Claim Benefit Specialist, CVS Health

Claim Benefit Specialist

CVS Health

Location:
United States

Category:
Customer Service

Contract Type:
Not provided

Salary:

17.00 - 34.15 USD / Hour

Save Job

Apply Position

Job Description:

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

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
Claim processing experience
Associate’s degree preferred
High School diploma required

Nice to have:

Detail oriented
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

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost programs including 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:
August 05, 2025

Expiration:
August 22, 2025

Employment Type:

Fulltime

Work Type:

Remote work

View All Jobs In This Company

Job Link Share:

Welcome to CrawlJobs.com –
Your Global Job Discovery Platform

At CrawlJobs.com, we simplify finding your next career opportunity by bringing job listings directly to you from all corners of the web. Using cutting-edge AI and web-crawling technologies, we gather and curate job offers from various sources across the globe, ensuring you have access to the most up-to-date job listings in one place.