Senior Pharmacy Claims & Benefits Specialist
$18.5 - $38.82 per hourCVS
CVS Health in Pennsylvania is seeking a Pharmacy Claims Processor to research, review, and correct pharmacy-related claim issues, ensuring accurate benefit administration and regulatory compliance. The role requires strong analytical skills, attention to detail, and the ability to work independently while maintaining productivity and quality. The position is full-time, 40 hours per week, with a pay range of $18.50 to $38.82 per hour and a comprehensive benefits package including medical, dental, #J-18808-Ljbffr CVS Health
$151k - $302.5k
...2026-09-21 We are seeking a talented individual to join our Pharmacy Benefits Management (PBM) team, part of our People and Investments business... ...days per week either in the office or at a client site. Senior Pharmacy Benefits Consultant What can you expect? This...SeniorMinimum wageContract workWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$150.5k - $200k
...delivering results that delight and inspire your clients?This opportunity may be for you!The Opportunity: Our Vice President, Senior Pharmacy Benefits Consultant performs in a primary client relationship role providing influential pharmacy benefits consulting for clients...SeniorContract work- PNC is seeking a Benefits Advisor to lead medical and pharmacy benefits strategy across multiple locations including Atlanta, GA. This role emphasizes data-driven decisions, audits, and vendor partnerships to improve plan performance and employee experience. Responsibilities...Senior
- A prestigious legal staffing firm in New York is seeking a Senior Benefits & Leave Specialist to handle benefits administration and leave management. This role requires over 5 years of experience in a law firm or professional services environment. Strong knowledge of FMLA...Senior
- New York Life is seeking a Sr. Associate, Benefits - Health & Welfare to administer health and welfare benefits for employees and agents. You will manage eligibility, deductions, COBRA subsidies, executive life insurance payments, and complex benefit cases in a fast-paced...Senior
$100k - $120k
Overview Our client, a prestigious AM100 law firm, is seeking a Senior Benefits & Leave Specialist to join their HR team in New York. This role offers the opportunity to be a key point of contact for benefits administration, leave management, and employee lifecycle activities...SeniorFull timeTemporary workLocal area- Our client is a premier law firm. They seek a Well-Being and Benefits Senior Specialist to join their Manhattan, NY office. Responsibilities Manage the day-to-day administration of the firm's employee benefits programs, ensuring accuracy, compliance, and an excellent employee...SeniorWork at office
$100k - $120k
Senior Benefits Specialist - Leave and Accommodations This role oversees the administration and processing of leave of absence and ADA accommodation... ...interactive process with employee Monitor and administer claims, generate reports, and communicate with employees, managers...SeniorFull timeTemporary workLocal area- Bupa is seeking a detail-oriented Benefits Analyst to support pensions, wellbeing programmes and HR reward activities. You will manage data accuracy, run regular reports and liaise with benefit providers and HR teams across the business. The role involves handling enrolments...Senior
- ...and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims. * Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact,...SeniorWork at office
- Our client, a nationally recognized A+ rated insurance carrier, seeks a Sr. Construction Liability Claims Specialist to manage complex New York Labor Law and Construction Liability claims from inception to resolution. Responsibilities include investigating coverage, evaluating...SeniorRemote job
$125k - $175k
A leading insurance company is looking for a Senior Claims Specialist to manage general liability claims, particularly in New York construction... ...salary ranging from $125,000 to $175,000, with a comprehensive benefits package and potential for incentives. #J-18808-Ljbffr...Senior- OdysseyRe in New York City is seeking a Senior Claims Specialist to lead coverage analysis, investigation, and resolution of complex general liability claims with emphasis on construction matters. You will collaborate with underwriting, actuarial, and management to drive...Senior
$69.39k - $84.81k
...on the future – including your own. We’re actively seeking a talented Sr Long Term Disability Claims Specialist to join our growing Work Force Benefits Division. As a Senior Long Term Disability Claims Consultant you’ll move Pacific Life and your career forward by developing...SeniorContract workWork experience placementFlexible hours- West Bend is seeking an experienced casualty claims professional to handle complex cases across construction defect, general liability, commercial transportation, and auto bodily injury lines. You will evaluate coverage and damages, negotiate settlements, and coordinate...Senior
$80k - $95k
A leading insurance staffing agency is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring... ...00 annually plus bonuses, along with comprehensive benefits including medical, dental, and 401(k) matching. #J-...SeniorRemote job- Elevate Patient Financial Solutions in the United States is seeking an experienced Senior Claim Specialist for a remote, full-time role. The position focuses on Medicaid eligibility, enrollment, and payment posting to support hospitals and physicians nationwide. You will...SeniorRemote jobFull time
- MetLife’s Global Customer Service and Operations (GCSO) team seeks a Senior LTD Claims Specialist to evaluate long term disability claims, deliver timely and accurate decisions, and support customers across the United States. Responsibilities include reviewing medical...Senior
- MetLife in the United States is seeking a Senior Life Claims Examiner to review FEGLI life claim submissions remotely from home. You will apply technical expertise to investigate pended claims, advocative in-depth knowledge of FEGLI procedures, and coordinate with internal...SeniorRemote jobWeekend work
$125k - $175k
Senior Claims Specialist Date: Jan 7, 2026 Company: Odyssey Headquartered in New York City with offices throughout the U.S. and in Vancouver,... ...incentive program. In addition, Hudson offers a comprehensive benefits package. This range is specific to New York City, NY and...SeniorWorldwide- AF Group seeks a Claim Representative II to handle moderately difficult workers' compensation claims. You will verify coverage, determine compensability through investigation, and assess causality to ensure proper payments. Responsibilities include establishing reserves...Senior
- Description If you’re looking for a claims role where you can make a real impact—not... ..., fast-moving, and meaningful. The Senior Claims Specialist works within a Claims Team navigating... ...This comes to life through comprehensive benefits, workplace flexibility, professional...SeniorContract workFor contractorsFor subcontractorWork at officeLocal areaRemote work
- ...America) Please review the following job description: The Senior Claims Specialist is responsible for investigating, evaluating, and resolving... ...with attention to detail. General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed...SeniorFull timeTemporary workWork at officeShift workDay shift
$140k - $170k
...a brilliant future with Hiscox Our Senior Complex Claims Specialist - Allied Healthcare is an individual... ...aid and healthcare staffing agencies, pharmacies and testing laboratories. The role... ...and, of course, enjoy great employee benefits that take care of your mental and physical...SeniorPermanent employmentTemporary workWork at office- Senior Claim Specialist Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st Shift (United States of America) CRC... .... Customer service orientation with attention to detail. Benefits General Description of Available Benefits for Eligible Employees...SeniorRemote jobFull timeTemporary workWork at officeShift workDay shift
$58k - $69k
...what we do, one conversation at a time. The Opportunity The Senior LTD Claim Specialist is responsible for independently evaluating and managing... ...empathy and active listening to explain the claim process, benefits and plan provisions and to gather essential medical,...SeniorTemporary workLocal areaWorldwide- AnewHealth is hiring a Remote Customer Support Specialist to handle client inquiries from members, clinicians, pharmacies, and plan sponsors with timely, accurate... ...offers a 40-hour week with evening hours and a comprehensive benefits package. #J-18808-Ljbffr AnewHealthRemote jobAfternoon shift
- CVS Health is seeking a full-time medical claims processor in Pennsylvania to review and adjudicate complex claims across self-funded and fully insured plans, process refunds, and handle inquiries. The role emphasizes adherence to guidelines, cost containment, and accurate...SeniorFull time
- CRC Group seeks a Senior Claim Specialist in the United States to manage a portfolio of moderately complex property and casualty claims from intake to resolution. You will conduct investigations, review policy coverage, analyze facts, and negotiate settlements within authority...Senior
$10k
Great American Insurance Group seeks a Senior Medical Only Claims Representative to investigate, manage, and resolve workers' compensation medical-only claims across MN, IA, NE, SD, KS, and MO in a fully remote role. You will verify coverage, communicate with injured workers...SeniorRemote job
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