Senior Claim Benefit Specialist – Remote

Want to bring your claims expertise to a team that’s transforming healthcare? CVS Health is hiring Senior Claim Benefit Specialists to review, adjudicate, and resolve complex claims—helping ensure accuracy, compliance, and exceptional service for members and providers.

About CVS Health
As the nation’s leading health solutions company, CVS Health serves millions of Americans through local presence, digital channels, and more than 300,000 purpose-driven colleagues. We’re reimagining healthcare to be more connected, convenient, and compassionate—building a world of health around every consumer.

Schedule

  • Full-time, 40 hours per week
  • Remote role, available across 50 U.S. locations
  • Occasional training, coaching, or mentoring responsibilities

What You’ll Do

  • Review and adjudicate sensitive, complex, or specialized claims following plan processing guidelines
  • Apply medical necessity guidelines, verify coverage and eligibility, and use cost-containment measures
  • Investigate discrepancies, overpayments, underpayments, and irregularities
  • Handle inquiries related to pre-approvals, reconsiderations, and appeals
  • Make outbound calls to gather claim information when needed
  • Train, mentor, and assign work to junior staff members
  • Ensure all compliance and payment requirements are met

What You Need

  • Minimum 18 months of medical claim processing experience
  • Strong background in a production environment
  • Ability to manage multiple assignments accurately and efficiently

Preferred Qualifications

  • Self-funding experience
  • Familiarity with DG system

Education

  • High School Diploma required
  • Associate degree or equivalent work experience preferred

Benefits

  • Pay range: $18.50 – $42.35/hour (eligible for bonuses or incentives)
  • Comprehensive medical, dental, and vision coverage
  • 401(k) with company match & employee stock purchase plan
  • Paid time off, flexible scheduling, and family leave options
  • Tuition assistance and career development support
  • Wellness programs, confidential counseling, and financial coaching

Bring your claims expertise to CVS Health and help improve healthcare experiences nationwide.

Take the next step in your claims career today.

Happy Hunting,
~Two Chicks…

APPLY HERE

Claims Processing Associate – Remote

Want a career where your attention to detail helps patients heal at home? Join CareCentrix as a Claims Processing Associate and play a vital role in ensuring accurate payments and smooth care experiences.

About CareCentrix
CareCentrix is dedicated to making the home the center of patient care. We simplify healthcare with compassion and efficiency, helping patients recover where they’re most comfortable. Our culture values excellence, integrity, and teamwork — and we don’t just care for patients, we care for our people too.

Schedule

  • 100% Remote (US-based)
  • Full-time role with stability and growth opportunities

What You’ll Do

  • Review and investigate electronic claims for accuracy
  • Resolve edits, determine payment or denial amounts, and document outcomes
  • Match claims data with authorizations as needed
  • Identify questionable claims or system issues and escalate when appropriate
  • Meet department production and quality targets
  • Comply with HIPAA, Business Ethics, and other company policies

What You Need

  • High school diploma or GED
  • 1+ year of related experience in claims processing or healthcare
  • Knowledge of medical terminology (preferred)
  • Strong communication and organizational skills
  • Ability to manage multiple tasks in a fast-paced environment
  • Customer-focused attitude with sound judgment and problem-solving skills

Benefits

  • Pay range: $16.35 – $20.00/hour + bonus incentive
  • Medical, dental, and vision insurance
  • 401(k) with company match
  • HSA and Dependent Care FSA contributions from employer
  • Paid time off, personal/sick time, and paid parental leave
  • Award-winning culture: We Care; We Do the Right Thing; We Strive for Excellence; We Think BIG; We Take Our Work Seriously, Not Ourselves

Make a real impact by ensuring patients get the care they deserve—delivered at home.

Accuracy matters. Patients matter. You matter.

Happy Hunting,
~Two Chicks…

APPLY HERE

Health Claims Examiner – Remote

Detail-oriented? Want to support better healthcare outcomes from behind the scenes? Join a fast-paced team dedicated to processing medical claims accurately and efficiently.

About Allegiance
Allegiance Benefit Plan Management provides third-party administration services for self-funded health plans. We’re committed to excellence in benefits processing, customer service, and support—helping members and providers get the answers and resolutions they need. We offer full benefits and a collaborative work environment, either remote or on-site.

Schedule

  • Full-time
  • $19.00/hour
  • Flexible location: work remotely or from the Allegiance office

What You’ll Do

  • Accurately process medical, dental, vision, and prescription claims
  • Verify documentation and collaborate with providers or payers to complete claims
  • Use claims software to assess eligibility and determine payments
  • Respond to phone and written inquiries from plan participants and providers
  • Draft and send correspondence related to benefit questions or pre-determinations
  • Resolve problem claims with support from team leaders
  • Assist with large case management referrals, appeals, audits, and renewals
  • Maintain productivity standards (99% financial accuracy, 95% procedural accuracy)

What You Need

  • High school diploma or GED
  • Basic computer and customer service skills
  • Strong typing (45 wpm), math, and organizational abilities
  • Knowledge of medical terminology and benefit plans
  • Excellent verbal and written communication skills
  • High attention to detail and ability to manage large amounts of information
  • Ability to work under pressure and meet deadlines
  • Strong interpersonal skills and team collaboration
  • Must complete company-provided fraud training upon hire

Benefits

  • Full benefits package
  • Opportunity to work from home or on-site
  • Supportive, mission-driven work environment
  • Consistent Monday–Friday schedule

Bring accuracy, empathy, and speed to the table—and help patients get what they’re owed.

Work smart. Stay sharp. Deliver results.

Happy Hunting,
~Two Chicks…

APPLY HERE

Digital Marketing Assistant – Remote

Support a fast-paced marketing team in driving campaigns, building brand awareness, and generating leads. This role is ideal for a motivated professional eager to grow their skills across digital marketing channels while working fully remote.

About CrewBloom
CrewBloom connects talented remote professionals with innovative companies. We value inclusivity, creativity, and growth—giving you the opportunity to thrive in a dynamic environment where your contributions make a real impact.

Schedule

  • Full-time, remote position
  • Requires reliable internet and a dedicated home office setup

What You’ll Do

  • Assist in planning, creating, and executing digital marketing campaigns across social media, email, and paid ads
  • Manage and update social media accounts, ensuring consistent branding and engagement
  • Create and schedule email campaigns and newsletters
  • Conduct basic market research and competitor analysis
  • Monitor campaign performance metrics and provide insights for optimization
  • Write and edit content for blogs, social media, and marketing materials
  • Support SEO efforts with keyword research and on-page optimization
  • Maintain content calendar deadlines and provide administrative project support

What You Need

  • Bachelor’s degree in Marketing, Communications, Business, or equivalent experience
  • 2+ years in digital marketing or social media (preferred, but entry-level candidates encouraged)
  • Familiarity with major social platforms (Facebook, Instagram, TikTok, LinkedIn)
  • Basic knowledge of SEO, Google Analytics, or digital ad tools a plus
  • Strong written and verbal communication skills
  • Ability to multitask, prioritize, and meet deadlines in a fast-paced environment
  • Proactive, detail-oriented, and eager to learn

Essential Tools

  • Adobe Creative Suite (Photoshop, Illustrator, Premiere Pro)
  • HubSpot, Pipedrive, or Zoho CRM
  • Google Ads Dashboard & Meta Ads Manager
  • SEO tools like SEMRush, Ahrefs, or Moz
  • Project management tools (Trello, Asana, ClickUp)
  • Collaboration tools (Slack or MS Teams)
  • Google Workspace or MS Office
  • Generative AI tools (ChatGPT, Jasper)

System Requirements

  • Primary internet: 15 Mbps+ with 10 Mbps+ backup (must function during outages)
  • Desktop/laptop with i5 processor (8GB RAM minimum) plus backup device (i3 or higher)
  • Webcam, noise-canceling headset, smartphone for verification
  • Quiet, dedicated home office space

Benefits

  • Fun, inclusive, and innovative company culture
  • Professional growth opportunities across digital marketing
  • Flexible, fully remote setup
  • Work-life balance with no commuting

Step into a role where creativity and strategy come together to grow brands and your career.

Happy Hunting,
~Two Chicks…

APPLY HERE