Benefit Specialist Jobs

Benefit Specialist — VA - Norfolk. Apply via Workday.

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. A Brief Overview Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements.

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. A Brief Overview Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements.

About Us: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytm’s mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. About the Team: Because you get an opportunity to make a difference, and have a great time doing that. You are challenged and encouraged here to do stuff that is meaningful for you and for those we serve. We are successful, and our successes are rooted in our people's collective energy and unwavering focus on the employees, and that's how it will always be change management in Human Resources About the role: This role will be responsible for supporting the implementation of a broad range of reward practices and compliance policies for the organization. This role is a key subject matter expert of the Compensation and Benefits functions locally; the role provides local insights, consultation, and advice to Human Resources Business Partners and senior business leaders as required. key responsibilities in order of importance and specify the approximate amount of time, e.g. in % related to the typical business cycle). Expectations/ Requirements: 1. Compensation Benchmarking: Ensure external competitiveness of internal salary ranges by benchmarking against comparators. 2. Conducts and analyses survey results to assist in comparing c

Claim Benefit Specialist — 52 Locations. Apply via Workday.

Claim Benefit Specialist — 51 Locations. Apply via Workday.

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 Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and problems. Perform adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process. Performs claim re-work calculations. Follow through completion of claim overpayments, underpayments, and any other irregularities. Process complex non-routine Provider Refunds and Returned Checks. Review a

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 Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience. Additional Responsibilities - Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication. - Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures. - Identifies and reports potenti

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: About Abbott Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology. Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program and <a href="https://www.abbott.com/corpnewsroom/strategy-and-strength/college-degree-for-free-its-possible-with-freeu.html" tar

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Job Title Collections Specialist II Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Job Title Collections Specialist II Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: About Abbott Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology. Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program and <a target="_blank" href="https://www.abbo

Job Summary As an Account Development Specialist (End-User), you will be on the front lines of customer engagement — identifying, contacting, and selling to new and existing end-user customers and regionally based Engineering firms who could benefit from our products or services. This role is ideal for someone who thrives on direct outreach, enjoys helping people solve problems, and wants to build foundational sales skills in a fast-paced environment. This role is responsible for driving sales of all relevant end-user-focused products by combining a blend of technical knowledge, strategic thinking, and exceptional communication skills. The Account Development Specialist works closely with our Channel and Field Application Engineering teams to ensure customer satisfaction and achieve sales targets. This role plays a pivotal part in the development of accounts, with the goal of crossing a threshold to where developed accounts are then assigned to Sales Engineers. This position is an individual contributor role and does not include formal people management responsibilities. This is a regional role responsible for Ohio, Kentucky and Western Tennessee. Responsibilities Meet or exceed territory sales quotas as established by the RSM and/or Vice President—Field Sales. Be proficient in BASE selling skills and implement to build strong customer relationships. Generate leads through cold calls, emails, and networking events. Support the preparation of proposals, prese

Job Summary As an Account Development Specialist (End-User), you will be on the front lines of customer engagement — identifying, contacting, and selling to new and existing end-user customers and regionally based Engineering firms who could benefit from our products or services. This role is ideal for someone who thrives on direct outreach, enjoys helping people solve problems, and wants to build foundational sales skills in a fast-paced environment. This role is responsible for driving sales of all relevant end-user-focused products by combining a blend of technical knowledge, strategic thinking, and exceptional communication skills. The Account Development Specialist works closely with our Channel and Field Application Engineering teams to ensure customer satisfaction and achieve sales targets. This role plays a pivotal part in the development of accounts, with the goal of crossing a threshold to where developed accounts are then assigned to Sales Engineers. This position is an individual contributor role and does not include formal people management responsibilities. This is a regional role responsible for Ohio, Kentucky and Western Tennessee. Responsibilities Meet or exceed territory sales quotas as established by the RSM and/or Vice President—Field Sales. Be proficient in BASE selling skills and implement to build strong customer relationships. Generate leads through cold calls, emails, and networking events. Support the preparation of proposals, prese

Job Summary As an Account Development Specialist (End-User), you will be on the front lines of customer engagement — identifying, contacting, and selling to new and existing end-user customers and regionally based Engineering firms who could benefit from our products or services. This role is ideal for someone who thrives on direct outreach, enjoys helping people solve problems, and wants to build foundational sales skills in a fast-paced environment. This role is responsible for driving sales of all relevant end-user-focused products by combining a blend of technical knowledge, strategic thinking, and exceptional communication skills. The Account Development Specialist works closely with our Channel and Field Application Engineering teams to ensure customer satisfaction and achieve sales targets. This role plays a pivotal part in the development of accounts, with the goal of crossing a threshold to where developed accounts are then assigned to Sales Engineers. This position is an individual contributor role and does not include formal people management responsibilities. This is a regional role responsible for Ohio, Kentucky and Western Tennessee. Responsibilities Meet or exceed territory sales quotas as established by the RSM and/or Vice President—Field Sales. Be proficient in BASE selling skills and implement to build strong customer relationships. Generate leads through cold calls, emails, and networking events. Support the preparation of proposals, prese