Claims Processing - Representative I
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
Position is remote, but work schedule will be based off AZ time zone.
Our Direct Member Reimbursement (DMR) Claims team is looking for experienced Claims Processors to join our fast-paced team. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic images in a production environment.
Required Qualifications
At least 2 years of work experience that shows a progressive trend in responsibility and accountability preferably in a Healthcare setting
• Excellent verbal and written communication skills
• In-depth experience working with Microsoft Office Suite products
Preferred Qualifications
• Previous PBM Experience
• Strong typing skills with speed and accuracy
• Team-oriented while also able to pursue personal and departmental production goals daily
• Ability to stay organized in a multi-demand and multi-priority environment
• Strong time management skills with ability to meet production goals
Education
Verifiable High School Diploma or GED required
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The Typical Pay Range For This Role Is
$17.00 - $28.46
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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
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: 03/16/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Apply tot his job
Apply To this Job
Position Summary
Position is remote, but work schedule will be based off AZ time zone.
Our Direct Member Reimbursement (DMR) Claims team is looking for experienced Claims Processors to join our fast-paced team. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic images in a production environment.
Required Qualifications
At least 2 years of work experience that shows a progressive trend in responsibility and accountability preferably in a Healthcare setting
• Excellent verbal and written communication skills
• In-depth experience working with Microsoft Office Suite products
Preferred Qualifications
• Previous PBM Experience
• Strong typing skills with speed and accuracy
• Team-oriented while also able to pursue personal and departmental production goals daily
• Ability to stay organized in a multi-demand and multi-priority environment
• Strong time management skills with ability to meet production goals
Education
Verifiable High School Diploma or GED required
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The Typical Pay Range For This Role Is
$17.00 - $28.46
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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
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: 03/16/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Apply tot his job
Apply To this Job