Help members by ensuring accurate, timely, and compassionate claims processing at CVS Health.
About CVS Health
As the nation’s leading health solutions company, CVS Health connects with millions of Americans through local care, digital channels, and a workforce of 300,000+ colleagues. Together, we are reimagining health care to make it more connected, convenient, and compassionate.
Schedule
- Full-time, 40 hours per week
- Remote position (must reside in Texas)
- Structured training program: 21 weeks mandatory attendance
- Overtime may be required after training based on business needs
Responsibilities
- Review and adjudicate medical claims in accordance with processing guidelines.
- Determine member coverage and use multiple systems to verify eligibility and claim details.
- Identify claim cost management opportunities and refer when needed.
- Make accurate and timely claim payment decisions to support member satisfaction and retention.
- Document, track, and process claims within quality and production standards.
- Collaborate with team members to achieve department, regional, and national goals.
Requirements
- High School Diploma or GED required (Associate’s degree preferred)
- Experience in a quality and production environment
- Prior claim processing experience required
- Ability to use multiple computer applications simultaneously
- Strong attention to detail and analytical ability
- Effective communication skills, both written and verbal
- Positive, adaptable attitude with willingness to learn
- Comfortable working under accuracy, efficiency, and customer service metrics
Pay & Benefits
- Pay: $17.00 – $28.46/hour (based on experience, education, and location)
- Medical, dental, and vision insurance with affordable options
- 401(k) with company match + employee stock purchase program
- Paid time off, family leave, and flexible schedules
- Tuition assistance and career development support
- Employee well-being programs including wellness screenings, confidential counseling, and financial coaching
Be part of CVS Health’s mission to deliver better outcomes through high-quality claims service.
Happy Hunting,
~Two Chicks…