Green Card Claims Resolution Specialist Jobs
Claims Resolution Specialist roles at U.S. insurers, healthcare systems, and third-party administrators regularly qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers file on behalf of candidates with backgrounds in claims adjudication, dispute resolution, and benefits analysis. Understanding how sponsorship timelines interact with your current status helps you target the right employers.
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Get Access To All JobsJob Summary
Responsible for functioning as a liaison for escalations for both Specialty and Home Delivery patients and clients. This role works quickly to resolve issues and disputes by facilitating the exchange of information between parties so that patients and clients feel heard, understood and valued. This position is also a centralized point of contact for issue resolution for internal account management, operations, and service teams within the organization.
Job Responsibilities
- Manages assigned casework of escalated patient and client interactions and/or complaints through effective written and verbal discussions that are clear and concise; successfully navigate through de-escalation efforts due to dissatisfied patients and clients.
- Critically problem-solve escalated complaints by flagging trends and partnering cross-functionally to recommend and implement preventative measures; perform trend analysis using service delivery tracker, windshield, and complaints.
- Supports internal teams by delivering timely feedback to empower the delivery of exceptional patient and client experiences; clarify, manage, and prioritize all client requests relative to operational processes.
- Resolves complex issues including escalations through executive leadership and social media platforms.
- Addresses and resolves challenging or difficult situations within established turnaround timelines, while maintaining proper documentation in resolution platforms.
- Supports the development and implementation of programs that drive efficiencies and process improvements.
- Supports the preparation of review of daily, weekly, and monthly reporting.
- Oversees SPOC (single point of contact) patients.
- Other responsibilities as judgment or necessity dictates.
Basic Qualifications
- Bachelor's degree in healthcare, business, or related area of study, or High School Diploma/GED and at least 3 years of experience in healthcare, business, or related area of study.
- 2 years' experience handling client issues and providing recommendations for resolution within a pharmacy benefit plan (PBM), specialty pharmacy, home delivery pharmacy or other healthcare industry experience.
- Strong, effective interpersonal communication skills, both orally and in writing; excellent customer service skills interacting with internal and external customers at all levels; and strong organizational skills.
- Demonstrated ability to work independently and exercise good judgment; self-starter who proactively responds to problems and opportunities and requires minimal supervision.
- Proven ability to work collaboratively across functions and groups.
- Ability to actively listen and think critically to identify solutions; history of success in tracking and managing multiple escalations at once, with providing follow-up in a timely manner.
Preferred Qualifications
We will consider employment of qualified applicants with arrest and conviction records.
An employee in this position can expect an hourly rate between $63,100 to $121,400. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. This job posting will remain open for 5 days from the job posting date. To review benefits, please click here job.walgreens.com/benefits. If you are applying on a job board or unable to click to the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits.
Job Summary
Responsible for functioning as a liaison for escalations for both Specialty and Home Delivery patients and clients. This role works quickly to resolve issues and disputes by facilitating the exchange of information between parties so that patients and clients feel heard, understood and valued. This position is also a centralized point of contact for issue resolution for internal account management, operations, and service teams within the organization.
Job Responsibilities
- Manages assigned casework of escalated patient and client interactions and/or complaints through effective written and verbal discussions that are clear and concise; successfully navigate through de-escalation efforts due to dissatisfied patients and clients.
- Critically problem-solve escalated complaints by flagging trends and partnering cross-functionally to recommend and implement preventative measures; perform trend analysis using service delivery tracker, windshield, and complaints.
- Supports internal teams by delivering timely feedback to empower the delivery of exceptional patient and client experiences; clarify, manage, and prioritize all client requests relative to operational processes.
- Resolves complex issues including escalations through executive leadership and social media platforms.
- Addresses and resolves challenging or difficult situations within established turnaround timelines, while maintaining proper documentation in resolution platforms.
- Supports the development and implementation of programs that drive efficiencies and process improvements.
- Supports the preparation of review of daily, weekly, and monthly reporting.
- Oversees SPOC (single point of contact) patients.
- Other responsibilities as judgment or necessity dictates.
Basic Qualifications
- Bachelor's degree in healthcare, business, or related area of study, or High School Diploma/GED and at least 3 years of experience in healthcare, business, or related area of study.
- 2 years' experience handling client issues and providing recommendations for resolution within a pharmacy benefit plan (PBM), specialty pharmacy, home delivery pharmacy or other healthcare industry experience.
- Strong, effective interpersonal communication skills, both orally and in writing; excellent customer service skills interacting with internal and external customers at all levels; and strong organizational skills.
- Demonstrated ability to work independently and exercise good judgment; self-starter who proactively responds to problems and opportunities and requires minimal supervision.
- Proven ability to work collaboratively across functions and groups.
- Ability to actively listen and think critically to identify solutions; history of success in tracking and managing multiple escalations at once, with providing follow-up in a timely manner.
Preferred Qualifications
We will consider employment of qualified applicants with arrest and conviction records.
An employee in this position can expect an hourly rate between $63,100 to $121,400. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. This job posting will remain open for 5 days from the job posting date. To review benefits, please click here job.walgreens.com/benefits. If you are applying on a job board or unable to click to the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits.
See all 55+ Green Card Claims Resolution Specialist Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Claims Resolution Specialist
Document your claims adjudication credentials early
Gather your degree transcripts, professional certifications like AAPC or AHIMA credentials, and performance evaluations that quantify dispute resolution outcomes. PERM audit responses require precise documentation of your qualifications matching the job description.
Target employers with active PERM filing history
Large regional insurers, hospital revenue cycle departments, and third-party administrators file PERM applications regularly for claims roles. Search DOL OFLC disclosure data to confirm an employer has sponsored similar positions before approaching them.
Search green card sponsoring roles on Migrate Mate
Filter Claims Resolution Specialist openings by employers with EB-2 and EB-3 sponsorship history on Migrate Mate. This saves you from applying to roles where the employer has never navigated PERM for claims-specific positions.
Clarify the PERM job description before signing your offer
The PERM labor certification locks in your job duties and minimum requirements permanently. Confirm your offer letter and the PERM description align precisely, since discrepancies between your actual role and the certified description can jeopardize your I-140 approval.
Verify your prevailing wage tier using OFLC Wage Search
DOL assigns your PERM a prevailing wage at Levels I through IV based on the role's complexity. Claims Resolution Specialists with supervisory duties or specialized payer knowledge often qualify at Level II or III, which affects your employer's cost and sponsorship willingness.
Confirm your O*NET occupation code matches the role
Claims Resolution Specialist positions map to specific O*NET codes that USCIS uses to evaluate specialty occupation eligibility for EB-2 petitions. Ask your employer's immigration counsel to confirm the correct SOC code before the PERM application is filed.
Green Card Claims Resolution Specialist: Frequently Asked Questions
Do Claims Resolution Specialist roles qualify for EB-2 or EB-3 green card sponsorship?
Most Claims Resolution Specialist positions qualify under EB-3 as skilled worker roles requiring a bachelor's degree or equivalent experience. Roles with advanced analytical responsibilities, supervisory scope, or specialized payer expertise may qualify under EB-2 if the employer can demonstrate the position requires an advanced degree. Your employer's immigration counsel confirms the appropriate category before filing PERM.
How does green card sponsorship differ from H-1B for this role?
H-1B visa is temporary and subject to an annual lottery cap, while EB-2 and EB-3 green card sponsorship through PERM leads to permanent residency with no lottery. PERM requires the employer to conduct a formal recruitment test before filing, which takes several months, but once your I-140 is approved your priority date is locked. For many countries outside India and China, EB-3 backlogs are short or nonexistent.
How long does the PERM and green card process typically take for this job?
DOL currently processes PERM labor certifications in roughly six to eighteen months depending on whether your application is audited. After PERM approval, your employer files Form I-140 with USCIS, which takes several months under standard processing. If your priority date is current for your country, you can file for adjustment of status concurrently or shortly after, adding another year or more before card issuance.
What documentation should I prepare to support my employer's PERM filing?
You'll need official transcripts confirming your degree field, any professional certifications relevant to claims adjudication, letters from prior employers verifying your years of experience in claims resolution or related roles, and a current resume with duties that align precisely with the PERM job description. If you substituted work experience for a degree, you'll need detailed experience letters meeting USCIS equivalency standards.
How do I find Claims Resolution Specialist jobs where the employer already sponsors green cards?
Use Migrate Mate to search specifically for Claims Resolution Specialist roles filtered by employers with EB-2 and EB-3 sponsorship history. This approach avoids the common frustration of progressing through interviews only to learn the employer has never filed PERM. Focusing on employers with documented sponsorship activity shortens your job search and increases the likelihood of a successful filing.