dispute specialist

The Plastic Surgery Center

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.We are seeking a Claims Dispute Specialist.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.Key Responsibilities <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>Qualifications and Experience <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>Skills <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>Compensation &amp; Benefits:<ul><li>&middot; Pay Range: $55,000- $60,000annually</li><li>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.</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>IND2Job Type: Full-timePay: $55,000.00 - $60,000.00 per yearExperience:<ul><li>Medical claims processinfg: 2 years (Required)</li><li>No Surprises Act: 2 years (Required)</li></ul>Ability to Commute:<ul><li>Red Bank, NJ 07701 (Required)</li></ul>Work Location: In person

Claims Dispute Specialist

Qiddiya Investment Company

<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&rsquo;s interests by providing expert guidance on dispute resolution strategies across various sectors of the business. 
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> 

Requirements 
<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

iMPROve Health

<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div>About iMPROve Health
Come join the iMPROve Health team!
iMPROve Health is Michigan&rsquo;s Medicare-designated Quality Improvement Organization, and we&rsquo;re proud to be recognized as both a Cool Place to Work by Crain&rsquo;s Detroit Business (four years running) and one of Modern Healthcare&rsquo;s Best Places to Work in Healthcare.
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: help healthcare get better.
This position is 100% remote, 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.
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.
Join us in making a meaningful impact on healthcare&mdash;one improvement at a time.
SUMMARY:
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.
DUTIES AND RESPONSIBILITIES:<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 claims, appeals, and denials 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 constant computer usage 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>
EDUCATION AND/OR EXPERIENCE:<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 IDR or claims, appeal, and denial processes 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>
CORE COMPETENCIES:
Attention to detail, reliability, effective communication, collaboration, accountability, time management, and problem-solving.
This is a fully remote opportunity. 
EOE/VET/Disability</div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div> 
Monday - Friday 8 am to 5 pm EST</div>

PROJECT SPECIALIST - HEALTHCARE - REMOTE

Liberty Mutual Insurance

<div>Description
<div>Are you looking to use your customer service skills in a role where you can see that you are making a difference in people&rsquo;s lives? Are you looking for a position that allows you to do meaningful and innovative work in a culture of continuous improvement? If so, this opportunity could be for you!
Liberty Mutual&rsquo;s Large Loss Claims Property team has an immediate opening for a Personal Property Claims Specialist. As a Claims Specialist, you will manage, investigate and resolve assigned Property Contents claims under general supervision. Responsibilities include: capturing and creating an inventory of damaged/lost contents while on site, working with various vendors and ensuring that quality customer service is provided via face to face and phone interaction. Manages, investigates and resolves assigned Property Contents claims for more complex claims under limited supervision. Compiles and values inventory of high-end damaged/lost contents associated with property claims. Provides policyholders with quality customer service. May assist Claims Representatives with in-person inspection/policyholder contact where necessary.
Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.
To be successful in this role, the ideal candidate must be comfortable with travelling as he/she would be travelling 75% of the time, visiting homes and doing inspections/investigations.
Candidates who reside in Southern Illinois and Southwest Indiana are also welcome to apply for this role. 
Responsibilities:<ul><li>
Responsible for claims handling personal property losses to include large loss.</li><li>
Works in concert with large loss adjuster for scheduling, inventorying, adjustment and relocation assistance.</li><li>
Performs on-site inventory inspection and specific detail capture (50% minimum on-site) to provide to policyholder for pricing.</li><li>
Develops expert list/websites for various product categories.</li><li>
Utilizes internet VIA/Insurer's World/vendors for pricing and/or validation.</li><li>
Documents the file accordingly.</li><li>
Provides quality customer service.</li><li>
Provides insured with policy information to include coverage, limitations, replacement or ACV options.</li><li>
Works with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services.</li><li>
May assist on files handled by Claims Reps with in-person inspection/policyholder contact when needed.</li><li>
Attends product seminars/shows to build personal property expertise.</li><li>
May be called upon for catastrophe duty.</li></ul></div>
Qualifications<ul><li>
Strong written and oral communications skills required.</li><li>
Good interpersonal, analytical and negotiation skills required</li><li>
Customer service experience preferred</li><li>
Knowledge of coverages provided within various homeowner policies.</li><li>
Experience in interior design, electronics, appliances, antique-collectibles, clothing and furniture retail preferred.</li><li>
The capabilities, skills and knowledge required is normally acquired through a Bachelor&rsquo;s degree or equivalent experience and 3-5 years of directly related experience.</li><li>
Ability to obtain proper licensing as required.</li></ul>
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. 
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. 
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits 
 
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. 
 
Fair Chance Notices<ul><li>
California</li><li>
Los Angeles Incorporated</li><li>
Los Angeles Unincorporated</li><li>
Philadelphia</li><li>
San Francisco</li></ul></div>

Claim Resolution Specialist, Personal Property

<div>
 HKA is a leading global consultancy in risk mitigation, dispute resolution, expert witness and litigation support. We anticipate, investigate and resolve complex challenges by harnessing world-leading multi-disciplinary expertise and experience.
 
 
 As trusted independent consultants, experts and advisors, we deliver solutions amid uncertainty, dispute and overrun, and provide the insights that make the best possible outcomes a reality for public and private sector clients worldwide. Our experts have testified across the globe on many of the largest quantum, delay, engineering and commercial damages matters.
 
 
 
 At HKA, You Can Expect
 
 
 
 <ul>
 <li>
 A collaborative and supportive team environment, working alongside industry-leading experts in forensic accounting, valuations and financial damages.
 </li>
 <li>
 Exceptional learning opportunities, with on‑the‑job coaching, tailored training and exposure to real disputes from day one.
 </li>
 <li>
 A varied and challenging workload, contributing to technically rigorous and high‑profile assignments.
 </li>
 <li>
 A culture that invests in your growth, helping you develop the analytical, commercial and professional skills needed for a successful career.
 
 
 </li>
 </ul>
 
 The Opportunity
 
 
 
 As a Consultant in our Forensic Accounting &amp; Commercial Damages (FACD) team, you will play an important role in supporting the delivery of high‑quality expert advisory services. You will work closely with experienced colleagues to assist with financial, accounting and valuation analyses, while contributing to the effective execution of our commissions. This role provides an outstanding foundation for building a career in forensic accounting, valuations, financial damages and expert services.
 
 
 You will gain early exposure to complex disputes and have the opportunity to grow quickly as you develop your technical capability, commercial awareness and client-handling skills.
 
 
 
 Key Responsibilities
 
 
 
 You will support the FACD practice by:
 
 
 
 Technical Work &amp; Analysis
 
 
 
 <ul>
 <li>
 Contributing to the delivery of high‑quality technical work within your assigned areas.
 </li>
 <li>
 Assisting with financial, accounting and data analysis for expert and dispute-related engagements.
 </li>
 <li>
 Developing strong analytical, problem‑solving and research skills.
 
 
 </li>
 </ul>
 
 Commission Support
 
 
 
 <ul>
 <li>
 Supporting the execution of assigned commission management tasks, ensuring alignment with HKA methodologies and standards.
 </li>
 <li>
 Helping maintain quality, accuracy and consistency across your work.
 
 
 </li>
 </ul>
 
 Client Interaction
 
 
 
 <ul>
 <li>
 Developing effective working relationships with client project team members in a professional, appropriate manner.
 
 
 </li>
 </ul>
 
 Professional Development
 
 
 
 <ul>
 <li>
 Taking ownership of your self-development, identifying learning goals and seeking out opportunities to build skills and knowledge.
 
 
 </li>
 </ul>
 
 Business Development &amp; Market Engagement
 
 
 
 <ul>
 <li>
 Supporting local business development initiatives, including assisting with proposals and contributing to team marketing efforts.
 </li>
 <li>
 Acting as a brand ambassador, including appropriate professional use of social media.
 
 
 </li>
 </ul>
 
 Skills &amp; Experience
 
 
 
 We&rsquo;re looking for an analytical, motivated and collaborative Consultant who brings:
 
 
 <ul>
 <li>
 We welcome applications from newly qualified accountants and economics postgraduates, as well as those with practical experience:
 </li>
 <li>
 Postgraduate degree in accounting, finance, economics, or business.
 </li>
 <li>
 Qualified Accountant or Economist with 3+ years&rsquo; experience in consulting (Forensic Services, Valuations, Transaction Services, or Audit).
 </li>
 <li>
 Analytical and detail-oriented, with strong problem-solving skills.
 </li>
 <li>
 Clear communicator, both written and verbal.
 </li>
 <li>
 Strategic thinker who thrives in ambiguity.
 </li>
 <li>
 Language skills are a plus!
 
 
 </li>
 </ul>
 
 What We Offer
 
 
 
 At HKA we recognise that our people are critical to our ongoing success. Our priority is to provide an inclusive and collaborative culture aimed at providing the best opportunities for our people to thrive and develop in their chosen career path.
 
 
 We operate a flexible working pattern both in terms of hours and location and are happy with flexible remote working.
 
 
 Our Global Recruitment team is committed to providing an authentic candidate experience for all those who take the time to apply to HKA. We are committed to providing an efficient and insightful recruitment process giving candidates a true reflection of life at HKA.
 
 
 
 ED&amp;I At HKA
 
 
 
 HKA has a thriving ED&amp;I committee working hard to provide an inclusive and welcoming environment for a truly diverse set of employees. We are committed as a business on the continued improvement of our Equality, Diversity and Inclusion strategy, please visit our careers page for further information or feel free to ask our recruitment team for further information.
 
 
 All HKA employment decisions are firstly made on merit and shall be made without regard to age, disability, gender or gender reassignment, marriage, and civil partnership, pregnancy and maternity, race, religion or belief, sex, and sexual orientation, or any other basis in compliance with local legislation.
 
 
 HKA is one of the world&rsquo;s leading consultancy of choice for multi-disciplinary expert and specialist services in risk mitigation and dispute resolution within the capital projects and infrastructure sector.
 
 
 We also have experience advising clients on the economic impact of commercial and investment treaty disputes and in forensic accounting matters.
 
 
 As trusted independent consultants, experts and advisors, we deliver solutions amid uncertainty, dispute and overrun, and provide the insights that make the best possible outcomes a reality for public and private sector clients worldwide.
</div>

Consultant & Managing Consultant-Forensic Accounting & Commercial Damages (FACD)

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.
 
 
 
 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>
 
 Requirements
 
 
 
 <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>

CONNEXUS CREDIT UNION

<div>Connexus Credit Union - Who We Are:
Serving members across all 50 states, Connexus Credit Union is a member-focused cooperative that is proud to return profits to member-owners through high yields for checking accounts and deposit products, as well as competitive rates on our loans. We are a remote first employer with the majority of our employees residing in the upper Midwest.
As an employer we foster collaboration and high performance to achieve excellence. We holistically care for and develop our employees to thrive personally and professionally. We are proud to share our success with our employees and those we serve.
This position is a temporary contract role and is not a permanent employment opportunity.
About the Role:
Our Card Fraud Specialist is responsible for a variety of activities such as initiating card disputes, processing reports, and working claims to ensure compliance with Regulation E. This position not only serves as a subject matter expert in card fraud, they will also assist members and employees of Connexus over the phone to provide guidance, support, and investigate claims. If you have a hunger to learn, a desire to help others, and thrive in change, join our team for the opportunity to be your personal and professional best. 
Responsibilities:<ul><li>
Receives and analyzes fraud and non-fraud card disputes from members and employees and determines appropriate resolutions.</li><li>
Complete daily call backs for suspicious debit card activity and processing Reg E Claims with strict adherence to Regulation E and Credit Union policy.</li><li>
Troubleshoot common debit card issues, order debit cards and perform card maintenance as necessary.</li><li>
Answer incoming member and department phone calls to resolve and investigate debit card fraud claims.</li><li>
Review and work daily Velera reports to ensure proper tracking of case status while ensuring applicable follow-ups are completed and notices are sent.</li><li>
Initiate outbound member calls to review submitted cases and gather additional documentation as needed.</li><li>
Collaborate with other Connexus departments, other financial institutions, law enforcement authorities or members when researching and resolving suspicious activity, under the direction of the Card Fraud Manager or Card Fraud Analyst.</li></ul>
Position Requirements:<ul><li>
This position is Remote.</li><li>
1+ years related experience is Required.</li><li>
Experience in financial institutions is Required.</li><li>
Self-motivated individual that is detail oriented and can accurately complete work within required time frames under minimum supervision driven by a sense of urgency.</li><li>
Possesses proficient skills to open, create, and modify various documents using the Microsoft Suite (e.g. documents, spreadsheets, email, etc.) and enter/retrieve information using various applications/systems.</li><li>
Excellent verbal and written communication skills to effectively communicate with all levels of bank and external customers.</li><li>
Must possess the ability to gather and analyze information skillfully and document those findings in a clear and concise report.</li></ul>
Connexus Credit Union's Employer Recognitions:<ul><li>
2026 Best Place to Work in IT, Computer World</li></ul>
Equal Opportunity Employer/Disabled/Veterans/41 CFR 60&ndash;1.4, 41 CFR 60-1.35</div>

Card Fraud Specialist

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4845 dispute specialist jobs Near Me

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PROJECT SPECIALIST - HEALTHCARE - REMOTE

Claim Resolution Specialist, Personal Property

Consultant & Managing Consultant-Forensic Accounting & Commercial Damages (FACD)

Senior Legal Counsel - Disputes Vertical

Card Fraud Specialist