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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 Jun 13, 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, 41% Part Time, and 9% 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.
Sr. Claims Specialist, General Liability

Sr. Claims Specialist, General Liability

Zurich Insurance Group

Olathe, KS โ€ข On-site

Other

Posted 8 hours ago


Job description

Zurich is seeking an individual interested in growing their claims career with our Major Case Unit in the Commercial General Liability Team.

At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected. ย The candidate selected for this opportunity should be able to report into one of the following North American Claims offices: Maitland, FL; Omaha, NE; Schaumburg, IL ; Addison, TX; Atlanta, GA; Overland Park, KS; New York, NY; or Gold River, CA

As a General Liability Senior Claims Specialist, you will work with a team of claims professionals with diverse experiences and backgrounds.ย  This environment will support your development as you hone your technical skill set in General Liability policy interpretation and coverage analysis to resolve your claims effectively.ย 

At this level, you will handle multi-party commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

You will be expected to collaborate and develop partnerships with internal and external points of contact including customers, vendors, suppliers, and brokers to provide a quality claims experience.ย  Additionally, you will learn and develop knowledge of established protocols and industry best practices to ensure that claims are handled in the most efficient, effective way while delivering a quality customer-centric claims experience.ย 

Basic Qualifications:

  • Juris Doctor with 2+ years of experience in Claims and/or Litigation Management OR
  • Bachelor's Degree with 6+ years of experience in Claims and/or Litigation Management OR
  • High School Diploma Equivalent with 8+ years of experience in Claims and/or Litigation Management OR
  • Zurich Certified Insurance Apprentice with an Associate Degree and 6+ years of experience in Claims and/or Litigation Management OR
  • Completion of Zurich Claims Training Program and 6+ years of experience in Claims and/or Litigation Management
  • Must obtain and maintain required adjuster license(s)
  • Proficiency in Microsoft Office
  • Knowledge of insurance regulations, markets, and products

Preferred Qualifications:

  • 6+ years of experience in commercial general liability claims handling, including complex litigated and high severity injury claims
  • 6+ years of litigation management experience
  • Ability to work independently
  • Active adjuster's license
  • Strong relationship-building skills and ability to collaborate across work groups
  • Familiarity with claims adjustment process and vendor utilization
  • Understanding of financial and actuarial/reserving concepts
  • Negotiation strategies expertise
  • Strong strategic thinking and negotiation skills
  • Organizational and time management abilities
  • Customer service experience
  • Strong analytical, critical thinking, and problem-solving skills
  • Excellent 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. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $75,800.00 - $124,100.00, with short-term incentive bonus eligibility set at 15%.

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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 - Parsippany, AM - Addison, AM - Atlanta, AM - Gold River, AM - Maitland, AM - New York, AM - Omaha, AM - Overland Park, AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered:ย Noย 
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-HYBRIDย