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Reinsurance & Stop-Loss Claims Specialist

CVS Health

CVS Health is seeking a dedicated Adjuster for Reinsurance/Stoploss claims in a full-time capacity. The role requires reviewing complex medical claims, applying eligibility guidelines, and performing adjustments while maintaining compliance with processing guidelines. You will handle inquiries, support pre-authorizations, and partner with cross-functional teams to ensure accurate pricing and reimbursements. Strong attention to detail and healthcare knowledge are essential. #J-18808-Ljbffr CVS Health

Vacancy posted 2 days ago
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