Aetna Customer Service Jobs Work From Home ( Customer Service Representative ) @Jobinus Apply Now!!

Job Responsibilities: Customer Service Representative

Salary: $20-30/Hour

Company: Aetna

Location: Atlanta, USA

Educational Requirements: Bachelor’s Degree

About the Company: Aetna Inc. is an American-managed healthcare company that sells traditional and consumer-directed healthcare insurance and related services, such as medical, pharmaceutical, dental, and behavioral health.

Aetna Customer Service Jobs Work From Home

Full Job Description :

With this opportunity, a candidate in the EST time zone can work remotely.

Acts as a “single point of contact” for questions and issues arising from phone calls, members, providers, PSS/ISO, and plan sponsors. fosters an emotional connection with members by thoroughly understanding and interacting with them. Offers personalized interaction based on customer preferences and specific needs.
Fully understands the member’s needs by developing a rapport of trust and care with them.
Takes the customer’s needs into account. providing the client with relevant information will help them with any queries they may have, e. g. Additional plan details, details on the benefits plan, resources for member self-service, etc.

When determining how much to spend to address member concerns, the company uses a customer service threshold framework.

Educates and assists customers with various aspects of benefit plan information and easily accessible services to enhance their overall experience with the business’s customer service (e.g. support for self-service tools for members, easy-to-follow consultation options, cost-of-care calculators, a program for natural remedies, etc. ).
Makes use of all relevant data to influence member engagement positively.
Takes immediate action when faced with a challenge or informed of a crisis.
Takes responsibility for every interaction with a customer, working to find solutions and, when necessary, directing customers to other services.
By answering any questions that go unasked, members’ needs that go above and beyond the original inquiry are discovered.
Handles issues without or with minimal management input.

Members are educated to aid in the management of their health.

Takes quick action without overcommitting to meet customer needs and resolve issues.
Other duties could include explaining plan eligibility, communicating claim status updates, and interpreting benefit coverage.
Handles referrals of claims, transfers of new claims, and escalates problems through the system for grievances and appeals as required.
Starts making outreach or welcome calls to make sure the expectations of constituents are met or surpassed. Trends and any new customer service issues are identified, and efforts are made to develop solutions to address potential problems and/or interesting plan features, to improve understanding of benefit plans and increase post-enrollment member satisfaction.
Presents customized materials to each client in cooperation with other departments.
Coordinates efforts both within and across departments to efficiently address service-related issues and develop process improvements aimed at enhancing the overall delivery of services.
Works together with others to give customers the best experience possible.
Attempts to fully understand the situation, problems, demands, and expectations of the client.

By probing questions, the customer’s underlying needs are discovered.

Transitions seamlessly from one subject to another as you think of ways to prolong customer interactions.
Points clients in the direction of the top medical supplies. offers substitutes when necessary.
Always keeps the customer’s needs at the forefront of all interactions.
Collaborates with coworkers and colleagues to give customers an outstanding experience.
Performs the role of a subject matter expert (SME), passistingwhen needed for the delivery of system applications, products, or call-related issues.
You could contribute to the creation and delivery of presentations made specifically for specific clients.

Tracking and trending data are possible. Coaches, trains, and supports call center staff as needed in their personal and professional development.

When necessary, takes part in and/or is in charge of special projects or initiatives tackling problems with services.
When necessary, provides technical or subject matter expertise on the procedures, methods, and equipment used by programs and systems to carry out particular tasks.
carries out internal quality assessments.
Provides any necessary assistance during third-party audits. employs the proper procedures and systems to document and keep track of all client interactions, activities, and outcomes.

This position is also qualified for a CVS Health bonus, commission, or short-term incentive program in addition to the previously mentioned base pay range.

Enjoy the advantages of working for an organization that, in addition to paying you well, puts its heart into protecting its workers and the community. Comprehensive medical, dental, and vision benefits are offered by the company. Eligible employees may join the company’s 401(k) retirement savings plan and take advantage of the Employee Stock Purchase Plan. The Company provides eligible employees with fully paid term life insurance, and short- and long-term disability benefits. Additional services offered by CVS Health include a variety of wellness initiatives, financial aid for education, free training sessions, a discount at participating CVS stores, and partner discount schemes. Employees of the Company may use Paid Time Off (PTO) or vacation pay for vacation and paid holidays. Paid holidays, sick days, and other time off are provided in a variety of ways, as permitted by the laws of the applicable state and company policies.

Visit for more thorough information on the benefits provided.

jobs. at CVS health. com, benefits.

Obligatory requirements.

It is preferred to demonstrate empathy and compassion through customer service interactions in a transaction-based setting, such as a call center or retail location.
Possessing strong organizational abilities and the ability to manage multiple tasks.
Having excellent verbal and written communication skills.

Preferable requirements.

Examine the requirements.

Education.

A high school diploma is required.

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Aetna Customer Service Jobs Work From Home ( Customer Service Representative ) @Jobinus Apply Now!!