CVS Health is Hiring! — Remote Claim Benefit Specialist — Up to $42.35/hr.

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CVS Health Claim Benefit Specialist Featured Post

by Rat Race Rebellion       May 15, 2026

✅ Verified listing: The link below takes you directly to the employer’s site to apply. This position was live as of the post date, but listings can close quickly! Subscribe to our daily newsletter to get the latest vetted remote job leads delivered straight to your inbox.

About CVS Health

CVS Health, a leader in the healthcare industry, is dedicated to creating a better health experience for individuals by connecting people with quality and compassionate care. With a focus on innovation and accountability, CVS Health aims to simplify healthcare for all.

This is a full-time, remote role, allowing for flexibility in work location. The position requires a commitment of 40 hours per week, providing the stability and consistency of a full-time schedule.

What Your Day Will Look Like

In this role, you will review and adjudicate complex medical claims, ensuring compliance with established guidelines. You’ll act as a subject matter expert, providing coaching and guidance on challenging issues, and support customer service operations by addressing inquiries and resolving issues.

Responsibilities & Expectations

  • Review Claims: Analyze complex medical claims
  • Ensure Compliance: Adhere to regulatory requirements
  • Identify Discrepancies: Spot overpayments or underpayments
  • Provide Guidance: Mentor team members
  • Conduct Calls: Obtain information for claims
💡 Not a match for these duties? Browse similar active Healthcare Jobs right here.

Relevant Experience & Skills Required

  • Education Requirements: High School Diploma required
  • Experience: 18 months in claim processing
  • Attention to Detail: Manage multiple assignments
  • Technical Proficiency: Knowledge of DG system
  • Self-Funding Experience: Preferred qualification

Compensation & Benefits

The compensation for this role is $18.50 – $42.35/hr..

💡 Not the right fit? Check out these related roles:

Before You Apply: Resume Tips for this ATS

Because you are applying directly through the employer’s Applicant Tracking System, your resume needs to be optimized for their software:

  • Make sure the words “Claim Processing,” “Compliance,” and “Customer Service” appear in your past experience if applicable.
  • Highlight any specific experience you have with DG system.
  • Ensure your resume clearly states that you are looking for Full-Time work, so the recruiter knows you are aligned with the role.

HOW TO APPLY

Apply on CVS Job Page

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