Claim Benefit Specialist

CVS Health

Claims Specialist at CVS Health adjudicating medical claims with efficient resolution and member satisfaction. Requires experience in a quality environment and attention to detail.

Posted 7/13/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesMid-LevelSenior💰 $17 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical claim processing, ensuring accurate adjudication and resolution in line with health plan coverage. Strong attention to detail and ability to manage multiple computer applications enhance customer satisfaction and retention.

Highest-signal resume keywords

Claim Processing ExperienceAttention To DetailQuality And Production Environment ExperienceCustomer Satisfaction EnhancementMulti-Application Usage

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim AdjudicationMedical Claims Processing

Soft Skills

Attention To Detail

Industry Keywords

Health Plan CoverageClaims Processing Guidelines

About the role

Key responsibilities & impact

Reviews and adjudicates claims in accordance with claim processing guidelines.
Provides accurate and timely resolution in processing medical claims.
Determines and understands the coverage provided under a member's health plan.
Processes claims accurately to enhance customer satisfaction and retention.

Requirements

What you’ll need

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

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs