Employer: CVS Health
This is a remote work from home role, anywhere in the US.
Responsible for managing to resolution complaint/appeal scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to complaints/appeals. Identify trends and emerging issues and report and recommend solutions. This position can be anywhere in the United States.
Required Qualifications
- 6 months + of professional job experience
Preferred Qualifications
- Medicare experience
- Claims experience
- Experience in reading or researching benefit language in Summary Plan Description (SPDs) or Certificate of Coverage (COCs)
- Experience in research and analysis of claim processing a plus
Education
- Minimal requirement High school/GED