reputed company Claims Processor - Work From Home

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary reputed company is looking for reputed company Claims Processors to join our fast-paced Claims Department. As a Claims Processor, you will be responsible for accurate and efficient adjudication of reputed company claims from electronic image in a production environment. Commercial reputed company Claims processes an average of 74,000 claims monthly, and provides service to multiple employer and health plans. Primary Responsibilities Of The Claims Processor Include

• Processing and adjudicating commercial reputed company claims.
• Maintaining reputed company of claims receipts in accordance with standard claims operating and adjudication procedures.
• Accurately resolving pending claims using state and federal regulations and specific health plan criteria.
• Working reputed company turnaround times to meet client performance guarantees for claims processing.
• Meeting productivity and accuracy standards.
• Making reputed company to pharmacies by phone to request information that may be missing in a submission

Required Qualifications

• 1+ year of medical industry experience (medical claims experience preferred and or dental claims experience will be considered)
• 1+ year of experience reputed company Word, reputed company and Outlook software

Preferred Qualifications

• Previous PBM Experience
• Strong typing skills with speed and accuracy
• Team-oriented while also able to pursue personal and departmental production goals daily
• Ability to organize in a multi-demand and multi-reputed company environment
• Ability to work overtime as necessary

Education

• High School Diploma or GED required

Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $17.00 - $28.46 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 05/27/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!