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CVS Pharmacy Claims Processor Resume Examples

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Brenna Goyette
Certified Professional Resume Writer, Career Expert

Updated 8 min read

This article will guide readers through the process of creating a resume specifically tailored to the position of Pharmacy Claims Processor at CVS. It will provide information on what skills and experience should be highlighted, as well as tips for writing an effective summary statement and crafting a compelling cover letter. Readers will also learn how to research the company and create a resume that stands out from other applicants.

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CVS Pharmacy Claims Processor Resume Example

Katlyn Berni, Pharmacy Claims Processor


(351) 483-2074

Richmond, VA

Professional Summary

I am an experienced Pharmacy Claims Processor with over 1 year of experience in the field. I have successfully analyzed, evaluated and processed claims for various prescription drugs. I am highly proficient in utilizing various computer software, including pharmacy management and medical billing systems. Additionally, I have extensive knowledge of the policies and regulations pertaining to the submission of pharmacy claims. I am also highly organized and detail-oriented, and I am capable of managing multiple tasks simultaneously. With my strong technical and communication skills, I am confident that I can be a valuable asset to any organization.

Work Experience

Senior Pharmacy Claims Processor at CVS Caremark, VA

Dec 2022 - Present

  • Reduced CVS Caremark's claims processing time by 25% by streamlining the claims process. This resulted in an average of 6,500 claims processed per day.
  • Developed a new system for tracking and reporting patient and provider data, leading to improved accuracy and faster claims processing.
  • Automated the process of verifying and approving pharmacy claims, resulting in a 40% increase in the number of claims processed per hour.
  • Implemented a new system for flagging suspicious claims, which resulted in a 90% reduction in fraudulent claims.

Pharmacy Claims Processor at Express Scripts, VA

Sep 2022 - Nov 2022

  • Processed over 5,000 pharmacy claims per month, resulting in a 50% reduction in backlog and increased customer satisfaction.
  • Developed an improved system for claims processing, reducing manual inputs by 85% and increasing accuracy of claims by 95%.
  • Spearheaded the development of a new automated system to reduce processing time from days to hours, increasing employee efficiency by 50%.
  • Led a team of 10 pharmacy claims processors to meet monthly goals, resulting in a 20% increase in claims processed.


Associate of Applied Science in Pharmacy Technology at Tidewater Community College, VA

Aug 2017 - May 2022

Relevant Coursework: Medical Terminology, Pharmacology, Pharmacy Calculations, Drug Interactions, Pharmacy Law and Ethics, Sterile and Nonsterile Compounding, and Pharmacy Technology.


  • Data Entry
  • Insurance Verification
  • Medical Terminology
  • Claims Processing
  • Attention to Detail
  • Problem Solving
  • Time Management


  • Certified Pharmacy Technician (CPT)
  • Certified Professional Coder-Pharmacist (CPCP)

Tips for Writing a Better CVS Pharmacy Claims Processor Resume

1. Highlight Your Knowledge of CVS Pharmacy Processes: Demonstrate your familiarity with CVS Pharmacy processes, such as claims submission, review, and processing. Showcase your knowledge of industry-specific software used to manage claims and other related tasks.

2. Demonstrate Your Ability to Adapt Quickly: The ability to quickly adapt to changes in the pharmacy environment is a must for any claims processor. Showcase how you have successfully adapted in the past by providing examples of how you stayed up-to-date with new requirements or processes.

3. Detail Your Problem Solving Skills: As a claims processor, problem solving skills are essential in resolving customer inquiries and resolving discrepancies between submitted documents and records. Provide specific examples of how you have successfully tackled difficult problems on the job in the past.

4. Focus on Your Communication Skills: Claims processors must be able to communicate effectively with customers, fellow employees, and management alike. Highlight any relevant experience that demonstrates your excellent communication skills, such as responding to customer inquiries or working with other departments to resolve issues quickly and efficiently.

5. Include Relevant Education & Certifications: Make sure to include any education or certifications that are related to the position such as a degree in pharmacy or medical billing/coding certification. This will help demonstrate your commitment to staying current with industry standards and regulations which are important for this role.

Related: Claims Processor Resume Examples

Key Skills Hiring Managers Look for on CVS Pharmacy Claims Processor Resumes

When applying for a Pharmacy Claims Processor opportunity at CVS, it is important to incorporate keywords from the job description into your resume and cover letter. This is because CVS utilizes Applicant Tracking Systems (ATS) to scan resumes and cover letters for relevant keywords. ATS systems are designed to filter out resumes that do not contain the necessary keywords, so if you want your application to be seen, it is important that you include all relevant keywords from the job description. Doing this will ensure that your application stands out and has a higher chance of being selected for further review.

When applying for pharmacy claims processor positions at CVS, you may come across the following common skills and key terms:

Key Skills and Proficiencies
Claims processingMedical coding
Data entryInsurance verification
Billing and reimbursementRegulatory compliance
Customer serviceProblem solving
DocumentationComputer proficiency
Attention to detailTime management
Communication skillsAnalytical thinking
HIPAA regulationsICD-10 coding
Auditing proceduresInterpersonal skills
Multi-taskingMedicare/Medicaid rules and regulations
Knowledge of medical terminologyQuality assurance

Related: Claims Processor Skills: Definition and Examples

Common Action Verbs for CVS Pharmacy Claims Processor Resumes

Finding action verbs to use on a resume can be tricky. It is important to use varied verbs when constructing a resume, as this adds variety and helps the reader better understand your skills and experience. For example, if you are applying for a position as a CVS Pharmacy Claims Processor, some applicable action verbs could include “processed”, “verified”, “audited”, “reviewed” or “resolved”. By using these different words throughout your resume, you will create a more dynamic document that showcases your qualifications in an effective way.

To give you a competitive edge, we've compiled a list of powerful action verbs that can help strengthen your resume and increase your chances of landing your next interview:

Action Verbs

Related: What does a Claims Processor do?

Editorial staff

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Brenna Goyette

Expert Verified

Brenna is a certified professional resume writer, career expert, and the content manager of the ResumeCat team. She has a background in corporate recruiting and human resources and has been writing resumes for over 10 years. Brenna has experience in recruiting for tech, finance, and marketing roles and has a passion for helping people find their dream jobs. She creates expert resources to help job seekers write the best resumes and cover letters, land the job, and succeed in the workplace.

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