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Senior Integrated Service Specialist

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

18.50 - 35.29 USD / Hour

Job Description:

The Claims and Customer Service Representative serves as the primary point of contact for customers seeking assistance with claims-related inquiries. This role is responsible for providing clear and accurate information regarding claims submissions, status updates, denial reasons, and payment or reimbursement issues. The representative also facilitates referrals to in-network healthcare providers and contributes to service improvement initiatives.

Job Responsibility:

  • Serve as primary point of contact for customers seeking assistance with claims-related inquiries
  • Provide clear and accurate information regarding claims submissions, status updates, denial reasons, and payment or reimbursement issues
  • Facilitate referrals to in-network healthcare providers
  • Contribute to service improvement initiatives

Requirements:

  • 3 years of customer service experience required
  • 2-3 years of claims processing experience
  • 2-3 years of client support experience
  • Experience in a metric-based environment is a plus
  • Proficiency with Microsoft application (word, excel) is necessary
  • High School Diploma required
  • Minimum of three years of relevant experience

Nice to have:

Experience in a metric-based environment

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
  • CVS Health bonus, commission or short-term incentive program

Additional Information:

Job Posted:
November 14, 2025

Expiration:
November 17, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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