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Resolution Processing Jobs (NOW HIRING)

Johnson Service Group

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Grievance Resolution Specialist (Provider Resolution)

Orange, CA · On-site

$26 - $38/hr

  • Medical

  • Dental

  • Vision

Johnson Service Group (JSG) is seeking a Bilingual Grievance Resolution Specialist- Healthcare in ... Assists with the health networks' compliance process. * Identifies trends and root causes of issues ...

New

CAI

Bilingual Special Resolution Analyst

Pompano Beach, FL

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Knowledge of customer complaint resolution processes and corrective action planning * Experience ... collaborating with multiple agencies, departments, or external partners Physical Demands * Ability ...

GREATER NEVADA

MEMBER DISPUTE RESOLUTION SPECIALIST

Reno, NV · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Process, investigate, and monitor member disputes from initiation through resolution, ensuring compliance with company policies, regulatory requirements, and service-level agreements while providing ...

Teknor Apex

Resolution Analyst

Pawtucket, RI · On-site

$29.90 - $41.91/hr

The Resolution Analyst plays a critical role in protecting revenue, improving customer experience ... The role provides actionable reporting, supports system and process improvements, and helps ensure ...

Teknor Apex Company

Resolution Analyst

Pawtucket, RI · On-site

The Resolution Analyst plays a critical role in protecting revenue, improving customer experience ... The role provides actionable reporting, supports system and process improvements, and helps ensure ...

Walmart

Resolution Specialist, DC Seller Disputes

Wakarusa, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Aon Corporation

Resolution Analyst

Alpharetta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Resolution Analyst is responsible for assisting our client's customers with benefit ... Process escalated related transactions in a timely and accurate manner * Review and analyze what ...

Walmart

Resolution Specialist, DC Seller Disputes

Overbrook, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Walmart

Resolution Specialist, DC Seller Disputes

Topeka, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Walmart

Resolution Specialist, DC Seller Disputes

Grantville, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Walmart

Resolution Specialist, DC Seller Disputes

Scranton, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Walmart

Resolution Specialist, DC Seller Disputes

Harveyville, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Walmart

Resolution Specialist, DC Seller Disputes

Osage City, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Walmart

Resolution Specialist, DC Seller Disputes

Silver Lake, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Teknor Apex

Resolution Analyst

Pawtucket, RI

$29.90 - $41.91/hr

The Resolution Analyst plays a critical role in protecting revenue, improving customer experience ... The role provides actionable reporting, supports system and process improvements, and helps ensure ...

Walmart

Resolution Specialist, DC Seller Disputes

Lyndon, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Walmart

Resolution Specialist, DC Seller Disputes

Vassar, KS · On-site

$19 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

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Showing results 21-40

All JobsResolution Processing Jobs

Resolution Processing information

See salary details

$15

$35

$52

How much do resolution processing jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for resolution processing in the United States is $35.18, according to ZipRecruiter salary data. Most workers in this role earn between $24.28 and $46.63 per hour, depending on experience, location, and employer.

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.

More about Resolution Processing jobs

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Cities with the most Resolution Processing job openings:

What states have the most Resolution Processing jobs?

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What job categories do people searching Resolution Processing jobs look for?

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Resolution Processing jobs near you
Infographic showing various Resolution Processing job openings in the United States as of August 2026, with employment types broken down into 67% Full Time, and 33% Temporary. Highlights an 100% In-person job distribution, with an average salary of $73,181 per year, or $35.2 per hour.

Grievance Resolution Specialist (Provider Resolution)

Johnson Service Group

Orange, CA • On-site

$26 - $38/hr

Contractor

Medical, Dental, Vision

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Johnson Service Group (JSG) is seeking a Bilingual Grievance Resolution Specialist- Healthcare in Orange, CA. This is an on-site position.
Work Schedule: Monday-Friday 8am- 5pm
Hourly pay:  $26- $38.00per hour 
Bilingual in English and in one of company defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese) Preferred. 
Duties & Responsibilities:

  • 90% - Program Support
    • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
    • Maintains adequate information in company systems and ensures data collection, summarization, integration and reporting, which includes case creation and management and events/activity tracking.
    • Gathers pertinent information regarding the grievances and appeals received, including member or provider concerns, supporting information related to initial decision-making, new information supporting the grievance or appeal or supplemental information required to evaluate grievances and appeals within regulatory requirements.
    • Coordinates and participates in case discussions with operational experts to result in a final case disposition as needed.
    • Evaluates case details, proposes recommendations or makes decisions as applicable and ensures the organization’s decision is implemented according to the Grievance and Appeals policies and case resolution.
    • Develops resolution letters and correspondence to members and providers.
    • Communicates with internal and external customers to ensure timely review and resolution of grievances or appeals.
    • Contacts appropriate parties to request and obtain missing information and supporting documentation or provides education.
    • Reads and interprets provider contracts, Division of Financial Responsibility (DOFR), policies, procedures and instructions.
    • Responds to routine provider inquiries via phone, assisting with provider appeals resolution inquiries.
    • Assists with the health networks’ compliance process.
    • Identifies trends and root causes of issues, proposes solutions or escalates ongoing issues to management.
    • Meets performance measurement goals for Grievance and Appeals Resolution Services.
  • 10% - Other
    • Completes other projects and duties as assigned.

Minimum Qualifications:

  • High school diploma or equivalent PLUS 1 year of experience with Provider Dispute Resolution in Medicare and Medi-Cal in professional, institutional, outpatient, ancillary, coordination of benefits and government cases required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
  • 1 year of experience with Medicare or Medi-Cal provider appeals and denials process required.
  • 1 year of experience in any of the following areas: Grievances and Appeals, Claims Administration, Regulatory Compliance, Customer Service or related field required.

Preferred Qualifications:

  • Associate degree in business, health care administration or related field.
  • Experience in health care practice standards, for both government and commercial plans.
  • Bilingual in English and in one of company defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese).

Company Description

Johnson Service Group, Inc. (JSG) is a North American leader in the staffing and consulting services industry, with over 40 years of experience investing in people and companies. We offer medical, dental, vision, life insurance options, 401(k), weekly pay, and more.

Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.

Johnson Service Group logo

About Johnson Service Group

Sourced by ZipRecruiter

Johnson Service Group, Inc. (JSG) is a leader in the staffing and consulting services industry, with over 39 years of experience investing in people and companies. We can be found locally in more than 30 offices throughout the United States and Canada and make connections throughout North America. JSG continues to work diligently to offer our clients and candidates world-class service and diversified offerings to fit their evolving needs. Which is why we have recently expanded our consulting services to include information technology consulting in addition to our wide array of staffing services.

Industry

Recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Westmont, IL, US

Year founded

1984

Social media

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