Top 16 Benefit specialist Jobs in West Virginia

Senior Claim Benefit Specialist - Remote
CVS Health —West Virginia
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
8d
Leave Specialist - REMOTE
Ryder System —Charleston, WV
- $55,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Disability insurance
- Health insurance
Senior Compensation Consultant
RemainCo Personnel Holdings, LLC —Charleston, WV
- $150,000 - $180,000 a year
- Full-time
- Microsoft Excel
- Office
- Master's degree
- Paid parental leave
- Disability insurance
Quick Apply
3d
Benefits Department Coordinator -- Compensation and Benefits -- General-419 Brooks St.
CAMC Health System —Charleston, WV
- Overtime
- No experience needed
- Mid-level
- Office
Benefits Department Coordinator -- Compensation and Benefits -- General-419 Brooks St.
Mon Health —Charleston, WV
- Overtime
- No experience needed
- Mid-level
- Office
Human Resources Specialist - Human Resources
WesBanco Bank, Inc. —Wheeling, WV
- Remote
- Microsoft Excel
- Microsoft Outlook
- OSHA
13d
Payroll & Benefits Manager
PREMIUM GUARD INCORPORATED —Weirton, WV
- Full-time
- Office
- Finance
- Analysis skills
Employee Benefit Plan (EBP) Senior Auditor
Brown Edwards —Charleston, WV
- $60,000 - $95,000 a year
- Full-time
- CPA
- Mid-level
- Office
- Profit sharing
- Health savings account
Associate Veterinarian– Charles Town, West Virginia | Competitive Compensation + Full Benefits + CE Support
Desort —Charles Town, WV
- $100,000 - $200,000 a year
- Online Application
- Mid-level
- Medical-surgical
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
Business Development Sales Specialist (Charles Town, WV; Homebuilder/Contractor sales responsibilities; good pay incentives and benefits)
Blossman Gas & Appliance —Kearneysville, WV
- Contract
- Microsoft Excel
- 5 years
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply

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Leave Specialist - REMOTE
Ryder System —Charleston, WV
Case load average is 150+ cases and the specialist handles the case from intake to eligibility checks, sending required notices customized by State, to…
$55,000 a year
Real Estate Portfolio Specialist - REMOTE
Ryder System —Charleston, WV
Bachelor's degree required real estate, business, finance or related field. Process all construction invoices through Ryder payment systems.
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4d

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Health Care Specialist
OPERS —Columbus, OH
Pension plan plus 457(b) retirement account with company match opportunity. Strong knowledge of Health Care and Benefits programs from OPERS or comparable…
$55,619.20 - $69,492.80 a year
Quick Apply
Leave Specialist - REMOTE
Ryder System —Columbus, OH
Case load average is 150+ cases and the specialist handles the case from intake to eligibility checks, sending required notices customized by State, to…
$55,000 a year

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benefit specialist jobs near west virginia

Senior Claim Benefit Specialist - Remote

CVS Health -
West Virginia

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour
8 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

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
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

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

benefit specialist jobs in west virginia

Senior Claim Benefit Specialist - Remote

Leave Specialist - REMOTE

Senior Compensation Consultant

Benefits Department Coordinator -- Compensation and Benefits -- General-419 Brooks St.

Benefits Department Coordinator -- Compensation and Benefits -- General-419 Brooks St.

Human Resources Specialist - Human Resources

Payroll & Benefits Manager

Employee Benefit Plan (EBP) Senior Auditor

Associate Veterinarian– Charles Town, West Virginia | Competitive Compensation + Full Benefits + CE Support

Business Development Sales Specialist (Charles Town, WV; Homebuilder/Contractor sales responsibilities; good pay incentives and benefits)

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