retirement benefits specialist

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;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 &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Position Summary</b></p><p>
Review and complete provider-solicited and unsolicited overpayment refunds and returned checks. Research, resolve, and adjudicate complex, sensitive, and/or specialized medical claims in accordance with claims-processing guidelines. Partner with key business functions, ensure accurate posting of overpayment refunds, reconcile discrepancies, and respond to internal and provider inquiries.</p><p><b>
Key Responsibilities</b></p><ul><li>
Process complex, non-routine provider refunds and returned checks</li><li>
Review and interpret contract language to validate overpayments and allocate refund checks appropriately</li><li>
Apply medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply cost-containment measures to support claim adjudication</li><li>
Ensure compliance requirements are met and that payments/refunds follow company practices and procedures</li><li>
Perform claim rework calculations and adjustments across all dollar amounts for unsolicited overpayment refunds</li><li>
Follow through to completion on medical claim overpayments, underpayments, and other irregularities</li><li>
Respond to telephone and/or written inquiries related to pre-approvals/pre-authorizations, reconsiderations, and appeals</li><li>
Review assigned claims data mining work that may result in claim adjustments and complete resulting adjustments as appropriate</li><li>
Process medical claim adjustments on customer service platforms using technical and claims-processing expertise</li><li>
Provide overpayment refund training, mentoring, and job shadowing support for less experienced colleagues, as assigned</li><li>
Use available resource materials and tools to manage job responsibilities.</li></ul><p>
Handle customer service inquiries and issues assigned<br>
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<b>Required Qualifications</b></p><ul><li>
3+ years of medical claims processing experience</li><li>
2+ years of hands-on claim adjustments/rework experience</li><li>
2+ years in a production environment (volume + accuracy expectations)</li><li>
Demonstrated experience researching and resolving claim issues end-to-end</li><li>
Ability to interpret and apply guidelines related to eligibility, coverage, and benefits</li><li>
High attention to detail</li></ul><p><b><br>
Preferred Qualifications</b></p><ul><li>
Experience reviewing and researching overpayment refunds</li><li>
DG system claims processing experience</li><li>
Ability to manage multiple assignments accurately and efficiently</li><li>
Effective communication, organizational, and interpersonal skills</li><li>
Familiarity with overpayment recovery</li></ul><p><b><br>
Education</b></p><ul><li>
Associate degree or equivalent experience.</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$18.50 - $42.35<p></p><p>
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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
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.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.</p><br>
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.<p><br>
Additional details about available benefits are provided during the application process and on Benefits Moments.</p><br>
We anticipate the application window for this opening will close on: 05/15/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Senior Claims Benefit Specialist - Checkwork/Refund

Catholic High School

<p>Catholic High School, a college preparatory school in Virginia Beach, Virginia has an immediate opening for a full-time Athletic Facilities and Field Maintenance Specialist. Under the direction of the CHS Athletic Directors, the Athletic Facilities and Field Maintenance Specialist is responsible for performing a variety of skilled tasks to maintain and develop the school&rsquo;s athletic fields, stadium grounds and athletic buildings. Experience in landscaping, basic maintenance, and operating lawn machinery is preferred. Interested candidates should email a resume and Diocesan application to Catholic High School Athletic Director of Administration, Kelly Wright, at athletics@chsvb.org.</p><p>Job Type: Full-time</p><p>Benefits:</p><ul><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul><p>Experience:</p><ul><li>Landscaping: 2 years (Preferred)</li></ul><p>Ability to Commute:</p><ul><li>Virginia Beach, VA 23462 (Required)</li></ul><p>Work Location: In person</p>

Athletic Facilities and Field Maintenance Specialist

Charleston County Sheriff's Office

<div><div><div><h2 class="jobSectionHeader"><b>Description</b></h2></div>
<p></p><div><p>The Account Specialist II, III, and IV (PAYROLL) operate as part of a 3-person team to assist with processing payroll for all county employees and preparing monthly and quarterly filings.</p><p><b>
ACCOUNT SPECIALIST II HIRING HOURLY RANGE: $17.26 - $22.61</b><br>
<b>ACCOUNT SPECIALIST</b><b> III HIRING HOURLY RANGE: $19.34 - $25.32</b><br>
<b>ACCOUNT SPECIALIST IV</b><b> HIRING HOURLY RANGE: $21.66 - $28.36</b><br>
<br>
<b>(Salary dependent upon applicant's experience, skill level, and other job specific qualifications)</b><br>
<br>
<b>OPEN UNTIL FILLED &ndash; APPLICATION REVIEW BEGINS IMMEDIATELY</b></p></div><br>
<p></p>
<div><h2 class="jobSectionHeader"><b>Duties and Responsibilities</b></h2></div>
<p></p><div><ul><li>Verifies timesheet entry and runs payroll calculations for all County employees entered via a largely robust and fully integrated software system (MUCH larger than quick books and the like).</li><li>
Ensures deductions and County contributions are correct.</li><li>
Verifies salary, new hire/termination, pay adjustments, and other criteria affecting an employee&rsquo;s pay, as applicable.</li><li>
Prints and distributes checks and direct deposit notices.</li><li>
Researches and corrects payroll discrepancies.</li><li>
Reconciles and files all State and Federal reports (941 forms, South Carolina Retirement, Unemployment, etc.) in a timely and accurate manner.</li><li>
Balances, researches, corrects, prints, and distributes W-2s prior to the end of January each year.</li><li>
Processes manual and voided checks.</li><li>
Processes claims for payment for the various County deductions and employee contributions such as State and Federal taxes, student loans, child support garnishments, tax levies, retirement, etc.</li><li>
Performs a wide variety of duties and responsibilities with accuracy and speed under pressure of time-sensitive deadline.</li><li>
Handles confidential and administrative information with tact and discretion.</li><li>
Keeps immediate supervisor and designated others fully and accurately informed concerning work progress and problems.</li><li>
Utilizes logical and creative thought processes to solve problems.</li><li>
Develops ideas and suggestions for new and/or improved processes.</li><li>
Leads, trains, and motivates others in an effective manner.</li><li>
Performs other duties or assumes other responsibilities as apparent or assigned.</li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>Minimum Qualifications</b></h2></div>
<div><p><b>QUALIFICATIONS for Specialist 04 (Account Specialist II):</b></p><ul><li>
High School Diploma or GED required supplemented with 1 - 2 years of experience in processing payroll for more than 500 employees, 941 forms, and working with State Retirement.</li><li>
Knowledgeable of State and Federal Tax laws and Labor laws as they relate to payroll processing.</li><li>
Excellent interpersonal and written/verbal communication skills are essential.</li><li>
Substantial computer experience, to include working knowledge of payroll software.</li><li>
Skilled in Microsoft Office.</li><li>
Must be able to work effectively and efficiently with little to no supervision.</li></ul><b>
QUALIFICATIONS for Specialist 05 (Account Specialist III):</b><ul><li>
High School Diploma or GED required supplemented with 3 - 5 years of experience in processing payroll for more than 500 employees, 941 forms, and working with State Retirement.</li><li>
Knowledgeable of State and Federal Tax laws and Labor laws as they relate to payroll processing.</li><li>
Excellent interpersonal and written/verbal communication skills are essential.</li><li>
Substantial computer experience, to include working knowledge of payroll software.</li><li>
Skilled in Microsoft Office.</li><li>
Must be able to work effectively and efficiently with little to no supervision.</li></ul><b>
QUALIFICATIONS for Specialist 06 (Account Specialist IV):</b><ul><li>
High School Diploma or GED required supplemented with 5+ years of progressive experience in processing payroll for more than 500 employees, 941 forms, and working with State Retirement.</li><li>
Knowledgeable of State and Federal Tax laws and Labor laws as they relate to payroll processing.</li><li>
Excellent interpersonal and written/verbal communication skills are essential.</li><li>
Substantial computer experience, to include working knowledge of payroll software.</li><li>
Highly Skilled in Microsoft Office.</li><li>
Must be able to work effectively and efficiently with little to no supervision.</li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>Knowledge, Skills and Abilities</b></h2></div>
<p></p><div><ul><li>Take action in solving problems while exhibiting good judgment and a systematic approach to decision making; identify the important dimensions of a problem, determine potential causes, obtain relevant information, and specify alternate solutions that result in resolutions.</li><li>
Display strong analytical skills.</li><li>
Embrace change and actively support all efforts to improve processes, increase cooperation, communication, and collaboration between and among co-workers, departments, and County officials.</li><li>
Demonstrate sound time-management skills by effectively and efficiently organizing, prioritizing, and completing multiple assignments on or before the designated deadline.</li><li>
Safeguard confidential information and use it or disclose it only as expressly authorized or specifically required in the course of performing specific job duties.</li><li>
Embrace County and Department standards for customer service, accuracy, quality, efficiency and all County and Department policies and procedures ensuring that all work performed meets those standards.</li><li>
Keep immediate supervisor and designated others fully and accurately informed concerning work progress and problems.</li><li>
Utilize excellent customer service skills to ensure positive outcomes.</li><li>
Able to maintain close attention to detail.</li><li>
Able to understand and follow oral and/or written policies, procedures, and instructions.</li><li>
Able to perform a wide variety of duties and responsibilities with accuracy and speed under the pressure of time-sensitive deadlines.</li></ul></div></div></div><p></p>

Account Specialist II, III or IV

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10000 retirement benefits specialist jobs Near Me

Senior Claims Benefit Specialist - Checkwork/Refund

Senior Claims Benefit Specialist - Checkwork/Refund

Senior Claims Benefit Specialist - Checkwork/Refund

Senior Claims Benefit Specialist - Checkwork/Refund

Senior Claims Benefit Specialist - Checkwork/Refund

Athletic Facilities and Field Maintenance Specialist

Account Specialist II, III or IV