Senior Integrated Service Specialist

CVS Health

. Serve as the primary point of contact for customers seeking assistance with claims-related inquiries .

Posted 10/14/2026full-timeRemote • Arizona • United StatesSenior💰 $19 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing and customer service, with a strong ability to analyze data and provide accurate information to clients. Proficient in managing workflows and facilitating effective communication between clients and healthcare providers.

Highest-signal resume keywords

Claims Processing ExperienceCustomer Service ExperienceClient Support ExperienceProficiency In Microsoft WordProficiency In Microsoft Excel

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingData AnalysisWorkflow ManagementInformation ResearchMetric-Based Environment Experience

Soft Skills

Clear CommunicationProblem SolvingCustomer Assistance

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Claims InquiriesService Improvement InitiativesEnrollment QuestionsAccounts ReceivableHealthcare Providers

About the role

Key responsibilities & impact

Serve as the primary point of contact for customers seeking assistance with claims-related inquiries
Provide clear and accurate information regarding claims submissions, status updates, denial reasons, and payment or reimbursement issues
Facilitate referrals to in-network healthcare providers
Contribute to service improvement initiatives
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 via telephone, fax, and electronic mail to identify and resolve member needs
Research and update information using internal systems and resources to resolve enrollment and accounts receivable questions and process claims and adjustments
Manage work distribution through work queues, monitoring and adjusting workflow for load balancing
Execute techniques, processes, and responsibilities as directed

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