dispute resolution specialist

The Plastic Surgery Center

<p>The Advanced Reconstructive Surgery Alliance (ARSA) and its affiliates are the largest Reconstructive Plastic Surgery medical practice in the country. Our expanding team of top tier physicians, coupled with our continued medical advancements, allows us to offer patients extraordinary clinical services with 5-star experience. We have a bold vision with a desire to revolutionize the industry; meeting patient needs while favorably transforming their lives. Common across the enterprise is not only the commitment to providing superior patient care, but to employee satisfaction and growth opportunities. It is a culture of teamwork, respect and appreciation for all employees&mdash;whether caring for patients directly or working in a support role.</p><p>We are seeking a <b>Claims Dispute Specialist.</b></p><p>The Claims Dispute Coordinator manages and resolves complex medical claim disputes and appeals with a focus on compliance with the Federal No Surprises Act (NSA) and similar state surprise billing laws. This role requires strong written communication skills, analytical skills and attention to detail. The ideal candidate brings the ability to efficiently prepare strong written arguments based on complex medical claims while effectively managing dispute process deadlines.</p><p><i><b>Key Responsibilities </b></i></p><ul><li>Review and analyze medical claims to ensure accuracy, compliance, and eligibility for appeal or dispute under the NSA or state law</li><li>Investigate claim payments and denials by reviewing clinical documentation, insurance payer contracts, and claim history</li><li>Initiate and manage disputes under the NSA or state law</li><li>Prepare clear and effective written arguments as part of claims dispute processes</li><li>Analyze data and identify insights to support negotiations and dispute arguments</li><li>Collaborate with various teams within ARSA to ensure timely and successful dispute resolution</li></ul><p><i><b>Qualifications and Experience </b></i></p><ul><li>1&ndash;3 years in healthcare claims processing preferred</li><li>Experience with No Surprises Act dispute resolution highly preferred</li><li>Bachelor&rsquo;s degree relevant field preferred</li></ul><p><i><b>Skills </b></i></p><ul><li>Strong analytical and problem-solving abilities</li><li>Strong written and verbal communication skills</li><li>Strong organization skills</li><li>Ability to manage multiple priorities and meet deadlines in a fast-paced environment</li><li>Proficiency in Microsoft Office suite and healthcare practice management systems</li></ul><p><b>Compensation &amp; Benefits:</b></p><ul><li>&middot; Pay Range: $55,000- $60,000annually</li><li><i>the starting rate within this range for this role varies depending on a number of factors, including a candidate&rsquo;s qualifications, skills, competencies, experience, and location.</i></li><li>&middot; Medical, Dental, Vision, Life, HSA and Long-Term Disability insurance</li><li>&middot; 401k and Profit sharing</li><li>&middot; Paid Time Off</li><li>&middot; Contribution to Health Benefits</li><li>Company Discounts on Products &amp; Services</li></ul><p>IND2</p><p>Job Type: Full-time</p><p>Pay: $55,000.00 - $60,000.00 per year</p><p>Experience:</p><ul><li>Medical claims processinfg: 2 years (Required)</li><li>No Surprises Act: 2 years (Required)</li></ul><p>Ability to Commute:</p><ul><li>Red Bank, NJ 07701 (Required)</li></ul><p>Work Location: In person</p>

Claims Dispute Specialist

Qiddiya | القدية

<div>
 Qiddiya Investment Company is seeking a highly skilled Senior Legal Counsel specializing in Disputes to lead our legal efforts in managing and resolving complex litigation and dispute matters. This role is pivotal in protecting the company's interests by providing expert guidance on dispute resolution strategies across various sectors of the business.
 <br/>
 <br/>
 <strong>
  Key Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Lead the management and resolution of legal disputes, including litigation, arbitration, and alternative dispute resolution processes
  </li>
  <li>
   Develop and implement effective dispute resolution strategies to minimize risks and financial exposure
  </li>
  <li>
   Work closely with internal stakeholders and external legal counsel to coordinate case management and ensure timely and cost-effective resolution of disputes
  </li>
  <li>
   Provide expert legal advice on potential and ongoing disputes to senior management and relevant departments
  </li>
  <li>
   Draft, review, and negotiate settlement agreements and related legal documents
  </li>
  <li>
   Monitor legal developments and trends in dispute resolution to inform company strategies
  </li>
  <li>
   Mentor and guide junior legal team members in the disputes practice area
  </li>
  <li>
   Collaborate with cross-functional teams to proactively identify and mitigate legal risks
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Law degree &amp; qualified to practice law
  </li>
  <li>
   Minimum 10 years of experience focused on dispute resolution, litigation, or arbitration, preferably within an in-house legal environment or law firm
  </li>
  <li>
   Strong expertise in managing complex disputes across multiple jurisdictions
  </li>
  <li>
   Excellent negotiation, advocacy, and case management skills
  </li>
  <li>
   Proven ability to develop and execute effective dispute resolution strategies
  </li>
  <li>
   Outstanding communication skills in English and Arabic, both written and verbal
  </li>
  <li>
   Leadership experience with the ability to mentor and develop junior lawyers
  </li>
  <li>
   Ability to work under pressure, manage multiple cases, and deliver results in a fast-paced environment
  </li>
 </ul>
</div>


Senior Legal Counsel - Disputes Vertical

Qiddiya Investment Company

<div><p>Qiddiya Investment Company is seeking a highly skilled Senior Legal Counsel specializing in Disputes to lead our legal efforts in managing and resolving complex litigation and dispute matters. This role is pivotal in protecting the company&rsquo;s interests by providing expert guidance on dispute resolution strategies across various sectors of the business.</p><br>
Key Responsibilities<ul><li>
Lead the management and resolution of legal disputes, including litigation, arbitration, and alternative dispute resolution processes.</li><li>
Develop and implement effective dispute resolution strategies to minimize risks and financial exposure.</li><li>
Work closely with internal stakeholders and external legal counsel to coordinate case management and ensure timely and cost-effective resolution of disputes.</li><li>
Provide expert legal advice on potential and ongoing disputes to senior management and relevant departments.</li><li>
Draft, review, and negotiate settlement agreements and related legal documents.</li><li>
Monitor legal developments and trends in dispute resolution to inform company strategies.</li><li>
Mentor and guide junior legal team members in the disputes practice area.</li><li>
Collaborate with cross-functional teams to proactively identify and mitigate legal risks.</li></ul><br>
<b>
Requirements</b><br>
<ul><li>
Law degree &amp; qualified to practice law.</li><li>
Minimum 10 years of experience focused on dispute resolution, litigation, or arbitration, preferably within an in-house legal environment or law firm.</li><li>
Strong expertise in managing complex disputes across multiple jurisdictions.</li><li>
Excellent negotiation, advocacy, and case management skills.</li><li>
Proven ability to develop and execute effective dispute resolution strategies.</li><li>
Outstanding communication skills in English and Arabic, both written and verbal.</li><li>
Leadership experience with the ability to mentor and develop junior lawyers.</li><li>
Ability to work under pressure, manage multiple cases, and deliver results in a fast-paced environment.</li></ul></div>

iMPROve Health

<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>About iMPROve Health</b></p><p><b>
Come join the iMPROve Health team!</b></p><p>
iMPROve Health is Michigan&rsquo;s Medicare-designated Quality Improvement Organization, and we&rsquo;re proud to be recognized as both a <i>Cool Place to Work</i> by Crain&rsquo;s Detroit Business (four years running) and one of <i>Modern Healthcare&rsquo;s Best Places to Work in Healthcare</i>.</p><p>
As a nonprofit with more than 40 years of experience, we&rsquo;re dedicated to improving healthcare across the continuum of care using evidence-based, data-driven strategies. We provide medical consulting and review services, along with data analysis, to federal agencies, state Medicaid programs, public health organizations, healthcare facilities, private health plans, and other third-party payers. Our team also specializes in impartial utilization review, dispute resolution, and peer review. Our mission is simple: <b>help healthcare get better.</b></p><p>
This position is <b>100% remote</b>, offering the flexibility to work from anywhere in the United States while collaborating with a supportive, nationwide team. We prioritize work/life balance and invest in our employees&rsquo; growth through professional development and continuing education opportunities. Our benefit package includes medical, dental, vision, life insurance, short- and long-term disability, and a generous 401(k) match.</p><p>
At iMPROve Health, we are committed to improving the quality, safety, and efficiency of healthcare. While we do not provide direct patient care, our healthcare professionals&mdash;including physicians, nurses, and experienced consultants&mdash;partner with providers to promote the use of evidence-based best practices. We offer our clients a trusted, impartial resource that understands the complexities of the healthcare landscape and is dedicated to thoughtful, high-quality solutions.</p><p>
Join us in making a meaningful impact on healthcare&mdash;one improvement at a time.</p><p><b>
SUMMARY:</b></p><p>
The Project Specialist assists with the daily workflow administrative responsibilities that support the Federal Independent Dispute Resolution Entity (IDRE) review process. The Project Specialist aids in facilitating the processing of IDR reviews and completes other duties as assigned under the direction of the IDR/IIDR Director and Program Manager. The specialist will work closely with the IDRE team and all reviewers to ensure case timeliness. Responsibilities also includes working with external customers to ensure receipt of all necessary review documentation.</p><p><b>
DUTIES AND RESPONSIBILITIES:</b></p><ul><li>
Assist the team with facilitating review requests in a timely and efficient manner, including implementing processes to track and monitor individual case progress and timeliness.</li><li>
Collaborate with IDRE team members to achieve department goals, including prescreening IDR (Independent Dispute Resolution) cases for eligibility using defined criteria.</li><li>
Apply knowledge and experience in <b>claims, appeals, and denials</b> to support review and resolution processes, ensuring accuracy, compliance, and timeliness.</li><li>
Coordinate, document, and track pertinent data to meet team informational and reporting needs via various applications, including specific review and claims-related portals.</li><li>
Work closely with the administrative assistant to ensure receipt and completeness of all review documentation.</li><li>
Develop materials such as forms, email correspondence, manuals, articles, lists, invoices, charts, matrices, reports, records, schedules, templates, and other documents of similar complexity.</li><li>
Organize and support team planning, arranging, and coordinating specific meetings, workshops, programs, presentations, conferences, or other group events.</li><li>
Utilize advanced computer skills for daily work; responsibilities require <b>constant computer usage</b> and proficiency in software programs such as Microsoft Office, all Windows software products, and web-based portals.</li><li>
Participate in portal development and enhancements, including testing and feedback to improve functionality and user experience.</li><li>
Adhere to all relevant compliance regulations (Health Insurance Portability and Accountability Act, Federal Information Security Management Act, URAC, Centers for Medicare &amp; Medicaid Services, Federal Acquisition Regulation (FAR)).</li><li>
Complete other duties as assigned</li></ul><p><b>
EDUCATION AND/OR EXPERIENCE:</b></p><ul><li>
Associate&rsquo;s degree or five (5) years of related experience required; Bachelor&rsquo;s degree preferred (healthcare specialty preferred).</li><li>
Minimum two (2) years of project support experience in a corporate or professional environment required.</li><li>
Experience in <b>IDR or claims, appeal, and denial processes</b> preferred.</li><li>
Project management skills required.</li><li>
Strong communication skills, both verbal and written, required.</li><li>
Strong multi-tasking skills with attention to detail and deadlines required.</li></ul><p><b>
CORE COMPETENCIES:</b></p><p>
Attention to detail, reliability, effective communication, collaboration, accountability, time management, and problem-solving.</p><p>
This is a fully remote opportunity.</p><p></p><p><b><br>
EOE/VET/Disability</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><br>
Monday - Friday 8 am to 5 pm EST</div>

PROJECT SPECIALIST - HEALTHCARE - REMOTE

Egyptian Banks Company

<div><ul><li>Manage the full chargeback lifecycle from initiation to final resolution
</li><li>Investigate and analyze disputed transactions across issuer and acquirer perspectives
</li><li>Process chargebacks in compliance with Visa and Mastercard rules and regulations
</li><li>Review transaction data and supporting documents to build strong representment cases
</li><li>Monitor deadlines and ensure timely submission of chargeback responses
</li><li>Collaborate with internal teams (fraud, operations, customer service) to resolve disputes efficiently
</li><li>Identify trends, root causes, and potential fraud patterns
</li><li>Maintain accurate records and reporting of chargeback activities
</li><li>Communicate with customers or partners via email when required</li></ul><br>
<b>
Requirements</b><br>
<ul><li>
Bachelor&rsquo;s degree in Business, Finance, or a related field
</li><li>5+ years of experience in chargeback management or dispute resolution
</li><li>Strong understanding of the end-to-end chargeback cycle
</li><li>Hands-on experience with both <b>issuer</b> and <b>acquirer</b> chargeback processes
</li><li>Solid knowledge of card network rules, particularly Visa and Mastercard regulations
</li><li>Experience using chargeback or dispute management systems
</li><li>Strong analytical and problem-solving skills
</li><li>High attention to detail and ability to meet strict deadlines
</li><li>Good written communication skills</li></ul></div>

Chargeback Senior Specialist

Ariane Holding

<p>1. Conducting legal analysis and researching legal matters.</p><p>2. Assisting external lawyers in drafting memorandum and defence</p><p>3. Drafting legal opinions, memoranda, and briefing documents.</p><p>4. Reviewing legal material</p><p>5. Formulating formalities regarding settlements of disputes.</p><p>6. Monitoring the implementation of the legal clauses</p><p>7. Reviewing legal cases before filing from law firm.</p><p><b>Requirements:</b></p><ul><li>Experience : Minimum 2 years</li><li>Languages : Bilingual &ldquo; fluent in both Arabic and English &ldquo;</li><li>Background : Qatar jurisdiction / real estate and construction dispute resolution.</li><li>Qatari driving license.</li></ul><p>Job Type: Full-time</p><p>Application Question(s):</p><ul><li>How long is your notice period</li><li>What is your salary expectations (Mandatory)</li><li>what is your current salary package</li></ul><p>Location:</p><ul><li>Doha (Required)</li></ul><p>Work Location: In person</p>

Paralegal/ Legal Assistant

Momentum Solutions Egypt

<div><p><b>About Momentum</b><br>
Momentum Solutions Egypt is a dynamic office located in Heliopolis. We deliver top-tier customer care, sales support, and a growing range of business solutions for global travelers booking with FlightHub and Justfly. Powered by a dedicated and agile team, Momentum Solutions Egypt is built to scale&mdash;supporting functions from service to strategy, all while making travel seamless, accessible, and stress-free.</p>
<p><b>
Position Overview</b><br>
We are looking for a detail-oriented and analytical <b>Chargeback Analyst </b>to join our Loss Prevention team supporting FlightHub. In this role, you will be responsible for managing chargeback disputes, investigating claims, and collaborating with internal teams, suppliers, and airlines to recover funds and resolve cases efficiently. You will play a key role in protecting the business from financial loss while ensuring disputes are handled fairly, accurately, and in compliance with company and regulatory standards. If you enjoy problem-solving, working with data, and driving resolutions, we would love to hear from you! Please note, we are looking for someone with previous experience working in the travel industry, with GDS experience.</p>
<p><b>
What You'll Be Doing:</b></p>
<ul>
<li>Process and dispute chargebacks and customer inquiries in order to recover funds.</li>
<li>Investigate disputes by working with internal teams, customers, suppliers, and airlines to determine the root cause of each case.</li>
<li>Prepare strong re-presentment documentation and supporting evidence for chargeback disputes.</li>
<li>Review and resolve airline claims and Agency Debit Memos.</li>
<li>Maintain accurate records and update chargeback cases with the correct dispute status and classification throughout the dispute cycle.</li>
<li>Ensure cancellations, refunds, and payment clearances are completed according to company policies and approval guidelines.</li>
<li>Monitor pending and awaiting cases to ensure SLA targets are met and recovery opportunities are not missed.</li>
<li>Report on fraud-related, service-related, and system-related chargebacks.</li>
<li>Maintain daily and weekly communication with internal stakeholders and external partners to drive timely case resolution.</li>
<li>Analyze limited information to make sound decisions and recommend corrective actions.</li>
</ul>
<p><b>What You Bring:<br>
</b><br>
</p><ul><li>Experience using <b>Amadeus and/or Sabre.</b></li>
<li>Experience working within the travel, airline, or online booking industry is considered a strong asset.</li>
<li>Familiarity with travel booking history, ticket cancellations, refunds, fare and tax calculations, and airline dispute processes.</li>
<li>Previous experience in chargebacks, fraud prevention, dispute resolution, payments, or a related operational role, an asset.</li>
<li>Strong analytical and problem-solving skills with excellent attention to detail.</li>
<li>Ability to make decisions and investigate complex cases with limited information.</li>
<li>Excellent written and verbal communication skills in English (B2 level is a must).</li>
<li>Strong organizational skills with the ability to manage multiple cases at once in a fast-paced environment.</li>
<li>Proficiency in Microsoft Word, Excel, and internet research tools.</li>
</ul>
<p><b>Please note this is a full-time on-site position, in Heliopolis, Egypt.</b></p>
<p><b>
Benefits of Working With Us:</b></p><br>
<ul>
<li>Competitive salary and performance-based incentives</li>
<li>Collaborative and supportive team environment</li>
<li>Opportunity to work with leading global travel brands</li>
<li>Career growth and development within a fast-growing company</li>
<li>Gain valuable experience in travel operations, fraud prevention, and dispute management</li>
</ul>
<p>If you're ready to put your analytical skills to work in an exciting, travel-focused environment, apply today and join the Momentum Solutions Egypt team!</p>
<p>
Explore FlightHub: https://corporate.flighthub.com/</p>
<p>
Explore Momentum Solutions: https://momentumegypt.com/</p></div>

Chargeback Analyst (GDS experience needed)

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7397 dispute resolution specialist jobs Near Me

Claims Dispute Specialist

Senior Legal Counsel - Disputes Vertical

Senior Legal Counsel - Disputes Vertical

PROJECT SPECIALIST - HEALTHCARE - REMOTE

Chargeback Senior Specialist

Paralegal/ Legal Assistant

Chargeback Analyst (GDS experience needed)