Claim Benefit Specialist, CVS Health

Claim Benefit Specialist

CVS Health

Location:
United States, Hartford

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 31.30 USD / Hour

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Job Description:

Claim Benefit Specialists have the opportunity to enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims. You will be a key link in providing our customers with prompt, efficient, high quality claim service.

Job Responsibility:

Reviews and adjudicates claims in accordance with claim processing guidelines
Determine and understand the coverage provided under a member's health plan
Efficiently use multiple systems and screens to obtain and record claim information
Review claims information to determine the nature of a member's illness or injury
Identify claim cost management opportunities and refer claims for follow up
Make claim payment decisions
Process claims accurately to enhance customer satisfaction and retention
Process claims within quality and production standards
Assist team members in support of achieving team, office, regional, and national goals

Requirements:

Experience in a quality and production environment
Attention to detail
Ability to use multiple computer applications at one time
Must be able to go onsite in Hartford, CT
High School diploma or equivalent

Nice to have:

Detail oriented individual who enjoys working in a team environment
Exceptional analytical skills
Accurate and fast keyboarding skills
Advanced computer navigation and knowledge and experience in a Windows environment
Effective verbal and written communication skills
Ability to adapt quickly and willingly to change
Positive, willing attitude
Prior medical claim processing experience
Claim processing experience
Associate's degree

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
November 12, 2025

Expiration:
December 17, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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