processing job openings:
Resolution Specialist, DC Seller Disputes

Resolution Specialist, DC Seller Disputes

Walmart

Sacramento, CA • On-site

$21 - $39/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


Walmart rating

6.0

Company rating: 6.0 out of 10

Based on 21,888 frontline employees who took The Breakroom Quiz

22nd of 39 rated national retailers


Job description

Position Summary...What you'll do...It´s an onsite role at: SMF1n: 7000 Powerline Rd. Sacramento, CA 95837
Evaluates and resolves seller disputes, with a focus on accuracy and fairness.
Prioritizes solutions that support seller success while maintaining compliance with company policies.
Documents dispute outcomes with clear, concise, and fact-based written reports.
Maintains a professional tone in all written communications to ensure clarity and respect.
Identifies and analyzes patterns of fraud and risk in dispute cases.
Provides sellers with advice and best practices to prevent future disputes and minimize risks.
Thoroughly reviews all relevant information and evidence before making decisions on seller disputes.
Ensures all documentation is accurate and free of errors.
Shows empathy towards sellers while maintaining objectivity.
Understands seller perspectives and provides solutions that are fair and beneficial.
Uses analytical skills to detect patterns and identify potential fraud or risk.
Makes data-driven decisions to support dispute resolution and fraud prevention.
Communicates clearly and professionally in all written documentation.
Ensures that all communications are understood by recipients.
Anticipates potential issues and provides proactive solutions to prevent future disputes.
Continuously seeks ways to improve seller dispute resolution processes and outcomes.
Maintains high ethical standards in all actions and decisions concerning seller disputes.
Ensure that all seller dispute resolutions are fair and unbiased.
Leads and participates in teams by using and sharing resources, information, and tools; determining customer needs and business priorities; coordinating and executing work assignments; providing advice, feedback, and support to ensure timelines and work quality are achieved; and modeling and helping others with how to adapt to change or new challenges.
Develops, communicates, and implements processes and practices to meet business needs by collaborating with managers, co-workers, customers, and other business partners; analyzing and applying information from multiple sources; monitoring progress and results; and identifying and addressing improvement opportunities.
Demonstrates, promotes, and supports compliance with company policies, procedures, and standards of ethics and integrity by explaining, guiding, and demonstrating how to apply these in executing business processes and practices; implementing related action plans; using the Open Door Policy; and assisting management with correcting ethical and compliance issues and problems.
At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable. For information about PTO, see https://one.walmart.com/notices. Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms.
For information about benefits and eligibility, see One.Walmart.
The hourly wage range for this position is $21.00 - $39.00* *The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation in the form of premiums may be paid in amounts ranging from $0.35 per hour to $3.00 per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met.

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Minimum Qualifications...

Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.

2 years’ experience in disputes, claims, or financial or operational investigation workPreferred Qualifications...

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

Prior work experience in consultative claims handling., Prior work experience in fraud or risk detection.Primary Location...7000 POWERLINE RD, SACRAMENTO, CA 95837-9108, United States of AmericaWalmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. This policy applies to all employees and aims to create a safe and productive work environment.

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About Walmart

Sourced by ZipRecruiter

From our humble beginnings as a small discount retailer in Rogers, Ark., Walmart has opened thousands of stores in the U.S. and expanded internationally. Through innovation, we're creating a seamless experience to let customers shop anytime and anywhere online and in stores. We are creating opportunities and bringing value to customers and communities around the globe. Walmart operates approximately 10,500 stores and clubs in 19 countries and eCommerce websites. We employ 2.1 million associates around the world — nearly 1.6 million in the U.S. alone.

Industry

Retail and transportation and warehousing

Company size

10,000+ Employees

Headquarters location

Bentonville, AR, US

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