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Job DescriptionCVS Health is looking for experienced Claims Processors to join our fast-paced Claims Department. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic image in a production environment. Commercial Paper Claims processes an average of 74,000 claims monthly, and provides service to multiple employer and health plans. Primary Responsibilities of the Claims Processor include: - Processing and adjudicating commercial paper claims. - Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures. - Accurately resolving pending claims using state and federal regulations and specific health plan criteria. - Working within turnaround times to meet client performance guarantees for claims processing. - Meeting productivity and accuracy standards.- Making outreach to pharmacies by phone to request information that may be missing in a submissionRequired Qualifications- 1+ year of claims experience (medical or dental claims experience will be considered) - 1+ year of experience Microsoft Word, Excel and Outlook softwareCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsPrevious PBM Experience - Strong typing skills with speed and accuracy - Team-oriented while also able to pursue personal and departmental production goals daily - Ability to organize in a multi-demand and multi-priority environment - Ability to work overtime as necessaryEducationHigh School Diploma or GED requiredBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.