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Complex Reinsurance/Stop-Loss Medical Claims Adjuster

CVS Health

CVS Health is seeking an experienced Reinsurance/Stoploss Claims Adjuster in Massachusetts. You will review and adjust high-dollar medical claims, apply guidelines, and collaborate with multiple teams to ensure accurate adjustments and compliant payments. You will handle inquiries, rework discrepancies, and potential training for junior staff as part of a collaborative, fast-paced claims team. Must have an Associate degree or equivalent experience and 2+ years in medical claim processing. #J-18808-Ljbffr CVS Health

Vacancy posted 2 days ago
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