Claims Resolution Specialist Jobs in USA with Visa Sponsorship
Claims Resolution Specialists are regularly sponsored for H-1B visa and TN visas when the role requires a bachelor's degree in a business, finance, or healthcare-related field. Employers in insurance, healthcare, and financial services are among the most active sponsors for this position. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsClaims Resolution Specialist Remote Pennsylvania
Date: Jul 14, 2026
Location: Any city, PA, US, 99999
Req ID: 36254
Work Mode: Virtual (Exception only)
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Gainwell Technologies is responsible for all Claims Operation and Management functions of Medical Assistance Services. The primary role of a Claims Resolution Specialist is to provide exceptional customer support for incoming and outgoing Provider Claims processing.
Your role in our mission
- Review, research, and process claims in accordance with established claims processing guidelines.
- Refer claims to the appropriate department and prepare Return to Provider (RTP) forms when required information is missing or invalid.
- Demonstrate strong time management, organizational skills, and the ability to work independently in a fast-paced environment.
- Collaborate effectively across multiple teams while managing competing priorities and meeting established deadlines.
- Maintain accurate workload tracking and communicate status updates, challenges, and potential roadblocks to leadership in a timely manner.
What we're looking for
- Strong attention to detail, accuracy, and commitment to maintaining a consistent work schedule.
- Ability to multitask effectively while demonstrating strong data entry and organizational skills, including knowledge of the Julian calendar.
- Proficiency in Microsoft Office Suite with excellent verbal and written communication skills.
- Experience using multiple systems to research, gather, and analyze information necessary for claims processing.
- Experience in healthcare insurance and/or medical claims, with the ability to read, interpret, and apply basic to moderately complex operating procedures and documentation.
What you should expect in this role
- Must reside in Pennsylvania to be eligible for this remote position.
- Availability to work a schedule of 8:00 AM to 5:00 PM, Monday through Friday.
- Strong analytical and problem-solving skills with the ability to make sound decisions and resolve issues effectively.
- Excellent interpersonal and communication skills, with the ability to collaborate with team members and interact professionally with clients.
- Ability to handle sensitive and confidential information with discretion and professionalism.
LI-REMOTE
LI-LS2
The deadline to submit applications for this posting is 7/31/26.
The pay range for this position is $35,000.00 - $50,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Claims Resolution Specialist Remote Pennsylvania
Date: Jul 14, 2026
Location: Any city, PA, US, 99999
Req ID: 36254
Work Mode: Virtual (Exception only)
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Gainwell Technologies is responsible for all Claims Operation and Management functions of Medical Assistance Services. The primary role of a Claims Resolution Specialist is to provide exceptional customer support for incoming and outgoing Provider Claims processing.
Your role in our mission
- Review, research, and process claims in accordance with established claims processing guidelines.
- Refer claims to the appropriate department and prepare Return to Provider (RTP) forms when required information is missing or invalid.
- Demonstrate strong time management, organizational skills, and the ability to work independently in a fast-paced environment.
- Collaborate effectively across multiple teams while managing competing priorities and meeting established deadlines.
- Maintain accurate workload tracking and communicate status updates, challenges, and potential roadblocks to leadership in a timely manner.
What we're looking for
- Strong attention to detail, accuracy, and commitment to maintaining a consistent work schedule.
- Ability to multitask effectively while demonstrating strong data entry and organizational skills, including knowledge of the Julian calendar.
- Proficiency in Microsoft Office Suite with excellent verbal and written communication skills.
- Experience using multiple systems to research, gather, and analyze information necessary for claims processing.
- Experience in healthcare insurance and/or medical claims, with the ability to read, interpret, and apply basic to moderately complex operating procedures and documentation.
What you should expect in this role
- Must reside in Pennsylvania to be eligible for this remote position.
- Availability to work a schedule of 8:00 AM to 5:00 PM, Monday through Friday.
- Strong analytical and problem-solving skills with the ability to make sound decisions and resolve issues effectively.
- Excellent interpersonal and communication skills, with the ability to collaborate with team members and interact professionally with clients.
- Ability to handle sensitive and confidential information with discretion and professionalism.
LI-REMOTE
LI-LS2
The deadline to submit applications for this posting is 7/31/26.
The pay range for this position is $35,000.00 - $50,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
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Get Access To All JobsTips for Finding Visa Sponsorship as a Claims Resolution Specialist
Target industries with established sponsorship track records
Insurance carriers, managed care organizations, and large hospital systems file the most H-1B petitions for Claims Resolution Specialists. Focusing your search on these sectors significantly improves your odds of finding an employer willing to sponsor.
Confirm your degree field supports a specialty occupation argument
USCIS requires a direct connection between your degree field and the role. Degrees in health information management, finance, business administration, or a related discipline strengthen the specialty occupation case for claims-focused positions.
Ask about sponsorship before the final interview stage
Raise the sponsorship question early, ideally after a recruiter confirms genuine interest. Waiting until an offer is extended wastes both sides' time if the employer has a firm no-sponsorship policy for this role.
Highlight systems and regulatory knowledge in your application
Employers justify sponsorship by demonstrating specialized need. Proficiency in claims management platforms, knowledge of payer contracts, or experience with denial management workflows makes the specialty occupation argument considerably easier to support.
Understand that TN visa eligibility depends on your specific duties
Canadian and Mexican nationals may qualify under TN if the role aligns with an eligible occupation such as accountant or management consultant. The job duties, not just the title, determine whether TN classification applies.
Browse verified sponsoring employers on Migrate Mate
Not every employer advertising a Claims Resolution Specialist role will sponsor. Migrate Mate filters for employers with active sponsorship history, saving you from applying to positions where visa support is unlikely from the outset.
Frequently Asked Questions
Can a Claims Resolution Specialist role qualify as a specialty occupation for H-1B purposes?
Yes, but it requires careful documentation. USCIS looks for a direct relationship between the job duties and a specific bachelor's degree field. Roles involving complex payer contract interpretation, regulatory compliance, or denial analysis in healthcare or insurance are the strongest candidates. Generic claims processing positions with no degree requirement typically do not qualify.
Which visa types are most commonly used to sponsor Claims Resolution Specialists?
The H-1B visa is the most common path. Canadian nationals may qualify under the TN visa if their duties map to an eligible USMCA occupation and their degree supports that classification. Australians with relevant qualifications may qualify for the E-3 visa. The right visa depends on your nationality, degree field, and the specific responsibilities of the role.
What degree do I need to get sponsored as a Claims Resolution Specialist?
Most employers filing H-1B petitions for this role require a bachelor's degree in health information management, business administration, finance, healthcare administration, or a closely related field. A general business degree can work if your coursework or experience is demonstrably relevant to claims operations and denial resolution.
How do I find Claims Resolution Specialist jobs where employers are open to sponsorship?
Most job postings don't state sponsorship willingness upfront, which makes filtering difficult. Migrate Mate surfaces roles from employers with verified sponsorship histories, so you can focus your applications on companies that have demonstrated a willingness to file petitions for positions like this one.
Are H-1B approvals common for this job title, and what affects approval odds?
Approval rates for claims-related roles vary considerably. Petitions that clearly document why the position requires a specific degree field, and where the offered duties go beyond routine processing, tend to perform better. Employers with prior approvals for similar roles and those working with experienced immigration counsel also see stronger outcomes. The H-1B lottery remains the primary obstacle regardless of petition quality.
What is the prevailing wage requirement for sponsored Claims Resolution Specialist jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.