Reinsurance & Stop-Loss Claims Specialist
CVS Health
CVS Health in New Mexico is seeking a Reinsurance/Stoploss Claims Adjuster to review, research, and adjust complex medical claims. You will adjudicate high-dollar claims, apply medical necessity guidelines, verify eligibility, and determine coverage while ensuring compliance and accuracy. You will collaborate with other functions, handle customer inquiries, perform claim re-work, identify discrepancies, and mentor colleagues as needed. #J-18808-Ljbffr CVS Health
Vacancy posted 2 days ago
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