FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Medical Claim Analyst
CVS Health. Execute routine and non-routine business support tasks for the Medical Claims area under limited supervision .
Posted 9/17/2026full-timeRemote • North Dakota • United StatesMid-LevelSenior💰 $19 - $39 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical claims processing, including understanding of claims policies and procedures, and effective customer service in benefit inquiries. Proficient in problem solving and decision making within the healthcare domain, with a focus on cost management and training.
Highest-signal resume keywords
Commercial Medicare ExperienceHealthcare Claims ProcessingUtilization ManagementClaims Policies and ProceduresMedical Management Concepts
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
Problem SolvingDecision Making
Tools & Technologies
HRPRumbaMedCompass
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Medical ClaimsCost ManagementClaim AdjudicationCustomer Service StandardsTraining Programs
About the role
Key responsibilities & impact- Execute routine and non-routine business support tasks for the Medical Claims area under limited supervision
- Follow area protocols, standards, and policies to provide effective and timely support
- Review provider billing practices to identify trends and cost savings opportunities
- Conduct training programs related to claim billing appropriateness and health plan guidelines for claim processors
- Test automated code review programs
- Execute techniques, processes, and responsibilities as directed
- Respond to customers on benefit inquiries
- Maintain customer service standards
- Administer policies and procedures for medical cost management
- Coordinate support functions for claim adjudication
Requirements
What you’ll need- Working knowledge of problem solving and decision making skills
- Commercial Medicare Experience
- Understanding of claims policies and procedures
- Understanding of medical management concepts
- High school diploma or equivalent required
- Preferred: Healthcare claims processing
- Preferred: Utilization management or authorization support
- Preferred: Experience using healthcare systems such as HRP, Rumba, and MedCompass
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