CVS Health

Sr Claim Benefit Specialist

CVS Health

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

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:

  1. Manage and resolve complex claims-related inquiries for internal and external customers.
  2. Provide expert customer service to customers, taking ownership of their needs and resolution.
  3. Troubleshoot and resolve customer inquiries in a timely manner.
  4. Utilize excellent communication and analytical skills to identify and solve customer issues.
  5. Maintain a positive attitude and be eager to learn and take on new challenges.
  6. Work as a team player with a dedication to excellence.
  7. Utilize a minimum of 5 years of health plan or claims benefit experience.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • 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

Required Skills
  • Writing

  • Counseling

  • Documenting

  • Researching

  • Interpreting

  • Processing

  • Problem-Solving

  • communicating

  • Negotiating

  • Analyzing

  • Facilitating

  • Collaborating

  • Assessing

  • Evaluating

  • Investigating

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Negotiation

  • Time management

  • Interpersonal Skills

  • Critical thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

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.

Additional Information
CVS Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedOctober 23rd, 2023
Apply BeforeMay 22nd, 2025
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About CVS Health

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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