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CVS Health logo
CVS Health

CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca

Adjudication Associate (Omnicare) - Overnight

Location

United States

Posted

92 days ago

Salary

$17 - $34 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Adjudication Associate (Omnicare) - Overnight

CVS Health

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 ourselves accountable 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. Position Summary The Adjudication Associate (Omnicare) is responsible for the preparation and submission of claims for accounts to ensure timely reimbursements. This person will communicate with the nursing facility staff, physician offices, and insurance companies to maintain payment deliverables for online claim submissions. Responsibilities: - Follows established procedures to execute routine business support tasks for the Adjudication Omnicare function under general supervision. - Develops effective relationships with all team members to ensure daily communication to resolve issues and prevent delays in service. - Conducts review and research of rejected claims and takes action for resolution. - Handles work backlog of denied claims for timely resubmission. - Ensures compliance with all government and regulatory requirements. - Takes direction to execute techniques, processes, and responsibilities. Required Qualifications - At least 1 year of experience in customer service. - Basic proficiency with desktop software applications, particularly Microsoft Excel and Microsoft Access. - Must be able to work Monday-Friday from 9:00pm-5:30am Eastern Standard Time, as well as be willing to work weekends (rotating regularly) and holidays (several times per year). Preferred Qualifications - Pharmacy technician certification. - Previous experience in managed care and Medicaid and/or Medicare organizations. - Ability to perform multiple tasks effectively. - Ability to work both independently and as part of a team. - Ability to operate independently. - Dedicated and reliable nature. Education - High school diploma or GED. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $34.15 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. 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/22/2026 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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OtherRemoteTeam 10,001+Since 1931H1B Sponsor

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description As a Virtual Assist Auto Adjuster, you will have the flexibility to work from home daily. On rare occasions you may be asked to assist with fieldwork based on local market needs. You will be an integral part of our team, leveraging advanced technology conducting inspections remotely by analyzing photos and live videos to provide exceptional service to customers whose vehicles require repair. You will play a key role in reviewing, writing estimates, creating supplements, and handling total losses for a wide variety of vehicles. 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This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to employ the best qualified individuals available for all jobs. 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Gallagher logo

Senior Lost Time Workers Compensation Claims Adjuster

Gallagher

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on protected characteristics by applicable federal, state, or local laws.

OtherRemoteTeam 5,001-10,000

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. 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United States
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OtherRemoteTeam 201-500H1B No Sponsor

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United States
$18 - $22 / hour
Full TimeRemoteTeam 51-200H1B No Sponsor

• Investigate & Resolve Claims: Assess and resolve auto claims with moderate supervision, focusing on coverage, liability, and damages. • Judgment & Decision-Making: Use sound judgment to determine exposure and the best course of action. • Cost Control: Minimize claims costs and expenses while ensuring a positive experience for policyholders. • Collaboration: Interact extensively with various parties involved in the claim process. • Process Improvement: Identify and implement ways to boost efficiency and effectiveness. • Timely Documentation: Clearly record and communicate claims activity for smooth resolution.

United States
$50K - $70K / year
Job Closed