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[Hiring] Claims Processing - Representative I @CVS Health

Remote, USA Full-time Posted 2026-06-14

Role Description We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position is remote, but work schedule will be based off AZ time zone. Our Direct Member Reimbursement (DMR) Claims team is looking for experienced Claims Processors to join our fast-paced team. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic images in a production environment.

Qualifications

  • At least 2 years of work experience that shows a progressive trend in responsibility and accountability preferably in a Healthcare setting
  • Excellent verbal and written communication skills
  • In-depth experience working with Microsoft Office Suite products

Requirements

  • Previous PBM Experience
  • Strong typing skills with speed and accuracy
  • Team-oriented while also able to pursue personal and departmental production goals daily
  • Ability to stay organized in a multi-demand and multi-priority environment
  • Strong time management skills with ability to meet production goals

Benefits

  • Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families
  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs and other resources, based on eligibility

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