Hybrid Medical Claims Reviewer: Verify Benefits
5 days ago
A leading health solutions company is seeking a Claim Benefit Specialist-Medical Reviewer in Franklin, TN. The role involves reviewing medical records, assessing policy applications, and ensuring compliance with regulatory standards. Candidates should have a high school diploma, analytical skills, and proficiency in MS Word and Excel. This position offers competitive pay and a comprehensive benefits package. #J-18808-Ljbffr
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Claim Benefit Specialist-Medical Reviewer
6 days ago
Franklin, United States CVS Health Full timeClaim Benefit Specialist-Medical Reviewer page is loaded## Claim Benefit Specialist-Medical Reviewerremote type: Hybridlocations: TN - Franklintime type: Full timeposted on: Posted Todaytime left to apply: End Date: December 16, 2025 (26 days left to apply)job requisition id: R0732865At CVS Health, were building a world of health around every consumer and...
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Claim Benefit Specialist-Medical Reviewer
2 weeks ago
Franklin, United States CVS Health Full timeAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for...
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Franklin, United States CVS Health Full timeFinal Expense Claims ProcessorAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000...
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Franklin, United States CVS Health Full timeAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for...
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Claim Benefit Specialist
4 weeks ago
Franklin, United States CVS Health Full timeClaim Documentation Review SpecialistAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000...
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Senior Claim Benefit Specialist
3 days ago
Franklin, United States CVS Health Full timeClaims Adjudication SpecialistAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000...
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Claims Auditor- Remote
1 day ago
Franklin, TN, United States American Health Partners Full timeAmerican Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits...
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Senior Claim Benefit Specialist
4 days ago
Franklin, United States CVS Health Full timeDescription A Brief OverviewReviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.What you will doExecutes both routine and non-routine business support tasks for the Claim Benefit area under limited supervision, referring deviations from standard practices to managers.Follows area protocols,...
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Senior Claim Benefit Specialist
5 days ago
Franklin, United States CVS Health Full timeAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for...
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Claims Administrator-Hybrid Franklin, TN.
4 weeks ago
Franklin, United States Tennessee Staffing Full timeClaims AdministratorAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven...