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Cvs Claims Jobs (NOW HIRING)

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 ...

NY ยท On-site

$60 - $98/hr

Litigated Claims Specialist (General Liability) Zurich is seeking an experienced Litigation Claims ... Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting ...

New

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 ...

KS ยท On-site

$22.40 - $30.87/hr

Zurich is currently hiring a GAP Claims Adjuster to join their F&I GAP Claims Team. This is a great ... Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting ...

CA ยท On-site

$83K - $136K/yr

Document claims file by accurately capturing and updating claims data/information in compliance ... Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Handles and processes benefits claims submitted by healthcare providers, ensuring accuracy ...

IN ยท On-site

$24.66 - $33.89/hr

Zurich North America is hiring an RCIS Claims Crop Field Adjuster II to join our team! We are open ... Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting ...

Showing results 21-40

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:

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.

Litigated Claims Specialist, General Liability

Zurich Insurance Company Ltd.

Gold River, CA โ€ข On-site

$59K - $98K/yr

Full-time

Re-posted 23 days ago


Job description

Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. At Zurich North America Claims, we recognize that flexibility and work-life balance are key considerations when choosing your next career move. Our hybrid work model is thoughtfully designed around employee needs offering autonomy to complete focused work from a preferred location, while still supporting meaningful in-person collaboration when it adds value.

This role offers a high level of flexibility, with occasional in-office attendance as business needs require, and can be based out of Zurich North Americaโ€™s office in Gold River, CA, operating on a hybrid schedule. We are also open to candidates located in Arizona, Washington, Nevada, or California who prefer a fully remote work arrangement. This is an excellent opportunity to advance your career with a respected global insurer while maintaining a strong balance and flexibility in how you work.

What You Will Do:


With moderate direction, you will manage multi-party commercial lines claims involving moderate to high exposure and complexity within assigned authority levels. You will follow established best practices and protocols to ensure claims are handled efficiently and effectively, while delivering a consistent, high-quality, and customer-focused claims experience.

Basic Qualifications:

  • Bachelorโ€™s Degree and 3 or more years of experience in the Claims or Insurance area
    OR
  • Zurich Certified Insurance Apprentice, including an associate degree and 3 or more years of experience in Claims or Insurance area
    OR
  • Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims or Insurance area
    OR
  • High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance area
    AND
  • Must obtain and maintain required adjuster license(s)
  • Knowledge of insurance regulations, markets and products
  • Microsoft Office experience

Preferred Qualifications:

  • 5 plus years of experience handling Commercial General Liability (CGL) claims
  • Demonstrated experience managing construction-related general liability claims, including bodily injury and property damage under wrap-up policies preferred
  • Experience with OCIP/CCIP wrap-up programs preferred
  • Strong litigation management experience
  • Currently hold an active adjusters license
  • Effective verbal and written communication skills
  • Strong analytical, critical thinking, and problem-solving skills
  • Solid time management, prioritization, and multi-tasking skills
  • Experience collaborating in a team environment and building cross functional working relationships.
  • Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure of moderately complex claims.
  • Ability to develop and execute a negotiation strategy and plan for resolution.
  • Ability to identify subtleties in customer/client and/or business partner interactions.
  • Ability to present information necessary to propose a claim resolution to stakeholders.

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 applyโ€”your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $59,900.00 - $98,200.00, 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 Rewards here.]

 

Why Zurich?

At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environmentโ€”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 500ยฎ.

Join us for a brighter futureโ€”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 ยง 1033.

 

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

Location(s): AM - Gold River, AM - California Virtual Office, AM - Arizona Virtual Office, AM - Sacramento, AM - Washington St Virt. Office, AM - Nevada Virtual Office
Remote Working: No
Schedule: Full Time
Employment Sponsorship Offered: No 
 
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-REMOTE