Senior Claim Benefit Specialist - Remote
About The Position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.
Requirements
- Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
- Proven success working in a high‑volume, production‑driven environment.
- Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.
- High School Diploma required
Nice To Haves
- Self-Funding experience
- DG system knowledge
- Preferred Associates degree or equivalent work experience.
Responsibilities
- Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
- Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
- Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
- Identifies and reports potential overpayments, underpayments, and other claim irregularities.
- Performs claim rework calculations as needed.
- Trains and mentors as needed to enhance team performance and technical proficiency.
- Conducts outbound calls to obtain required information for claims or reconsideration requests.
Benefits
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
