Impactful Claims Benefit Specialist

CVS Health

Lansing (MI)

On-site

USD 48,712,000 - 97,854,000

Full time

10 days ago

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Benefits offered by this job

Health coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a detail-oriented Claims Analyst to review and adjudicate medical claims in accordance with processing guidelines. You will help improve member satisfaction by delivering accurate, timely resolutions and contributing to high quality claim service.

The role requires teamwork, attendance during a 21-week training period, and flexibility for overtime based on business needs. Benefits include comprehensive medical/dental/vision coverage and a strong commitment to safety and

Qualifications

Experience in a quality and production environment.
Attention to detail.
Ability to use multiple computer applications at one time.

Responsibilities

Determine and understand the coverage provided under a member's health plan
Efficiently use multiple systems and screens to obtain and record claim information
Review claims information to determine the nature of a member's illness or injury
Identify claim cost management opportunities and refer claims for follow up
Make claim payment decisions
Process claims accurately to enhance customer satisfaction and retention
Process claims within quality and production standards
Assist team members in support of achieving team, office, regional, and national goals