Top 413 Claims representative Jobs in Pennsylvania

Customer Service Representative
CVS Health —Pennsylvania
- $17.00 - $31.30 an hour
- Full-time
- Remote
- Computer literacy
- No high school diploma
- High school diploma or GED
- Health insurance
- Dental insurance
1d
Billing Representative
Optum —Greensburg, PA
- $18 - $32 an hour
- 8 hour shift
- Remote
- 18 years or older
- Microsoft Outlook
- Computer literacy
- On-the-job training
1d
Claim Examiner
A-G Specialty Insurance, LLC —Berwyn, PA
- $50,000 a year
- Weekends as needed
- Remote
- Mid-level
- Bachelor's degree
- Travel
Revenue Cycle Representative I
Thomas Jefferson University and Hospitals —Elkins Park, PA
- Full-time
- Remote
- Computer literacy
- Basic math
- Research
- AD&D insurance
- Disability insurance
Claims Analyst - REMOTE
Ryder System —Harrisburg, PA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Recertification Claims Specialist
Lincoln Financial —Radnor, PA
- $55,700 - $100,200 a year
- Online Application
- Remote
- Mid-level
- High school diploma or GED
- Organizational skills
- Disability insurance
- Tuition reimbursement
6h
Senior Service Processor, Claims Payment Services
Lincoln Financial —Radnor, PA
- $25.87 - $35.84 an hour
- Online Application
- Remote
- Microsoft Outlook
- Mid-level
- High school diploma or GED
- Tuition reimbursement
- Paid time off
1d
Field Claims Representative (Field Liability Claims Adjuster) - Pittsburgh
ACUITY, A Mutual Insurance Company —Pittsburgh, PA
- $75,000 - $150,000 a year
- Anatomy knowledge
- 5 years
- Driver's License
- Disability insurance
- Health insurance
Pharmacy Tech Support / Call Center Rep (Remote Work from Home)
IQVIA —Philadelphia, PA
- $18 an hour
- Full-time
- Remote
- Spanish
- English
- High school diploma or GED
- Work from home
8d
Workers Compensation Claims Specialist, Sr
NJM Insurance Group —Pittsburgh, PA
- $79,129 - $91,834 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid parental leave
- Disability insurance
Revenue Cycle Representative II
Thomas Jefferson University and Hospitals —Elkins Park, PA
- Full-time
- Remote
- Computer literacy
- Research
- Mid-level
- AD&D insurance
- Disability insurance
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Pittsburgh, PA
- $57,000 - $90,000 a year
- Day shift
- Driver's License
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid time off
- 401(k) matching
Claims Representative
Penn Lumbermens Mut Ins Co —Philadelphia, PA
- Spanish
- Writing skills
- Mid-level
Customer Service Representative
Advance Sourcing Concepts LLC —Pittsburgh, PA
- $18.25 an hour
- Contract
- Hybrid work
- Spanish
- High school diploma or GED
- Computer skills
- Work from home
Quick Apply
Claims Representative
Pennsylvania Lumbermens Mutual Insurance Company —Philadelphia, PA
- $60,000 - $68,000 a year
- Full-time
- Hybrid work
- Mid-level
- Microsoft Office
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Senior Claims Representative - REMOTE
Ryder System —Harrisburg, PA
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
14d
Workers' Compensation Claims Consultant
ECBM LP —Media, PA
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
Commercial Claims Representative
CIBA Insurance Services —Narberth, PA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Clean driving record
- 5 years
- Residential
- Health insurance
- Dental insurance
Quick Apply
Field Claims Specialist II, Property Content (Pittsburgh, PA - WFH)
Nationwide —Pennsylvania
- Extended hours
- Remote
- Background check
- Research
- Mid-level
- Paid holidays
- Disability insurance
Claims Representative - Medical Only
Berkshire Hathaway GUARD Insurance Companies —Wilkes-Barre, PA
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Office
- Dental insurance
- 401(k)

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Customer Service Representative

CVS Health -
Pennsylvania

Apply Now

Job Details

Full-time
$17.00 - $31.30 an hour
1 day ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Computer operation
Customer communication
AI tools proficiency

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary:

We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers. Our customers include members of our benefit plans, employers that offer benefits, and doctors, hospitals, and other healthcare providers. In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources. This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions.

As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction. Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty.

Key Responsibilities:

Actively listen and be an advocate for customers, understand their needs and provide guidance and support
Resolve customer inquiries and issues efficiently while documenting all interactions.
Educate customers about available resources and assist them in navigating their options.
Anticipate customer needs and provide proactive solutions to enhance satisfaction.
Collaborate with team members and other departments to address service issues and improve outcomes.
Document all customer correspondence and maintain confidential records of patient information.
Utilize AI-enabled tools during training and servicing to improve efficiency, support problem-solving, and enhance customer experience.
Follow policies, procedures, and the CVS/Aetna Code of Conduct.

Your performance will be measured by:

Customer satisfaction with the service you provide.
Demonstrating CVS/Aetna’s Values in Action behaviors include caring, being accountable, innovating with purpose, and prioritizing safety and quality.
Your ability to resolve customer issues the first time they call.
Service with Heart Quality and accuracy of interactions and empathy with customers.
Reporting to work and adhering to your assigned schedule.

Our Leadership and Welcome Teams will help you succeed by providing:

New colleague orientation to learn about our company and your role.
Engaging and comprehensive training ranging from 4 to 18 weeks depending on the customers supported.
A supportive and inclusive culture that will allow for continuous learning and growth.
Ongoing coaching and mentoring support.
Equipment and resources needed to complete assigned work.

Key Competencies and Behavioral Requirements:

Demonstrated empathy and effective communication skills.
Respectful and kind demeanor in all communications while being an advocate for our customers
Strong problem-solving and decision-making abilities.
Ability to manage multiple resources and tasks in a fast-paced environment.

This position pays $18.50/hour.

Qualified new hires are eligible for a $2,000 sign-on bonus after 9 months of service. Must remain continuously employed for a minimum 12 months.

Required Qualifications:

6+ months of customer service experience
Basic computer skills
Must work in Eastern Standard Time or Central Standard Time.

Preferred Qualifications:

1+ years of customer service experience in a contact center environment, which may include calls, chats or email correspondence depending on role
1+ years of claims, provider, dental, medical or other related healthcare experience
Microsoft office experience preferred

Education:

High School Diploma, GED, or equivalent experience.

You must have:

Adherence to workplace model and potential telework agreements.
High-speed internet (100 Mbps download | 25 Mbps upload) access with a direct wired ethernet connection to modem/router. Hotspots, Satellite, Fixed Wireless, and WiFi are not permitted.
Willingness to leverage technology and AI as key support tools.
Willingness to work specific hours with flexibility.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

claims representative jobs in pennsylvania

Customer Service Representative

Billing Representative

Claim Examiner

Revenue Cycle Representative I

Claims Analyst - REMOTE

Recertification Claims Specialist

Senior Service Processor, Claims Payment Services

Field Claims Representative (Field Liability Claims Adjuster) - Pittsburgh

Pharmacy Tech Support / Call Center Rep (Remote Work from Home)

Workers Compensation Claims Specialist, Sr

Revenue Cycle Representative II

Claims - Field Claims Representative

Claims Representative

Customer Service Representative

Claims Representative

Senior Claims Representative - REMOTE

Workers' Compensation Claims Consultant

Commercial Claims Representative

Field Claims Specialist II, Property Content (Pittsburgh, PA - WFH)

Claims Representative - Medical Only

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