Senior Integrated Service Specialist - Remote

Overview

The Senior Integrated Service Specialist at CVS Health plays a crucial role in providing assistance to customers regarding claims-related inquiries, ensuring they receive clear and accurate information.

In Short

• Serve as the primary contact for claims-related inquiries.
• Provide information on claims submissions and status updates.
• Assist with denial reasons and payment issues.
• Facilitate referrals to in-network healthcare providers.
• Contribute to service improvement initiatives.
• 3 years of customer service experience required.
• 2-3 years of claims processing and client support experience.
• Proficiency in Microsoft applications is necessary.
• Work in a metric-based environment is a plus.
• High School Diploma required.

Requirements

• Minimum of three years of relevant experience.
• Experience in claims processing preferred.
• Strong communication skills.
• Ability to work in a fast-paced environment.
• Detail-oriented and organized.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching contributions.
• No-cost wellness programs.
• Flexible work schedules and paid time off.
• Tuition assistance and financial coaching.