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Senior Medical Claims Adjudication Specialist

Job in Orem, Utah County, Utah, 84058, USA
Listing for: Hispanic Alliance for Career Enhancement
Full Time position
Listed on 2026-08-02
Job specializations:
  • Healthcare
    Health Insurance
  • Insurance
    Health Insurance
Job Description & How to Apply Below

CVS Health is hiring for a full‑time claims adjudicator in Utah. You will review and adjudicate complex medical claims, serving as a subject‑matter expert and coaching teammates on escalated issues to ensure a positive member experience.

Requires 18+ months of medical claims processing, strong accuracy, and ability to manage multiple tasks in a high‑volume setting. The role includes great benefits and a 40‑hour work week.

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Position Requirements
10+ Years work experience
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