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Cvs Claims Jobs (NOW HIRING)

CVS Health

Pharmacy Technician - Claims Reviewer

$43K - $85K/yr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... The Claims Reviewer is responsible for reviewing pharmacy claims submitted through the CVS Health ...

CVS Health

Claims Negotiation Manager

Farmington, CT

$66K - $145K/yr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... The Manager, Out-of-Network Claims Negotiation is responsible for leading the strategy, operations ...

CVS Health

Claims Negotiation Manager

$66K - $145K/yr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... The Manager, Out-of-Network Claims Negotiation is responsible for leading the strategy, operations ...

Zurich 56 Company Ltd

$60 - $98/hr

Zurich North America is hiring a Senior Claims Professional, Surety/Construction to join our team ... Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting ...

New

CVS Health

Tort Litigation Counsel

Woonsocket, SD

$92K - $203K/yr

... CVS from the initiation of suit through resolution. - Conducting thorough analyses of case files and internal materials, collaborating across the organization to investigate claims and assess ...

CVS Health

Tort Litigation Counsel

Farmington, CT

$92K - $203K/yr

... CVS from the initiation of suit through resolution. - Conducting thorough analyses of case files and internal materials, collaborating across the organization to investigate claims and assess ...

CVS Health

Tort Litigation Counsel

$92K - $203K/yr

... CVS from the initiation of suit through resolution. - Conducting thorough analyses of case files and internal materials, collaborating across the organization to investigate claims and assess ...

Zurich Insurance Company Ltd.

TX · On-site

$75K - $124K/yr

At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority ... Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting ...

U-Haul

Claims Clerk

Omaha, NE · On-site

Repwest Insurance Company is looking for a full-time Claims Clerk for our office in Omaha, NE ... CVS Virtual Care * UHaul Kids Program * 24Hour Nurse Line * Wellness Program (HealthierYou ...

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Cvs Claims information

See salary details

$30.5K

$64.6K

$90K

How much do cvs claims jobs pay per year?

As of Sep 2, 2026, the average yearly pay for cvs claims in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What are CVS claims?

CVS claims refer to the requests for reimbursement or payment that are processed by CVS Health, typically through its pharmacy benefit management (PBM) services. These claims are submitted by pharmacies or healthcare providers to CVS for prescription drugs or healthcare services provided to patients covered by insurance plans managed by CVS. The claims process involves verifying patient eligibility, ensuring medication coverage, and determining the amount to be paid by the insurer and the patient. Efficient claims processing is essential to ensure timely access to medications and accurate billing for both providers and patients.

What are the key skills and qualifications needed to thrive as a CVS claims specialist?

To thrive as a CVS Claims Specialist, you need a solid understanding of insurance claims processing, attention to detail, and knowledge of healthcare regulations, typically supported by relevant education or experience in insurance or pharmacy benefit management. Familiarity with claims management software, pharmacy systems, and industry-standard coding (such as ICD-10 and CPT) is important. Strong analytical thinking, problem-solving abilities, and effective communication skills help in resolving claim issues and collaborating with team members. These skills ensure accurate claims processing, regulatory compliance, and high-quality service for clients and patients.

What are some common challenges faced by professionals in CVS claims roles, and how can they be addressed?

Professionals working in CVS Claims often encounter challenges such as managing high-volume workloads, navigating complex insurance policies, and ensuring timely and accurate processing of claims. These challenges can be addressed by developing strong organizational skills, staying updated on industry regulations, and utilizing claims management software efficiently. Regular communication with team members and cross-functional departments also helps to resolve discrepancies and streamline workflows, making the process smoother for both employees and clients.

What is the difference between Cvs Claims vs Pharmacy Technician?

AspectCvs ClaimsPharmacy Technician
Required CredentialsHigh school diploma, certification in claims processingHigh school diploma, pharmacy technician certification
Work EnvironmentInsurance companies, claims processing centersPharmacies, healthcare facilities
Industry UsageInsurance and healthcare billingPharmaceutical services and patient support
Common Search IntentClaims processing, insurance reimbursementMedication dispensing, patient assistance

While both roles involve healthcare and require knowledge of medical terminology, Cvs Claims primarily focuses on processing insurance claims and reimbursement, whereas Pharmacy Technicians assist pharmacists with medication preparation and patient service. Understanding these differences helps job seekers identify the right career path in the healthcare industry.

More about Cvs Claims jobs

What states have the most Cvs Claims jobs?

States with the most job openings for Cvs Claims jobs include:

What job categories do people searching Cvs Claims jobs look for?

The top searched job categories for Cvs Claims jobs are:

Cvs Claims jobs near you
Infographic showing various Cvs Claims job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 85% In-person, and 15% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

Pharmacy Technician - Claims Reviewer

CVS Health

Remote

$43K - $85K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,359 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies

Job 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 ourselvesaccountable 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.

Job Summary

At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans, and community pharmacists, we're pioneering a bold new approach to total health. Making quality care more affordable, accessible, simply and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

The Claims Reviewer is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Claims Reviewer will identify and rectify claim inaccuracies that would result in client over-payment.

In order to be successful in this role you will contact pharmacies for proper documentation to ensure a claim was submitted correctly.. In the event of an inaccurate claim submission, you will follow the appropriate policies.


We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays.

Required Qualifications

  • 6 month of Retail pharmacy experience
  • Valid Pharmacy Technician License or PTCB License
  • Reside within the Phoenix Metro area


Preferred Qualifications

  • Ability to multitask and work independently
  • Effective communication skills
  • Bachelor's degree preferred/specialized training/relevant professional qualification.

Education

High School Diploma or equivalent GED

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/28/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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