Medical Claim Analyst-1

m turn around times.

• Determines coverage, verifies eligibility, benefits, identifies discrepancies, and applies all Medical Claim Management policies and procedures to assist in ensuring claims are handled per policy and legal requirements.
• Works with all appropriate internal and external departments and personnel to accurately review specified claims and/or clarify any issues found in the course of the review.
• Maintains and utilizes all resource materials and systems to effectively manage job responsibilities.
• Adheres to company policies to protect member confidentiality.

Required Qualifications
High School Diploma or G.E.D.

Preferred Qualifications

• 2+ years claim processing experience and demonstrated ability to handle multiple assignments competently, accurately and efficiently.

• Customer service experience

• Knowledge of Medical Terminology

Education
High School Diploma or G.E.D.Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$18.50 - $42.35This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base 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 peopleWe 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 all 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/benefitsWe anticipate the application window for this opening will close on: 07/21/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.