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Senior Medical Claims Adjudication Specialist

Job in Woonsocket, Providence County, Rhode Island, 02895, USA
Listing for: Hispanic Alliance for Career Enhancement
Full Time position
Listed on 2026-08-15
Job specializations:
  • Healthcare
Salary/Wage Range or Industry Benchmark: 24796 - 57859 USD Yearly USD 24796.00 57859.00 YEAR
Job Description & How to Apply Below

CVS Health is seeking a claims adjudicator to review and resolve complex medical claims, coaching teammates and guiding escalated issues. This full-time role supports customer service operations and aims to ensure accurate, timely adjudication and member satisfaction.

The position emphasizes adherence to guidelines, regulatory compliance, and cost containment, with strong emphasis on quality and collaboration across teams.

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Position Requirements
10+ Years work experience
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