Strategic Reinsurance & Stoploss Claims Specialist
Listed on 2026-11-04
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Insurance
Insurance Analyst, Health Insurance, Insurance Claims
CVS Health in Central City, Nebraska, is seeking a detail-oriented Reinsurance/Stoploss Claims Adjuster to review, adjust, and adjudicate high-dollar medical claims. You will collaborate with teams to ensure accurate claim adjustments, apply medical necessity guidelines, verify eligibility, and resolve discrepancies across complex plan language.
You will handle inquiries, support pre-authorizations and appeals, and may mentor junior staff.
We invite applications for the Strategic Reinsurance & Stoploss Claims Specialist position located in Central City, NE, United States.
For the Strategic Reinsurance & Stoploss Claims Specialist position at CVS Health, we are reviewing applications now.
Step into the Strategic Reinsurance & Stoploss Claims Specialist role at CVS Health in Central City, NE, United States and grow with us.
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If your experience matches this role, we encourage you to apply.
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