Underwriting Consultant (Meritain Health)

Job Summary

CVS Health is seeking an Underwriting Consultant (Meritain Health) to join our team in Montpelier, Washington County, US. This full‑time role offers a competitive salary of $65,248 per year.

Key Responsibilities

• Evaluate health insurance applications and determine eligibility based on policy guidelines.
• Analyze medical records, claims history, and risk factors to make accurate underwriting decisions.
• Collaborate with sales, claims, and provider networks to resolve complex cases.
• Maintain detailed documentation in compliance with regulatory standards.
• Provide exceptional customer service to members, agents, and internal stakeholders.
• Stay current on industry regulations, Medicare/Medicaid updates, and Meritain Health product offerings.

Qualifications

• High school diploma or GED required; associate or bachelor’s degree in health administration, finance, or related field preferred.
• 2+ years experience in health insurance underwriting or claims analysis.
• Strong analytical, communication, and problem‑solving skills.
• Proficiency with Microsoft Office and underwriting software systems.
• Ability to work independently and as part of a collaborative team.

Benefits

• Comprehensive health, dental, and vision coverage.
• Retirement savings plan with company match.
• Paid time off and holiday leave.
• Employee assistance programs and wellness resources.

Frequently Asked Questions

What does an Underwriting Consultant do at CVS Health?

The consultant reviews health insurance applications, assesses risk, makes eligibility decisions, and ensures compliance with regulations while supporting members and internal teams.

What qualifications are required for this position?

At least 2 years of underwriting or claims experience, strong analytical skills, and a high school diploma (associate or bachelor’s degree preferred).

What is the salary for this role?

The position offers a fixed annual salary of $65,248.