As a Sr Claim Benefit Specialist at CVS Health, you will be responsible for managing and resolving complex claims-related inquiries as a key member of the Claims team. You will provide expert customer service to our internal and external customers, and take ownership of the customer's needs and resolution. The successful candidate will have a minimum of 5 years of health plan or claims benefit experience, excellent communication and analytical skills, as well as a proven track record of providing superior customer service. You will be confident in your ability to troubleshoot issues and resolve customer inquiries in a timely manner. We are looking for someone with a positive attitude who is eager to learn and take on new challenges. If you are a team player with a dedication to excellence, we want to hear from you!
Responsibilities:
- Manage and resolve complex claims-related inquiries for internal and external customers.
- Provide expert customer service to customers, taking ownership of their needs and resolution.
- Troubleshoot and resolve customer inquiries in a timely manner.
- Utilize excellent communication and analytical skills to identify and solve customer issues.
- Maintain a positive attitude and be eager to learn and take on new challenges.
- Work as a team player with a dedication to excellence.
- Utilize a minimum of 5 years of health plan or claims benefit experience.
Excellent Communication Skills
Strong Customer Service Skills
Strong Attention To Detail
+ Years Of Experience In Claims Processing
Knowledge Of Health Insurance Benefits And Claims Processing
Experience With Medicare And Medicaid Claims Processing
Demonstrated Problem Solving And Negotiating Abilities
Computer Proficiency With Microsoft Office Suite
Writing
Counseling
Documenting
Researching
Interpreting
Processing
Problem-Solving
communicating
Negotiating
Analyzing
Facilitating
Collaborating
Assessing
Evaluating
Investigating
Communication
Conflict Resolution
Leadership
Negotiation
Time management
Interpersonal Skills
Critical thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Sr Claim Benefit Specialist is between $55,000 and $85,000 per year. However, this range varies depending on experience, qualifications, location, and company. Generally, those with more experience and higher qualifications can expect to earn salaries toward the higher end of the range. Additionally, salaries can vary significantly depending on the city or state in which the job is located.
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CVS Health Corp. engages in the provision of health care services. It operates trough the following segments: Pharmacy Services, Retail or Long Term Care, and Corporate. The Pharmacy Services segment offers pharmacy benefit management solutions. The Retail or Long Term Care segment includes selling of prescription drugs and assortment of general merchandise. The Corporate segment involves in providing management and administrative services.

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