Claim Benefit Specialist
DiscoveredCVS Health
East Lansing, MIexternalEducationPosted about 1 year ago (May 23, 2025)
About the role
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Candidates must reside in close proximity to Lansing, MI and be willing to work 3 days in office Tuesday, Wednesday and Thursday.
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Work Hours 8:00 am to 4:30 pm or 8:30 am to 5pm Eastern Time Zone.
Position Summary @@/HD@@
Reviews and adjudicates routine Flexible Spending claims in accordance with claim processing guidelines and IRS guidelines. Direct interaction with our members to assist with inquiries. • You will work in front of a computer for approximately 8 hours processing flexible spending claims via electronic image.
• Determine if submissions are eligible for reimbursement per IRS guidelines.
• Interact with members and providers by phone and email for all inquiries in a professional manner
• Takes immediate action when confronted with a problem or made aware of a situation.
• Maintain quality and productivity standards.
• Assist our Customer Service team.
Required Qualifications • 1+ year of data entry or claims processing experience
• 1+ year of Microsoft Office Suite Experience.
• Must have experience working multiple screens and applications.
• Effective organizational skills and ability to manage multiple tasks.
• Work effectively in a team environment
• Effective communication skills, both verbal and written.
Preferred Qualifications • 1+ year of Flexible Spending experience.
Full time Pay Range
The typical pay range for this role is:$17.00 - $31.30This 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 people
We 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: 05/23/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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