CVS Remote WFH Claim Benefit Specialist
EQUIPMENT PROVIDED .
Shift, Schedule, and Salary:
21 weeks for training - Training hours- 8am-4:30pm
Shift hours must be available from 8am-4:30pm.
Salary $18 per hour in training / graduate in good standing will move to $18.50.
Determine and understand the coverage provided under a member's health plan
Efficiently use multiple systems and screens to obtain and record claim information
Review claims information to determine the nature of a member's illness or injury
Identify claim cost management opportunities and refer claims for follow up
Make claim payment decisions
Process claims accurately to enhance customer satisfaction and retention
Process claims within quality and production standards
Assist team members in support of achieving team, office, regional, and national goals
Required qualifications
Experience in a quality and production environment.
Attention to detail.
Ability to use multiple computer applications at one time.
Claim processing experience.
Education
Associate’s degree preferred; High School diploma required
Pay Range
The typical pay range for this role is:
$17.00 - $31.30
LINK IN BIO !!
DM ON TIKTOK FOR ASSESSMENT ANSWERS 💗
Hey everyone! I know so many of us are looking for solid work-from-home opportunities, and I recently stumbled upon this CVS Remote WFH Claims Benefit Specialist role that caught my eye. It's a full-time position, and from what I've seen, it offers a pretty competitive pay range too – anywhere from $17.00 to $31.30 per hour! This really stood out to me because finding legitimate remote jobs with good pay can be tough. One of the biggest perks? They provide the equipment! That's a huge relief because buying your own setup for a new WFH job can be an unexpected cost. The training period is 21 weeks, which sounds long, but it also tells me they're serious about making sure you're fully prepared. You'll be working 8 am-4:30 pm during training, then your regular shift will be within those hours. It's great to have that structure. So, what does a Claims Benefit Specialist actually do? From my understanding, it's all about helping members understand their health plan coverage and processing their claims accurately. You'll be reviewing claims for illness or injury, identifying cost-saving opportunities, and making payment decisions. It sounds like a role that requires a keen eye for detail and the ability to juggle multiple computer systems – definitely something to practice if you're thinking of applying! The original post mentioned they're looking for someone with experience in a quality and production environment and claims processing experience, but also noted an Associate's degree is preferred, with a High School diploma being a requirement. So, even if you don't have a degree, your experience can shine. If you're thinking of applying, especially for a CVS Health remote job, here are a few tips I've picked up. First, make sure your resume highlights any experience you have with data entry, customer service, or healthcare administration, even if it's not strictly "claims processing." Emphasize your attention to detail and ability to learn new software quickly. For the interview or any assessments, try to anticipate questions about problem-solving, handling sensitive information, and working independently in a remote setting. I've also heard that being prepared to discuss your understanding of health insurance terms can really make you stand out. I also saw that this particular opening was for a remote position in PA! It’s important to check if your state is eligible when applying for any remote role. The original post mentioned an application deadline of January 17, 2025, and the Job ID is R0448401. If this sounds like a fit for you, definitely check out the link in the bio of the original post! It’s a great chance to join CVS Health and contribute, potentially even from your own home. Good luck to everyone applying – let's land these remote jobs!
I love cvs already 🔥