Claim Benefit Specialist

CVS Health; United States; On-site; USD 23,000 - 43,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

Retirement savings options

Paid time off

Job summary

CVS Health is hiring for a full-time Claims Processor near Lansing, MI, with 40 hours per week and in-office requirement Tuesday–Thursday. The role involves reviewing and adjudicating flexible spending claims, handling member inquiries, and ensuring IRS compliance. Eligible for CVS Health bonus programs.

Typical shift is 8:00 am to 4:30 pm ET or 8:30 am to 5:00 pm ET. Candidates should have strong organizational and communication skills and be comfortable working across multiple screens.

Qualifications

• 1+ year of data entry or claims processing experience.
• 1+ year of Microsoft Office Suite Experience.
• Must have experience working multiple screens and applications.
• Effective organizational skills and ability to manage multiple tasks.
• Work effectively in a team environment
• Effective communication skills, both verbal and written.

Responsibilities

• Review and adjudicate routine Flexible Spending claims per guidelines.
• Interact with members by phone and email for inquiries.
• Work at a computer for ~8 hours processing claims via electronic image.
• Determine eligibility of submissions for reimbursement per IRS guidelines.
• Maintain quality and productivity standards.
• Assist CVS Health Customer Service team as needed.

Skills

Data entry

Claims processing

Microsoft Office

Multitasking

Teamwork

Communication

Tools

Microsoft Office Suite

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Candidates must reside in close proximity to Lansing, MI and be willing to work 3 days in office Tuesday, Wednesday and Thursday.

Work Hours 8:00 am to 4:30 pm or 8:30 am to 5pm Eastern Time Zone.

Position Summary

• Reviews and adjudicates routine Flexible Spending claims in accordance with claim processing guidelines and IRS guidelines.
• Direct interaction with our members to assist with inquiries.
• You will work in front of a computer for approximately 8 hours processing flexible spending claims via electronic image.
• Determine if submissions are eligible for reimbursement per IRS guidelines.
• Interact with members and providers by phone and email for all inquiries in a professional manner.
• Takes immediate action when confronted with a problem or made aware of a situation.
• Maintain quality and productivity standards.
• Assist our Customer Service team.

Required Qualifications

• 1+ year of data entry or claims processing experience
• 1+ year of Microsoft Office Suite Experience.
• Must have experience working multiple screens and applications.
• Effective organizational skills and ability to manage multiple tasks.
• Work effectively in a team environment
• Effective communication skills, both verbal and written.

Preferred Qualifications

• 1+ year of Flexible Spending experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

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.

Our people fuel our future

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/17/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.