Senior Medical Claims Specialist — Expert Adjudication
Listed on 2026-10-07
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Healthcare
Medical Billing and Coding, Healthcare Administration, Healthcare Compliance
CVS Health is seeking a Claims Adjudication Specialist to review and adjudicate complex medical claims in accordance with plan processing guidelines, acting as a subject matter expert and coaching others to resolve escalated issues.
This full-time role supports customer service operations, applies medical necessity guidelines, verifies eligibility, and identifies discrepancies to ensure accurate payments. Typical weekly hours: 40; pay range: $18.50–$42.35 per hour.
We are looking to fill the Senior Medical Claims Specialist — Expert Adjudication position at CVS Pharmacy in WA, United States.
Full responsibilities and requirements are described in the listing above.
Learn more about the Senior Medical Claims Specialist — Expert Adjudication role in the description above.
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