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Senior Health Claims Adjudication Specialist

Job in Appleton, Outagamie County, Wisconsin, 54914, USA
Listing for: Hispanic Alliance for Career Enhancement
Full Time position
Listed on 2026-08-14
Job specializations:
  • Healthcare
Salary/Wage Range or Industry Benchmark: 38480 - 88088 USD Yearly USD 38480.00 88088.00 YEAR
Job Description & How to Apply Below

CVS Health in Wisconsin is hiring for a full‑time Medical Claims Adjudicator. You will review complex medical claims, adjudicate according to guidelines, and coach others while supporting customer service operations to ensure a positive member experience.

The role emphasizes accuracy in a high‑volume environment, with opportunities for mentorship and ongoing learning. A high school diploma is required, with preferred associates degree or equivalent experience.

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Position Requirements
10+ Years work experience
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