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Senior Medical Claims Specialist - Adjudication

Job in Lewiston, Nez Perce County, Idaho, 83501, USA
Listing for: Careerwebsite
Full Time position
Listed on 2026-09-30
Job specializations:
  • Healthcare
  • Insurance
Salary/Wage Range or Industry Benchmark: 25000 - 58000 USD Yearly USD 25000.00 58000.00 YEAR
Job Description & How to Apply Below
Position: Senior Medical Claims Specialist - Benefit Adjudication

CVS Health is seeking a Claims Processor to review and adjudicate complex medical claims in line with plan guidelines, acting as a subject matter expert and providing coaching on escalated issues.

You will support customer service by addressing inquiries, verify eligibility, apply medical necessity guidelines, and ensure payments comply with policies and regulatory requirements while mentoring teammates.

We invite applications for the Senior Medical Claims Specialist
- Benefit Adjudication position located in , United States.

The Senior Medical Claims Specialist
- Benefit Adjudication position in the Finance, IT & Technology field is open for applications.

We have an opening for a Senior Medical Claims Specialist
- Benefit Adjudication in , United States within Finance, IT & Technology.

This role, Senior Medical Claims Specialist
- Benefit Adjudication at Careerwebsite, could be your next move.

Position Requirements
10+ Years work experience
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