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Reinsurance & Stop-Loss Claims Specialist

CVS Health

CVS Health in the United States is seeking a Reinsurance/Stoploss Claims Adjuster to review, research, and adjust complex medical claims, splitting claims into multiple statuses and adjudicating high-dollar items. You will collaborate with key business functions to ensure accuracy in adjustments, apply medical necessity guidelines, verify eligibility, and handle inquiries while ensuring compliance and timely resolutions. #J-18808-Ljbffr CVS Health

Vacancy posted 3 days ago
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