CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca
Benefits Verification Specialist
Location
United States
Posted
1 day ago
Salary
$17 - $31 / hour
Seniority
Junior
Job Description
Benefits Verification Specialist
CVS Health
• Verify insurance coverage and obtain prior authorization information for patients • Complete and document benefit verification review • Provide information on Enteral home infusion services • Comply with regulatory compliance areas, policies, and procedures • Coordinate with Patient Intake Coordinators for new and existing accounts • Investigate type and level of insurance coverage to assess patient eligibility • Communicate with medical professionals and insurance company personnel • Complete data entry to ensure accuracy of reporting
Job Requirements
- Minimum one year experience in customer service in a healthcare environment
- One year experience with medical insurance and/or medical benefit programs and terminology
- Working knowledge of prior authorizations, benefits investigation, or insurance policy interpretation
- Minimum one year experience working in Microsoft Office, specifically Excel, Outlook, and Word
Benefits
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
Related Guides
Related Categories
Related Job Pages
More Human Resources Jobs
Life Benefits Examiner
TEKsystemsWe're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
Role Description We are seeking a Life Benefits Examiner to join a growing claims team. In this fully remote role, you will manage life insurance claims from start to finish, reviewing documentation, communicating with beneficiaries, and making benefit determinations in accordance with policy guidelines. This position is ideal for professionals who are detail-oriented, empathetic, and enjoy balancing analytical work with customer interaction. Experience in insurance, financial services, banking, healthcare, or claims processing is highly valued. Qualifications - High school diploma or GED. - Minimum of 2 years of professional work experience. - Strong customer service and communication skills. - Comfortable with data entry and navigating multiple computer systems. - Strong attention to detail and organizational skills. - Ability to work independently in a fast-paced environment. - Preferred: Experience in insurance claims, life insurance, banking, financial services, healthcare administration, or related industries. - Previous claims processing or benefits administration experience. - Experience handling sensitive customer situations with empathy and professionalism. Requirements - Review and analyze life insurance claim documentation. - Investigate claim eligibility and gather additional information when needed. - Make claim determinations and issue benefit payments according to policy provisions. - Communicate with beneficiaries, policyholders, and internal partners regarding claim status and decisions. - Resolve claim-related questions and provide outstanding customer service. - Identify discrepancies, outstanding issues, and documentation requirements. - Maintain accurate records and meet established service and quality standards. - Collaborate with internal teams to ensure efficient claim processing. - Participate in special projects and team initiatives as assigned. Benefits - Medical, Dental, and Vision Insurance - 401(k) Retirement Plan - Life Insurance - Short-Term and Long-Term Disability Coverage - Health Savings Account (HSA) - Employee Assistance Program (EAP) - Paid Sick Leave and Other Applicable Time-Off Benefits
Senior Employee Relations Specialist
Cushman & WakefieldWe will never settle for the world that’s been built, but relentlessly drive it forward. #BetterNeverSettles
Role Description The Senior Employee Relations Specialist is responsible for the delivery of employee relations governance and consulting services to designated internal clients on ER matters. Key skills required to be successful in this role are: - Exceptional communication skills—especially in a virtual environment - Strong connection and relationship skills - Action orientation and responsive mindset - Ability to write and document issues with clarity and precision This role reports to the ER Manager for the service line. The Senior Employee Relations Specialist will: - Take the lead on ER cases and partner with dedicated HR Business Partners (HRBPs) on standard to complex ER cases. - Utilize a Case Management system to store and track case notes and generate ER metrics reports for various client groups. Key responsibilities include: - Delivery of Employee Relations consulting services to dedicated client groups on standard to complex ER matters. - Working with employees and their managers to understand perspectives and guide toward resolution of conflict or issues. - Investigating standard to complex internal employee complaints and recommending solutions to management and dedicated HRBPs. - Consulting and coaching managers on performance management best practices. - Investigating, reviewing, consulting, and providing recommendations on employee misconduct issues. - Consulting with management, HRBPs, ER COE, Legal, Benefits, Leave Administration, and Risk management on escalated leave of absence and job accommodation requests. - Ensuring appropriate documentation to support decisions. - Supporting and consulting with HRBPs and managers with position elimination activities. - Providing change management support to management and HRPBs. - Partnering with dedicated HRBP on highly complex issues. - Investigating, reviewing, consulting, and providing written responses to state and federal agency charges. - Utilizing Case Management tools to document and manage ER matters and investigations. - Liaising and partnering with Legal and ER COE on high-level, high-risk, or highly complex issues. - Assisting in the creation and refinement of company-wide HR policies. - Assisting or taking lead in the development of training, tools, templates, processes, and reference materials. Other Duties as Assigned or Requested: - Participating in project work that supports the ER COE, the HR team, or other functions. - Occasional travel to other C&W locations to participate in investigations and meetings. Qualifications - Bachelor’s Degree in HR or related area, or equivalent experience - Spanish language skills strongly preferred - 5+ years of progressive ER or HR Generalist experience Requirements - The compensation for the position is: $86,700.00 - $102,000.00 - The company will not pay less than minimum wage for this role. Benefits - Health, vision, and dental insurance - Flexible spending accounts - Health savings accounts - Retirement savings plans - Life and disability insurance programs - Paid and unpaid time away from work Cushman and Wakefield provide eligible employees with competitive pay, which may vary depending on eligibility factors such as geographic location, date of hire, total hours worked, job type, business line, and applicability of collective bargaining agreements. Company Description C&W Services is an Equal Opportunity employer to all protected groups, including protected veterans and individuals with disabilities. Discrimination of any type will not be tolerated. In compliance with the Americans with Disabilities Act Amendments Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a position at C&W Services, please call the ADA line at 1-888-365-5406 or email Accommodations@cushwake.com. Please refer to the job title and job location when you contact us.
• Serve as a trusted advisor to senior leaders, HR and management on employee relations matters, providing coaching, conflict mediation and guidance on corrective actions. • Develop and execute a comprehensive employee relations strategy that supports the Company's objectives and ensures alignment with legal standards and best practices. • Create, review and implement policies and procedures ensuring compliance with applicable labor laws, regulations and internal standards. • Design and deliver training programs for managers and employees on employee relations topics such as conflict resolution, performance management and appropriate workplace conduct. • Work closely with other HR functional teams to integrate employee relations strategies with broader HR initiatives, creating a global community of practice. • Manage one direct report and a team reporting into that Manager. • Oversee the process for resolving employee grievances, workplace conflicts and complaints, including leading or advising on complex investigations of alleged misconduct, harassment or policy violations. • Collaborate with global partners to ensure consistent application of framework for resolutions across all geographies. • Monitor key employee relations metrics and utilize data analytics to proactively address trends, identify risk and drive continuous improvement. • Work to foster a culture of trust, respect and accountability by promoting open communication channels, listening to employee concerns and enhancing employee engagement initiatives. • Collaborate with legal counsel to mitigate potential legal risks by handling employee relations cases and participating in legal proceedings when necessary.
Role Description Are you someone who lends a hand? Can you see our most valuable asset behind a process - our employees? Do you want to be part of an innovative HR team at Amazon and contribute and expand your skills in HR administration? Then become part of our team as a HR Administrator and support our employees. The main task of our team is to implement all administrative, personnel-specific processes precisely, punctually and professionally. Our goal is always to ensure that our employees have an excellent customer experience through accurate time recording, smooth payroll processing, and other administrative processes in the human resources department. Key job responsibilities - Maintaining and checking data in our time recording systems, such as reasons for absence or time-offs - Processing, checking and maintaining personal and payrun-related data in our human resources information systems - Preparation and timely provision of data for further processing by the locations' HR support teams - Creation, tracking and control of evaluations and statistics - Processing inquiries from employees, managers and HR departments - Active participation in projects to continuously improve existing processes or individual process steps Qualifications - Knowledge of Microsoft Office including Outlook, Word, and Excel - High school or equivalent - Completed vocational training in the commercial sector or higher level of education - Basic verbal skills in German (A2 CEFR) and very good proficiency in English (B2 CEFR) Requirements - First professional experience in the commercial sector - Enjoy managing large amounts of data and administrative work - Careful, reliable and independent way of working, even under deadline pressure - High customer orientation and communication skills - Willingness to work flexibly to ensure the greatest possible customer satisfaction - (Ideally) you have already worked with time recording systems and/or other HR systems Company Description Amazon is an equal opportunities employer. We believe passionately that employing a diverse workforce is central to our success. We make recruiting decisions based on your experience and skills. We value your passion to discover, invent, simplify and build. Protecting your privacy and the security of your data is a longstanding top priority for Amazon. Our inclusive culture empowers Amazonians to deliver the best results for our customers.



