Senior Coordinator Complaint Appeals Operations
Clinical Careers Page(1 month ago)
About this role
An Appeals Specialist at CVS Health handles resolution of complex benefit and claims appeals across products, serving as a single point of contact and coordinating with multiple business units. The role involves interaction with plan sponsors and regulators and supports interpretation of plan documents and appeals processes.
Required Skills
- Appeals Processing
- Claims Research
- Benefit Interpretation
- Regulatory Compliance
- Customer Service
- Communication
- Multitasking
- Quality Review
Qualifications
- High School Diploma
About Clinical Careers Page
cvshealth.comCVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.
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