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Cvs Claims Jobs (NOW HIRING)

Review claims to determine coverage * Conduct liability investigation by obtaining statements ... CVS Virtual Care * UHaul Kids Program * 24Hour Nurse Line * Wellness Program (HealthierYou ...

Review claims to determine coverage * Conduct liability investigation by obtaining statements ... CVS Virtual Care * U-Haul Kids Program * 24-Hour Nurse Line * Wellness Program (HealthierYou ...

The function of the Claims Reporting Unit is to set up new claims for U-Haul Storage, U-Haul ... CVS Virtual Care * UHaul Kids Program * 24Hour Nurse Line * Wellness Program (Healthier You ...

The function of the Claims Reporting Unit is to set up new claims for U-Haul Storage, U-Haul ... CVS Virtual Care * U-Haul Kids Program * 24-Hour Nurse Line * Wellness Program (Healthier You ...

The function of the Claims Reporting Unit is to set up new claims for U-Haul Storage, U-Haul ... CVS Virtual Care * Uโ€‘Haul Kids Program * 24โ€‘Hour Nurse Line * Wellness Program (Healthier You ...

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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 Jun 30, 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 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.

What are the key skills and qualifications needed to thrive as a CVS Claims Specialist, and why are they important?

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.
More about Cvs Claims jobs
What states have the most Cvs Claims jobs? States with the most job openings for Cvs Claims jobs include:
Infographic showing various Cvs Claims job openings in the United States as of June 2026, with employment types broken down into 50% Full Time, 40% Part Time, and 10% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.
Claims Specialist I- Auto

Claims Specialist I- Auto

Zurich Insurance Group

Atlanta, GA โ€ข Hybrid

Other

Posted 16 days ago


Job description

Zurich North America is seeking a motivated individual to advance their claims career as part of our Commercial Auto team.

As an Auto Claims Specialist, you will work alongside a diverse group of experienced claims professionals, enhancing your development while honing technical expertise in auto policy interpretation and coverage analysis. In this role, you will manage non-litigated claims related to auto physical damage, bodily injury, and third-party property damage within multi-party commercial claims of low to moderate exposure and complexity. You will operate within defined authority limits and established protocols, ensuring claims are handled efficiently and effectively while delivering exceptional customer service.

Key Responsibilities:

  • Collaborate with internal and external stakeholders, including customers, vendors, suppliers, and brokers, to provide a quality claims experience.
  • Apply knowledge of established protocols and industry best practices to resolve claims effectively.
  • Deliver customer-centric service while managing claims within defined authority limits.
  • Develop expertise in coverage analysis and auto policy interpretation.

Work Location:

This position follows a hybrid work schedule and requires the selected candidate to be based at one of the following office locations: Atlanta, GA; Schaumburg, IL; or Addison, TX.

Basic Qualifications:

  • Bachelor's Degree with 2+ years of experience in Claims Handling or Insurance
    OR
  • Completion of the Zurich Claims Training Program with 2+ years of experience in Claims or Insurance
    OR
  • Zurich Certified Insurance Apprentice (including an Associate Degree) with 2+ years of experience in Claims Handling or Insurance
    OR
  • High School Diploma (or equivalent) with 4+ years of experience in Claims Handling or Insurance
  • Prior experience in auto claims handling, insurance claims, or a related customer service field. Understanding of auto insurance policies, coverage, and state regulations.Prior experience in auto claims handling, insurance claims, or a related customer service field. Understanding of auto insurance policies, coverage, and state regulations.
  • Ability to obtain and maintain required adjuster licenses
  • Proficiency in Microsoft Office
  • Knowledge of insurance regulations, markets, and products

Preferred Qualifications:

  • Experience in Commercial Auto Claims, including handling:
    • Third-party auto property damage claims
    • Auto physical damage claims
    • Bodily injury claims
    • Active adjuster license
    • Experience collaborating across teams and developing strong relationships
    • Strong knowledge of the claims adjustment process, including scope/exposure assessment
    • Familiarity with vendor management and litigation strategies
    • Proficiency in financial and actuarial/reserving concepts
    • Strong negotiation skills, including alternative approaches to resolution
    • Excellent organizational and time management skills
    • Customer service experience with a focus on delivering quality interactions
    • Analytical, critical thinking, and problem-solving abilities
    • Strong verbal and written communication skills

Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.

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The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $49,500-$81,000, with short-term incentive bonus eligibility set at 10%.

We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewardsย here.]

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Why Zurich?

At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500.

Join us for a brighter future-for yourself and our customers.

Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.

Zurich complies with 18 U.S. Code 1033.

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Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.

Location(s): AM - Addison, AM - Atlanta, AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered:ย Noย 
Linkedin Recruiter Tag: #LI-MM1 #LI-HYBRIDย