Claims Resolution Representative
Great Expressions Dental Centers
Claims Resolution Representative
The Claims Resolution Representative primary role is to resolve high volumes of aging insurance claims with payers and providers by calling insurance companies or by utilizing their websites when available. This person should be detail oriented and can communicate effectively with insurance companies. While it is important to work well with their team it is equally important that they are self-motivated.
This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday, Tuesday, Thursday in office and Wednesday/Friday remote.
Ability and self-confidence to communicate effectively, and tactfully, to both large insurance company representatives and individual clients
Resolving high volumes of aging insurance claims
Other tasks as requested by direct Manager
High school diploma or GED
Bachelor's degree preferred
Experience in insurance claims is a plus
Analytical and problem solving skills with a passion for detail & accuracy
Reliability and flexibility with time committed to the position
Excellent organizational and time management skills
3+ years Dental Front Desk or Medical or Dental Claims Processing experience
Prior experience with insurance or accounts receivable (denied claims)
High volume, fast-paced office experience a plus
Proficiency in Microsoft Outlook and Excel
Since 1982, Great Expressions has been at the forefront of dental innovation, setting the standard for exceptional care and unforgettable patient experiences. Now, we're entering a new era of transformation, and we want you to be a part of it. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. We're channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected. At Great Expressions, we're not just transforming dentistry; we're investing in the growth and development of our team. Join us and be a part of a career that blends innovation and professionalism, where your contribution shapes the future of dental excellence.
GEDC is committed to diversity and inclusion and is proud to be an equal opportunity employer. All qualified applicants are welcomed and encouraged to apply.
Great Expressions Dental Centers- ...Analyst We are seeking an Epic Application Analyst to join our Resolute Revenue Cycle Billing team. This role is ideal for someone... ...integrated system implementation Must have Epic Hospital Billing and Claims Certification Experience working with Epic systems...SuggestedFull timeMonday to FridayShift workWeekend work
- ...Insurance Processing Specialist to work remotely. This role involves facilitating fund recovery for roofing and exterior property claims, ensuring documentation accuracy, and maintaining communication with insurance providers. The ideal candidate should be detail-oriented...SuggestedRemote work
$50k - $55k
...Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process low... ...met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures...SuggestedContract workWork at officeFlexible hours$19 - $22 per hour
...Michigan Claim Customer Service Representative AAA The Auto Club Group Reports To: Claim Manager as appropriate What you will do: Claim Customer... ...handling Proactive customer contact and issue resolution Car rental coverage knowledge Claims' related policies...SuggestedHourly payWork experience placementRemote workWork from homeHome officeFlexible hoursShift work$58.24k - $76.96k
...PIP Claims Representative CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey, Pennsylvania, and Michigan. CURE offers a great working environment, competitive salary, and comprehensive benefits package which includes health and dental coverage...SuggestedWork at officeLocal areaRemote workWork visaFlexible hours1 day per week$67.3k - $75k
...Michigan Personal Injury Protection Claim Specialist – The Auto Club Group Join the... ...proficiency in dealing with the MCCA and attorney represented claims. May handle losses beyond those... ...Establishing clear evaluation and resolution plans for claims Knowledge and...Full timeWork experience placementRemote workWork from homeHome officeFlexible hours$75k - $80k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To... ...investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and...Work at officeLocal areaFlexible hours$37.66 - $44.33 per hour
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...and coordination ofexpertiseresources toassistin case resolution. Preparing reports for file documentation. Applying creative...Temporary workLocal areaRemote work$65k - $85k
Join to apply for the Workers' Compensation Claims Specialist role at Arcadis Arcadis is the world’s leading company delivering sustainable... ...manage all workers’ compensation claims from initial report to resolution. Gather, review, and submit all required documentation to the...Full timeWork at officeLocal area$1,000 per month
...inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual... ...our customers receive the highest level of support and resolution for these specific claims. You'll wear a few hats that will...Work at officeWork visaRelocation package$1,000 per month
...inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual... ...our customers receive the highest level of support and resolution for these specific claims. You'll wear a few hats that will...Work at officeRelocation package- ...Job Description Senior Claims Adjuster Position Overview We are seeking an experienced Senior Claims Adjuster to manage complex... ...liability and automobile claims from inception through resolution. This role is responsible for conducting investigations, evaluating...Work at officeRemote workNight shift
$10k - $75k
...Metro Detroit Field Property Claim Specialist -AAA The Auto Club Group This role... ...Xactware Training Complete ACG Claim Representative Training Program or demonstrate equivalent... ...Establishing clear evaluation and resolution plans for claims Knowledge and Skills...For contractorsWork experience placementRemote workWork from homeHome officeFlexible hoursNight shift$22 per hour
...Client Service Representative II Exceptional customer service skills with ability to retain knowledge, pay attention to detail, organizational... ...and alternatives within the time limits; follow up to ensure resolution. Keep detailed records of customer interactions within CRM (...Hourly payContract workWork at officeRemote workFlexible hoursShift work- ...Claims Processor Job Category: Client Services Requisition Number: CLAIM001705 Posted: May 27, 2026 Full-Time On-site Southfield, MI 48033, USA Job Details Primary Duties: Receive, analyze and process assigned claims by product (medical, dental...Full timeFlexible hours
$45 - $50 per hour
...travel. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a... ...daily support and maintenance activities, ensuring timely resolution of incidents and service requests per defined SLAs. Serve as...Hourly payLive inWork at officeLocal areaFlexible hours- ...Job Title: EDI Claims Analyst Job Location: Remote Job Type: Contract Job Description: The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This...Contract workRemote work
- ...solutions and services that help our clients optimize their operations and captivate their customers. Job Description The Claims Specialist provides program claim review, claim entry assistance to both dealers and field personnel as needed. The Claims Specialist...Full time
$18 - $20 per hour
...organized professional who loves solving problems, finalizing property claims, and working from home? Advocate Construction, a Top 100... ...release of approved job funds for property claims. Claim Resolution: Act as a liaison between customers and their property insurance...Temporary workFor contractorsRemote workWork from homeMonday to Friday$45 - $50 per hour
Job Description Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background... ...daily support and maintenance activities, ensuring timely resolution of incidents and service requests per defined SLAs. Serve as a...Hourly payLive inWork at officeLocal areaFlexible hours- ...issues associated with ERP Cloud and new technology applications and brings these to the attention of higher-level personnel for resolution Sets priorities and prepares schedules for completion of work Assigns work to subordinates based on priorities, selective consideration...Contract workFor contractorsSeasonal workWork at officeLocal areaFlexible hours
- ...relationships with producing brokers and agents; act as a visible Liberty representative in the market. Develop targeted broker strategies to source... ..., or industry-specific hazards). Engage internal partners (Claims, Actuarial, Risk Control, Legal) to structure appropriate...Local areaRemote work
- Micro1 is seeking an Insurance Underwriter – Excess & Specialty to assist in training next-generation AI systems. Responsibilities include evaluating complex risk scenarios and providing insights into policy interpretation and compliance. Applicants should have 4–5 ...Remote work
- Micro1 is seeking a Remote Insurance Underwriter specializing in Excess & Specialty to evaluate complex risk scenarios and provide real-world insights for AI system training. The ideal candidate will possess a solid understanding of the US insurance market and relevant...Remote work
- Micro1 is seeking an Insurance Underwriter – Excess & Specialty to evaluate complex commercial risks and analyze coverage. This remote position allows you to utilize your underwriting expertise to support AI training by providing real-world insights. Candidates should ...Remote work
- Micro1 is looking for an Insurance Underwriter – Excess & Specialty to evaluate complex commercial risks and support AI training efforts. Candidates should have 4–5+ years of underwriting experience in specialty insurance and strong communication skills. Responsibilities...Remote work
- Micro1 is seeking an Insurance Underwriter for Excess & Specialty roles. You will apply your expertise in underwriting to evaluate complex commercial risks and support AI training data development. Your role requires a solid background in liability and specialty lines...Remote work
- Social Security Administration is seeking a Claims Specialist in Redford Charter Township, Michigan. In this role, you will provide direct service to the public by discussing their rights under Social Security laws and making decisions on benefit eligibility. Responsibilities...
- ...level manager for conferences, correspondence, appointments, meetings, telephone calls, etc. ~Prepare agendas, notices, minutes and resolutions of meetings ~Take and transcribe dictation as needed ~Compose and prepare confidential correspondence and reports ~Ensure that...Full timeWork experience placementWork at officeLocal area
$100k - $180k
Insurance Underwriter Franchise Auto Dealerships - Detroit, MI Insurance Underwriter Underwriting Commercial Lines Franchise Automobile Truck Boat Dealerships Open Lots Property Casualty Excess Surplus Reinsurance General Liability _ . Manage portfolio of dealers open ...Contract workRelocation package
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Resolution Representative. Be the first to apply!
- insurance claims processor Detroit, MI
- medical insurance claims specialist Detroit, MI
- claims assistant Detroit, MI
- claims consultant Detroit, MI
- claim specialist Detroit, MI
- claims processor Detroit, MI
- claim examiner Detroit, MI
- claims analyst Detroit, MI
- medical claims analyst Detroit, MI
- remote medical claims processor Detroit, MI

