Job Description
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
**Position Summary**
The **Senior Claims Benefit Specialist** will review and adjust SF ( _self-funded_ ), FI ( _fully insured_ ), Reinsurance, and/or RX claims. They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. This person will also process provider refunds and returned checks. They also may handle customer service inquiries and problems.
**In this role, you will:**
+ Perform adjustments across all dollar amount levels on customer service platforms...
**Position Summary**
The **Senior Claims Benefit Specialist** will review and adjust SF ( _self-funded_ ), FI ( _fully insured_ ), Reinsurance, and/or RX claims. They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. This person will also process provider refunds and returned checks. They also may handle customer service inquiries and problems.
**In this role, you will:**
+ Perform adjustments across all dollar amount levels on customer service platforms...