Appeals Specialist — Health Plan Resolutions

CVS Health; Salt Lake City (UT); On-site; USD 23,000 - 43,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

Job summary

CVS Health in Salt Lake City is seeking an Appeal Examiner to manage resolution and appeal scenarios across products, coordinating responses from multiple business units and drafting timely resolution letters.

The role requires 1+ years in customer service and administrative work, proficiency with Microsoft Office, and familiarity with health plans and ERISA. This full-time position offers a comprehensive benefits package and opportunities to impact member experiences.

Qualifications

• 1+ years customer service in a metrics-driven environment.
• 1+ years administrative experience.
• Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).

Responsibilities

• Review and analyze appeals as assigned.
• Interpret policy and coverage guidelines per organizational policy.
• Coordinate reviews as needed.
• Draft resolution letters to ensure timely, accurate responses.
• Ensure timely handling of assigned cases.

Skills

Customer service

Administrative support

MS Office

Education

High school diploma or GED

Tools

Word

Excel

PowerPoint

Outlook

Job description

CVS Health in Salt Lake City is seeking an Appeal Examiner to manage resolution and appeal scenarios across products, coordinating responses from multiple business units and drafting timely resolution letters.

The role requires 1+ years in customer service and administrative work, proficiency with Microsoft Office, and familiarity with health plans and ERISA. This full-time position offers a comprehensive benefits package and opportunities to impact member experiences.