Aetna Customer Service Representative $17-27/Hour
Job Responsibilities: Customer Service Representative
Salary: $17-27/Hour
Company: Aetna
Location: Chicago, USA
Educational Requirements: High School
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.
Full Job Description:
Meritain health, an Aetna/CVS associate, has a couple of openings for customer support Representatives. This function handles customer support inquiries and problems thru cellphone, net or written correspondence. Consumer inquiries are of basic and recurring nature. Answers questions and resolves problems primarily based on cellphone calls/letters from participants, vendors, and plan sponsors. Triages resulting remodel to suitable personnel. Files and tracks contacts with participants, companies and plan sponsors. The CSR guides the member thru their members plan of benefits, Aetna coverage and methods in addition to having know-how of sources to conform with any regulatory recommendations. Creates an emotional connection with our individuals by means of understanding and engaging the member to the fullest to champion for our members’ great fitness. Taking responsibility to fully understand the member’s needs with the aid of building a trusting and being concerned dating with the member. Anticipates patron needs. Affords the client with related records to reply the unasked questions, e.G. Extra plan info, advantage plan info, member self-carrier gear, and many others. Makes use of customer service threshold framework to make economic decisions to resolve member troubles. Explains member’s rights and duties in accordance with agreement. Strategies declare referrals, new claim handoffs, nurse evaluations, complaints (member/provider), complaint and appeals (member/issuer) thru goal gadget. Educates providers on our self-carrier options; Assists vendors with credentialing and re-credentialing troubles. Responds to requests received from Aetna’s law report center concerning litigation; lawsuits Handles big document evaluate requests. Assists in instruction of criticism trend reviews. Assists in compiling claim statistics for client audits. Determines scientific necessity, relevant insurance provisions and verifies member plan eligibility relating to incoming correspondence and inner referrals. Handles incoming requests for appeals and pre-authorizations now not treated by means of clinical claim control. Plays assessment of member claim records to make certain correct monitoring of gain maximums and/or coinsurance/deductible. Performs economic facts preservation as necessary. Makes use of relevant device equipment and sources to supply satisfactory letters and spreadsheets in response to inquiries obtained.
Pay variety
The standard pay variety for this role is:
Minimum: $17/Hr
Most: $27/Hr
This pay variety represents the bottom hourly fee or base annual full-time profits for all positions inside the job grade inside which this function falls. The actual base income provide will rely on a spread of factors such as experience, education, geography and other applicable elements. This position is eligible for a CVS fitness bonus, commission or short-term incentive software in addition to the base pay range indexed above.
Further for your repayment, enjoy the rewards of an agency that places our heart into worrying for our colleagues and our communities. The corporation gives a full range of medical, dental, and imaginative and prescient benefits. Eligible personnel can also enroll in the agency’s 401(ok) retirement financial savings plan, and an worker stock purchase Plan is likewise to be had for eligible personnel. The corporation provides a completely-paid time period life insurance plan to eligible employees, and quick-term and long time disability benefits. CVS fitness also gives numerous well-being applications, training assistance, loose development courses, a CVS shop discount, and bargain applications with collaborating partners. As for time without work, agency employees revel in Paid day off (PTO) or vacation pay, as well as paid holidays all through the calendar yr. Wide variety of paid holidays, sick time and different break day are provided regular with relevant nation law and organisation rules.
Required qualifications
- Customer support stories in a transaction based totally environment which includes a name center or retail area favored, demonstrating capability to be empathetic and compassionate. Revel in in a manufacturing environment. High college or GED equivalent.
Schooling
- High school degree, G.E.D. Or equal experience.
Aetna Customer Service Representative $17-27/Hour
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Aetna Customer Service Representative $17-27/Hour
