Senior Medical Claims & Benefits Specialist
Job in
Bellevue, Sarpy County, Nebraska, 68123, USA
Listed on 2026-08-17
Listing for:
CVS Health
Full Time
position Listed on 2026-08-17
Job specializations:
-
Healthcare
Job Description & How to Apply Below
CVS Health is seeking a full-time Medical Claims Adjudicator in Nebraska to review and adjudicate complex medical claims in line with plan guidelines. You’ll act as a subject matter expert, coach teammates, and support customer service by resolving escalated issues and ensuring a positive member experience.
Responsibilities include applying medical necessity guidelines, determining coverage, verifying eligibility, identifying discrepancies, and reporting potential over payments, while ensuring
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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