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Cvs Claims Jobs (NOW HIRING)

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Cvs Claims information

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$30.5K

$64.6K

$90K

How much do cvs claims jobs pay per year?

As of Jul 23, 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 July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.
Claims Associate II-Workers Comp

Claims Associate II-Workers Comp

Zurich Insurance Company Ltd.

San Francisco, CA • On-site

$22.40 - $30.87/hr

Full-time

Posted 7 days ago


Job description

Zurich is currently hiring a Claims Associate II to join their Workers’ Compensation Claims Team. This is a great opportunity to start a career in claims by learning how to interpret, investigate and evaluate policies and coverage issues, as well as claims handling and best practices. At this level, you will manage workers compensation claims caseload that consists of low to moderate exposure.  As part of Zurich North America’s commitment to service excellence, you will build partnerships with customers and brokers and may be aligned to specific accounts. 

This is a remote position for a strong candidate with a background in insurance, customer service, multi-tasking, and experience in medical terminology and/or medical coding in California.

 

As a Claims Associate II – Workers Comp, your primary responsibilities will include: 

  • Reviewing new claims and ensuring all required information is complete
  • Making initial contact
  • Responding promptly to emails and phone calls to address questions or concerns
  • Processing incoming mail and handling relevant documentation efficiently
  • Managing medical requests and coordinating with providers as needed
  • Evaluating claims for closure and making decisions that support positive outcomes

 Basic Qualifications:  

  • Bachelor’s Degree and no prior experience required in the Claims area
  • OR
  • High School Diploma or Equivalent and 2 or more years of experience in the Customer Service area
  • OR
  • Zurich Certified Insurance Apprentice including an Associate Degree and no prior experience required in the Claims area
  • AND
  • Must obtain and maintain required adjuster license(s)
  • Experience with Microsoft Office

Preferred Qualifications:  

  • Insurance industry, medical terminology, or medical billing knowledge
  • Analytical and organizational skills
  • Ability to multi-task
  • Strong communication skills
  • Adapt to a changing environment

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.

The pay range shown is a national average and may vary by location. The proposed hourly rate for this position is $22.40 - $30.87, with short-term incentive bonus eligibility set at 5%.

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

 

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.

 

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

Location(s): AM - California Virtual Office
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No  
 
Linkedin Recruiter Tag: #LI-MM1 #LI-REMOTE