Senior Medical Claims Adjudication Specialist
cvs healthPascagoula, MS
Senior Medical Claims Adjudication Specialist
L5
cvs healthPascagoula, MSyesterday
Occupations
Claims Adjusters, Examiners, and InvestigatorsInsurance Claims and Policy Processing ClerksAdministrative Law Judges, Adjudicators, and Hearing OfficersIndustries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsDirect Health and Medical Insurance CarriersClaims AdjustingCVS Health Corporation seeks a Claims Adjudicator in Mississippi to review and adjudicate complex medical claims in line with processing guidelines, acting as a subject-matter expert and coaching teammates. You will support customer service by resolving issues and ensuring a positive member experience.
In a high-volume setting, you will apply medical necessity guidelines, verify eligibility, and identify cost-containment opportunities, while ensuring compliance with regulations and company
Apply now
Level
SeniorL5
Location
Pascagoula, MS
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
yesterday
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