Claims Resolution Specialist

2 weeks ago


San Antonio, Texas, United States Strategic Staffing Solutions Full time
Position Title: Dispute Analyst

Location: Remote

Compensation: $25-30/hr, W2

Contract Duration: 12+ Months

Overview:

The Dispute Analyst plays a crucial role in safeguarding the financial interests of clients and their members by conducting thorough investigations into member claims. This involves researching, analyzing, and addressing dispute inquiries related to financial transactions across debit, credit, and deposit accounts.

The primary objective is to recover funds for members while adhering to all regulatory standards and association guidelines.

Key Responsibilities:

Risk Management:
Identify and manage both existing and potential risks arising from business operations. Ensure that risks associated with business activities are effectively recognized, assessed, monitored, and mitigated.

Regulatory Compliance:
Adhere to established risk and compliance policies, standards, and procedures relevant to business activities.

Investigation and Resolution:

Develop a comprehensive understanding of bank card regulations and federal laws while accurately identifying issues and determining optimal solutions for fund recovery.


Credit Processing:

Under direct supervision, facilitate the issuance and removal of provisional credits, as well as the issuance of permanent credits to member accounts as necessary. Assess cardholder liability based on investigation outcomes and manage associated credits.



Documentation:
Accurately document case outcomes in the designated case management systems (e.g., DCC, EWL, First Track, ODOC, etc.).

Customer Engagement:
Participate in customer service initiatives to assess member needs and provide suitable resolutions. Exhibit strong conflict resolution skills while interacting with members and relevant third-party entities.

Performance and Compliance Monitoring:

Operate within a robust compliance and risk management framework where performance is evaluated while ensuring unwavering support for the client's commitment to its members.

Uphold compliance, quality, and productivity standards aligned with individual performance metrics.

Essential Qualifications:

  • 1-3 years of experience handling credit or debit card disputes.
  • Experience in customer interactions within a financial services environment.
  • Familiarity with Banking Regulations and Bank Card Association Rules, including Reg E, Reg Z, UDAAP, and other applicable financial regulations.

Technical Proficiency:

  • Proficient in Microsoft Office Suite.
  • Experience with Fidelity and/or Visa Online platforms.

Educational Background:

  • Bachelor's degree in Business Administration, Finance, or a related discipline is preferred.
  • Relevant certifications or training in financial regulations and dispute resolution are advantageous.


  • San Antonio, Texas, United States Strategic Staffing Solutions Full time

    Position Title: Dispute Analyst Location: Remote Compensation: $25-30/hr, W2 Contract Duration: 12+ Months Job Overview: The Dispute Analyst plays a crucial role in safeguarding the financial interests of our clients and their members. This position involves conducting thorough investigations into member claims, analyzing, and processing inquiries related to...


  • San Antonio, Texas, United States Strategic Staffing Solutions Full time

    Position Title: Dispute Analyst Location: Remote Compensation: $25-30/hr, W2 Contract Duration: 12+ Months Overview: The Dispute Analyst plays a crucial role in safeguarding the financial interests of our clients and their members. This position involves conducting thorough investigations into member claims, as well as researching, analyzing, and processing...


  • San Antonio, Texas, United States Strategic Staffing Solutions Full time

    Position Title: Dispute Analyst Location: Remote Compensation: $25-30/hr, W2 Contract Duration: 12+ Months Job Overview: The Dispute Analyst plays a crucial role in safeguarding the financial interests of clients and their members by performing thorough investigations of claims, as well as researching, analyzing, and addressing inquiries related to financial...


  • San Antonio, Texas, United States Strategic Staffing Solutions Full time

    Position Title: Dispute Analyst Location: San Antonio, TX Compensation: $25-30/hr, W2 Contract Duration: 12+ MonthsOverview: The Dispute Analyst plays a crucial role in safeguarding the financial interests of our clients and their members. This position involves thorough investigations of member claims, alongside the research, analysis, and processing of...


  • San Antonio, Texas, United States Strategic Staffing Solutions Full time

    Position Title: Dispute Analyst Location: San Antonio, TX Compensation: $25-30/hr, W2 Contract Duration: 12+ Months Overview: The Dispute Analyst plays a crucial role in safeguarding the financial interests of clients and their members by performing thorough investigations of member claims. This involves researching, analyzing, and processing inquiries...


  • San Antonio, Texas, United States GuideWell Full time

    About the RoleWe are seeking a highly skilled Client Resolution Specialist to join our team at GuideWell. As a key member of our customer service team, you will be responsible for handling complex client-related issues and providing expert-level resolution to clients.Key ResponsibilitiesClient Support: Provide primary client contact for claims and customer...


  • San Antonio, Texas, United States GuideWell Full time

    About the RoleWe are seeking a highly skilled Client Resolution Specialist to join our team at GuideWell. As a key member of our customer service team, you will be responsible for handling complex client-related issues and providing expert-level resolution to clients.Key ResponsibilitiesClient Support: Provide primary client contact for claims and customer...


  • San Antonio, Texas, United States Frontier Management (OR) Full time

    POSITION OVERVIEW/RESPONSIBILITIES Frontier Management is seeking skilled CLAIMS Analysts to join our dynamic team, focusing on our comprehensive healthcare programs. The CLAIMS Analysts will evaluate intricate issues related to claim settlements, eligibility criteria, supplementary insurance, transplant cases, and system-related challenges that exceed...


  • San Antonio, Texas, United States The Hartford Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex...


  • San Antonio, Texas, United States Visionworks Full time

    Overview:Oversee the credentialing and re-credentialing processes for healthcare providers and retail locations to guarantee timely active status. Investigate outstanding claims associated with credentialing challenges. Update and maintain the MVC website information for all service points. Facilitate the enrollment of new facilities and practitioners for...


  • San Antonio, Texas, United States Apex Systems Full time

    Job Title: Customer Support: Fraud Investigation SpecialistLocation: Hybrid work modelSchedule: Two available shiftsMonday - Friday 10am - 7pmTuesday - Friday 10am - 7pm and Saturday 8am - 4:30pmJob Type: Long-term contract with potential for permanent placementCompensation: $17 - $19 per hourNumber of Openings: 3 - 5Overview:The primary role of the Fraud...


  • San Antonio, Texas, United States Assure Fertility Partners of San Antonio Full time

    Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care services to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing and claims process.Key Responsibilities:Documentation Review: Conduct thorough reviews of...


  • San Antonio, Texas, United States Assure Fertility Partners of San Antonio Full time

    Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing process.Key Responsibilities:Documentation Review: Thoroughly review medical documentation to...


  • San Antonio, Texas, United States The Hartford Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex...


  • San Antonio, Texas, United States Fred Loya Insurance Full time

    Job Title: Claims Adjuster SpecialistCompany: Fred Loya InsuranceThe Claims Adjuster Specialist position focuses on managing cases represented by legal counsel, assessing, and negotiating settlements with attorneys in a professional manner. Additionally, unrepresented claimants will be addressed as necessary.Benefits:Incentive payComprehensive training...


  • San Antonio, Texas, United States The Hartford Full time

    Job SummaryWe are seeking a highly skilled Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex Workers' Compensation...

  • Claims Examiner

    6 days ago


    San Antonio, Texas, United States SWBC Real Estate, LLC Full time

    Job SummarySWBC Real Estate, LLC is seeking a skilled Claims Adjuster to investigate, evaluate, and negotiate auto claims, CPI and GAP, to determine the extent of liability by interpreting and calculating settlement. Responsible for issuing settlement payments to the Named Insured.Key ResponsibilitiesGathers and assembles pertinent claim information by...


  • San Antonio, Texas, United States EControls Full time

    About the Role:Become a part of EControls, a prominent global entity renowned for its innovative integrated control solutions tailored for internal combustion engines and electric drive systems across diverse sectors. Our committed workforce engineers exceptional engine management systems for leading OEMs around the globe, guaranteeing peak performance and...


  • San Antonio, Texas, United States USAA Full time

    About the RoleAs a Senior Claims Adjuster, you will play a critical role in ensuring the financial security of USAA's members by effectively managing and resolving bodily injury and UM claims. This position requires a high level of expertise in claims handling, negotiation, and settlement, as well as excellent communication and interpersonal skills.Key...

  • Claims Adjuster

    1 week ago


    San Antonio, Texas, United States Sedgwick Full time

    Join Our Team as a Claims AdjusterAt Sedgwick, we prioritize the well-being of our colleagues, fostering a culture of support and care. A career with us means flexibility and the opportunity to focus on what truly matters in your life. It’s a chance to engage in meaningful work every day, backed by a commitment to your mental, physical, financial, and...