Senior Liability Claims Adjuster
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
This position is accountable for successfully managing high exposure and complex druggist and professional Risk claims. The Senior Liability Claims Adjuster will be responsible to handle all aspects of claim resolution, including outreach, financial reserving, investigations, negotiations and resolution of mostly pre-suit druggist and professional liability claims against CVS throughout the United States. The Senior Liability Claims Adjuster will have extensive interaction with multiple internal departments, legal counsel, and field employees to ensure timely and appropriate investigation and resolution of claims. Some travel may be required.Responsibilities include:
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• Responsible for successful handling of pre-suit druggist and professional liability claims.
• Independently and proactively manage caseload.
• Ensure records, video and evidence are preserved timely.
• Setting appropriate and timely financial reserves.
• Analyze claim and internal materials to determine relevancy, liability and exposure.Required Qualifications
• 3+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance carrier, third party claims administrator or self-administered corporation.Preferred Qualifications
• 5+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance carrier, third party claims administrator or self-administered corporation.
• Proficient with a claims management system to ensure accurate tracking of all relevant claims data for reporting to internal stakeholders.
• Ability to stay apprised on national and venue-specific trends to ensure appropriate handling of claims.
• Possess excellent analytical, organizational and communication skills and ability to effectively communicate with claimants and attorneys.
• Possess excellent customer service skills and behaviors and demonstrated ability to de-escalate claimants resulting in productive dialogue and resolution.
• Ability to positively and aggressively represent the company at mediations.
• Proficient in Microsoft applications with a proven ability to learn new software programs and systems as required.Education
• High school diploma or equivalent required.
• Bachelor's degree preferred. Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$46,988.00 - $122,400.00This 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Perks and Benefits
Health and Wellness
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- HSA
- HSA With Employer Contribution
- Pet Insurance
- Mental Health Benefits
Parental Benefits
- Fertility Benefits
- Adoption Assistance Program
- Family Support Resources
Work Flexibility
- Flexible Work Hours
- Remote Work Opportunities
- Hybrid Work Opportunities
Office Life and Perks
Vacation and Time Off
- Paid Vacation
- Paid Holidays
- Personal/Sick Days
Financial and Retirement
- 401(K) With Company Matching
Professional Development
- Tuition Reimbursement
Diversity and Inclusion
- Employee Resource Groups (ERG)
- Diversity, Equity, and Inclusion Program