Claims Processor

At CVS Health, we're committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Claims Processor, you'll play a vital role in our Claims Department, ensuring accurate and efficient adjudication of paper claims from electronic images in a production environment.

Key Responsibilities:

• Make outbound calls to Members and/or Providers for verification of information
• Process and adjudicate paper claims
• Maintain integrity of claims receipts in accordance with standard claims operating and adjudication procedures
• Accurately resolve pending claims using state and federal regulations and specific health plan criteria
• Work within turnaround times to meet client performance guarantees for claims processing
• Meet productivity and accuracy standards

Requirements:

• At least 1 year of work experience in a Healthcare setting
• Excellent verbal and written communication skills
• In-depth experience working with Microsoft Office Suite products

Preferred Qualifications:

• Call center type experience
• Previous PBM Experience
• Strong typing skills with speed and accuracy
• Team-oriented while also able to pursue personal and departmental production goals daily
• Ability to stay organized in a multi-demand and multi-priority environment
• Ability to work overtime as necessary

Education:

Verifiable High School Diploma or GED required

Compensation:

The typical pay range for this role is: $17.00 - $28.46

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health