Claim Benefit Specialist

Are you a detail-oriented and compassionate individual with a passion for helping others? Do you have a background in healthcare and a strong understanding of insurance claims? If so, we have an exciting opportunity for you! CVS Health is currently seeking a dedicated Claim Benefit Specialist to join our team. In this role, you will play a vital role in ensuring our customers receive the benefits they are entitled to. We are looking for someone who is organized, empathetic, and thrives in a fast-paced environment. If this sounds like you, we encourage you to apply and join our mission to make healthcare more accessible and affordable for all.

Review and process insurance claims in a timely and accurate manner.
Verify insurance coverage and determine eligibility for benefits.
Collaborate with healthcare providers and insurance companies to resolve claim issues.
Maintain accurate and detailed records of all claim transactions.
Communicate with customers regarding their claim status and... any necessary documentation.
Conduct thorough research and investigation to ensure accurate claim processing.
Adhere to all HIPAA regulations and maintain strict confidentiality of patient information.
Provide exceptional customer service and handle customer inquiries and complaints in a professional and empathetic manner.
Stay updated on changes in insurance policies and procedures to ensure accurate and efficient claims processing.
Collaborate with internal teams to improve claim processes and identify areas for improvement.
Handle a high volume of claims while maintaining a high level of accuracy and attention to detail.
Maintain a positive and professional attitude, even in high-pressure situations.
Participate in training and development opportunities to enhance knowledge and skills.
Uphold the values and mission of CVS Health to provide affordable and accessible healthcare to all individuals.
Assist with other tasks and projects as needed to support the overall goals of the company.

CVS Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics

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