Top 34 Claims specialist Jobs in Wyoming

Senior Claim Benefit Specialist - Remote
CVS Health —Wyoming
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Senior Claims Specialist, Remote - CA Workers Compensation
Great American Insurance Company —Wyoming
- $110,000 - $120,000 a year
- Full-time
- Remote
- Travel
- US work authorization
- Organizational skills
- Commuter assistance
- Employee stock purchase plan
Quick Apply
Medicaid Rebate Analyst Services Specialist
Conduent State Healthcare, LLC —Wyoming
- $30 an hour
- Email
- Remote
- Customer service
- Research
- Mid-level
- Paid training
- Paid holidays
Sr. Field Safety Specialist | West Region
Camping World —Wyoming
- $87,400 - $134,000 a year
- Full-time
- Remote
- Up to 50% travel
- Mid-level
- 3 years
- Paid parental leave
- Health insurance
Quick Apply
Collections Specialist
Memorial Hospital of Sweetwater County —Rock Springs, WY
- Full-time
- Hospital
- HIPAA
- Mid-level
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Wyoming
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
Senior EHS Specialist
Joy Global Surface Mining —Gillette, WY
- $78,500 - $98,100 a year
- Construction site
- Bachelor of Science
- Writing skills
- Health savings account
- Disability insurance
Quick Apply
Quality Assurance Specialist
Babcock & Wilcox Company —Cheyenne, WY
- High school diploma or GED
- Welding
- Senior level
Field Unit Local Hiring Authority (FUL) Housing Management Specialist
US National Park Service —Yellowstone National Park, WY
- $50,460 - $80,243 a year
- Part-time
- Hybrid work
- Background check
- 18 years or older
- High school
7d
Clinical Support Specialist- West
Bicycle Health —Cheyenne, WY
- $20.75 an hour
- Email
- Remote
- Google Workspace
- Computer literacy
- High school diploma or GED
- Paid parental leave
- Paid holidays
7d
Private Insurance & Medicaid Billing Specialist
STRIDE Learning Center —Cheyenne, WY
- From $22 an hour
- Part-time
- Customer service
- HIPAA
- Mid-level
Quick Apply
1d
Authorization Specialist (Part-time/Cody)
Billings Clinic —Cody, WY
- $17.15 - $21.44 an hour
- Full-time
- High school diploma or GED
- 1 year
- Entry level
- Wellness program
- 403(b) matching
Security Professional - Flex Officer
Allied Universal —Casper, WY
- $17.50 an hour
- Part-time
- 18 years or older
- 5 years
- Military
- Paid holidays
- Retirement plan
Quick Apply
6d
Licensed Professional Mental Health Counselor- Behavioral Health Interdisciplinary Program
US Veterans Health Administration —Casper, WY
- $80,546 - $126,696 a year
- Online Application
- Background check
- Doctoral degree
- Current TB test
- Loan repayment program
Acquisition Specialist - State Farm Agent Team Member
Heidi Washburn - State Farm Agent —Cheyenne, WY
- $53,000 a year
- Full-time
- Office
- Business development
- Communication skills
- 401(k) matching
Quick Apply
Pre-Authorization specialist
Premier Bone & Joint Centers —Laramie, WY
- Overtime
- Hybrid work
- Anatomy knowledge
- Surgery
- HIPAA
Accounts Receivable Specialist [CS57]
Laramie County School District 1 —Cheyenne, WY
- $21.76 an hour
- 8 hour shift
- Computer literacy
- Basic math
- Research
Prior Authorization Specialist
Sheridan Memorial Hospital —Sheridan, WY
- Full-time
- Hospital
- Medical office experience
- HIPAA
- Health insurance
Quick Apply
Security Professional Flex Officer
Allied Universal —Rock Springs, WY
- $22.25 an hour
- Part-time
- 18 years or older
- 5 years
- Military
- Paid holidays
- Retirement plan
Quick Apply
1d
Commercialization Expert
CLEAResult Consulting Inc. —Cheyenne, WY
- $120,000 - $140,000 a year
- Full-time
- Remote
- Analysis skills
- Travel
- US work authorization
- Health insurance
- Dental insurance
Quick Apply

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claims specialist jobs near wyoming

Senior Claim Benefit Specialist - Remote

CVS Health -
Wyoming

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour

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

claims specialist jobs in wyoming

Senior Claim Benefit Specialist - Remote

Senior Claims Specialist, Remote - CA Workers Compensation

Medicaid Rebate Analyst Services Specialist

Sr. Field Safety Specialist | West Region

Collections Specialist

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Senior EHS Specialist

Quality Assurance Specialist

Field Unit Local Hiring Authority (FUL) Housing Management Specialist

Clinical Support Specialist- West

Private Insurance & Medicaid Billing Specialist

Authorization Specialist (Part-time/Cody)

Security Professional - Flex Officer

Licensed Professional Mental Health Counselor- Behavioral Health Interdisciplinary Program

Acquisition Specialist - State Farm Agent Team Member

Pre-Authorization specialist

Accounts Receivable Specialist [CS57]

Prior Authorization Specialist

Security Professional Flex Officer

Commercialization Expert

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