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Dispute resolution analyst skills for your resume and career
15 dispute resolution analyst skills for your resume and career
1. Dispute Resolution
- Contribute to the improvement of the dispute resolution process via structured analysis and timely identification of behavioral trends.
- Prepare and analyze incoming customer dispute claims for dispute resolution opportunities.
2. Sound Decisions
- Explained procedures and made sound decisions in order to maintain good customer relations with consumers and merchants.
3. Data Entry
Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.
- Provided administrative support such as data entry, faxing, scanning, and mail sorting.
- Analyzed system authorization to ensure accurate data entry with an understanding of Medical Management department's administrative processes and guidelines.
4. Quality Standards
Quality standards are a specific level of standards of products that are set by the companies for the customers that have to be met and maintained throughout the process until the time of delivery. Quality standards are information that includes the customer's requirements, guidelines, and characteristics for the needed final product or service.
- Reviewed team member cases and client interactions to ensure compliance with department and Visa/MasterCard quality standards.
- Developed new quality standards that improved quality performance and reliability.
5. Identify Trends
Identify Trends refers to the act of analyzing recent history and determining how the history connects. This is commonly seen in social media, where trends may be different challenges completed to raise awareness for an organization or disease, or it may be a purchasing trend to determine what product will most likely sell next.
- Perform root cause analysis on complaints to Medicare and for member grievance and appeals to identify trends and recommend process improvements.
- Identify trends, review plan, eligibility, patient notes, authorizations and claims to determine appropriate resolution.
6. Federal Regulations
Federal regulations refer to the set of rules, both general and permanent that are published in the Federal Register by the agencies of the federal government and the executive departments. Federal regulations are the large body of rules that govern federal practice. Examples of these laws include taxes and financial regulation, discrimination law, wages law, and so on.
- Determine resolution according to MasterCard/Visa rules and federal regulations, E & Z.
- Maintained knowledge of and ensured compliance with Federal regulations and MasterCard/Visa/American Express operating regulations.
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Medicare is a federal government insurance program that offers health care coverage to people who are 65 and above. In some cases, younger people with disabilities whose status is identified by the SSA can also avail the insurance program. Medicare covers the health expenses of people who are not able to afford it plus it protects the payee from rising health care costs.
- Reviewed injury related charges and proceeded with appropriate action/dispute of non-related items on the majority of claims received from Medicare.
- Evaluated, analyzed, and resolved Medicare liens, utilizing my knowledge and experience of Medicare health-care processes.
8. Financial Institutions
Financial Institutions come in all sizes, forms, and are meant for all sorts of purposes. Some only keep money, some only trade it, some focus on extending loans, some work with only other financial corporations or regular business and companies, and some are built to be useful and multi-purpose. A central bank, for example, is a banking institution meant to keep an eye on other banks and ensure that no laws or rules are broken or bent.
- Update financial institutions on the dispute status and recommend available options based on the Visa regulations.
- Attained incentive award for marketing promotional interest rate on balance transfers from competitive financial institutions.
9. Phone Calls
Phone calls are a wireless or wired connection made over a telephone or a mobile phone between two people. Two parties are involved in a phone call, the caller and the receiver. A caller dials the number of the one he wants to call, and the recipient hears a bell or a tune to which he picks up the call. The call establishes a connection between them through which they can communicate. The voice is converted into signals and is transmitted through wired or wireless technology.
- Required to handle written correspondence, phone referrals, and phone calls relating to customer inquires.
- Handle phone calls from billing providers regarding issues on their health claims.
10. Fraud Claims
- Investigated into fraud claims by performing relevant research of accounts and timelines.
- Conduct preliminary investigation into fraud claims, perform phone interviews.
11. Medicaid
- Mediated for various agencies such as Medicaid.
- Support and Lead Projects, such as: ICD 10 Service Manager Baptist South (Lead) Medicaid Subrogation
12. Arbitration
- Prepare and submit arbitration, compliance and good faith cases.
- Oversee BBB's AUTOLINE arbitration sessions regarding lemon law disputes.
13. Charge Backs
- Process first-time charge backs to cardholder accounts, whereby research methods were successfully implemented.
- Processed charge backs to cardholder accounts according to Visa/MasterCard Regulations.
14. Billing Errors
- Retrieved and researched billing errors.
- Resolved billing errors by coordinating investigation with the billing control office.
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List of dispute resolution analyst skills to add to your resume

The most important skills for a dispute resolution analyst resume and required skills for a dispute resolution analyst to have include:
- Dispute Resolution
- Sound Decisions
- Data Entry
- Quality Standards
- Identify Trends
- Federal Regulations
- Medicare
- Financial Institutions
- Phone Calls
- Fraud Claims
- Medicaid
- Arbitration
- Charge Backs
- Billing Errors
- SharePoint
- ACH
- Credit Card Accounts
- SQL
- Investor Guidelines
- Customer Calls
- Customer Disputes
- Customer Complaints
- REG E
- Dispute Claims
- Dispute Cases
- Regulatory Agencies
- Outbound Calls
- Mastercard
- Inbound Calls
- Customer Accounts
- Federal Guidelines
- Merchant Disputes
- Billing Disputes
- Customer Inquiries
- Financial Statements
- Fraud Cases
- ATM
- Dispute Process
- FHA
- CMS
- Process Improvement
- Computer System
- Customer Issues
- Settlement Agreements
- SLA
- Damage Claims
Updated January 8, 2025