Remote Senior Claims Benefit Specialist with CVS Health
CVS Health is seeking a Senior Claims Benefit Specialist to join its Customer Care team in a fully remote capacity, available in multiple U.S. states. This role offers an opportunity to contribute to the company’s mission of delivering connected, convenient, and compassionate healthcare.
Role Overview
The Senior Claims Benefit Specialist is responsible for reviewing and adjudicating complex and sensitive medical claims in compliance with CVS Health’s processing guidelines. The position serves as a subject matter expert, offering guidance and training to junior staff while resolving advanced claim issues. In addition to claims adjudication, the role includes handling inquiries, overseeing daily work distribution among team members, and ensuring adherence to compliance standards and compan...