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Senior Integrated Service Specialist
CVS Health Careers. Execute routine and non-routine business support tasks for the Integrated Services area under limited supervision .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims processing and customer service, with strong analytical skills to interpret data and resolve client needs effectively. Proficient in Microsoft Word and Excel, ensuring efficient workflow management and support.
Highest-signal resume keywords
Claims Processing ExperienceCustomer Service ExperienceClient Support ExperienceProficiency In Microsoft WordProficiency In Microsoft Excel
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingData AnalysisWorkflow ManagementInformation ResearchEnrollment Resolution
Soft Skills
Problem SolvingEffective CommunicationAnalytical Thinking
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Business SupportMetric-Based EnvironmentClient InteractionAccounts ReceivableWork Distribution
About the role
Key responsibilities & impact- Execute routine and non-routine business support tasks for the Integrated Services area under limited supervision
- Follow area protocols, standards, and policies to provide effective and timely support
- Interface with clients and providers by telephone, fax, and electronic mail
- Identify and resolve member needs through analysis and evaluation of information and solutions
- Research and update information using internal systems and resources
- Resolve enrollment and accounts receivable questions
- Process claims and adjustments
- Manage work distribution through work queues and monitor and adjust workflow for load balancing
- Execute assigned techniques, processes, and responsibilities
Requirements
What you’ll need- 3 years of customer service experience required
- 2–3 years of claims processing experience
- 2–3 years of client support experience
- Proficiency in Microsoft Word and Excel required
- Analytical experience with the ability to interpret data and make informed decisions
- High school diploma or GED required
- Experience in a metric-based environment is a plus
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay