Remote Senior Claim Benefit Specialist

by Rat Race Rebellion July 20, 2026

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About CVS Health

CVS Health, a leader in the healthcare industry, is dedicated to shaping a more connected and compassionate health experience. With a history of innovation and commitment to quality, CVS Health continues to enhance the lives of individuals by simplifying healthcare. The company prides itself on fostering a culture where employees feel valued and empowered to make a difference.

This full-time position as a Senior Claim Benefit Specialist is remote, offering flexibility and the opportunity to work from anywhere. The typical workweek consists of 40 hours, providing a stable and consistent schedule.

What Your Day Will Look Like

As a Senior Claim Benefit Specialist, you will review and adjudicate complex medical claims, ensuring compliance with company policies. Your role includes providing guidance on challenging issues, supporting customer service operations, and conducting outbound calls to gather necessary claim information.

Responsibilities & Expectations

Process Claims: Review complex medical claims
Provide Expertise: Offer guidance on challenging issues
Ensure Compliance: Align payments with policies
Identify Issues: Report claim irregularities
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 assignments accurately
System Knowledge: Familiarity with DG systems
Self-Funding: Experience preferred

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 systems.
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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