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.

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

According to JobzMall, the average salary range for a Claim Benefit Specialist is $45,000 to $75,000 per year. However, this can vary depending on factors such as location, experience, and employer. Some individuals in this role may earn a higher salary if they have specialized skills or certifications.

CVS Health Corp. engages in the provision of health care services. It operates trough the following segments: Pharmacy Services, Retail or Long Term Care, and Corporate. The Pharmacy Services segment offers pharmacy benefit management solutions. The Retail or Long Term Care segment includes selling of prescription drugs and assortment of general merchandise. The Corporate segment involves in providing management and administrative services.