Aetna
Senior Claim Benefit Specialist - Remote
Work at Home, Georgia, United States · Senior · Full-time
Sponsorship not specified$19k-$42kDetected 83 days ago
Outbound SalesCustomer SupportMentoring
About the role
- Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines.
- Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues.
- The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Responsibilities
- Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.
Compensation
- $18.50 - $42.35 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.
- Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Benefits
- We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience.
- At CVS Health®, you'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 - helping to simplify health care one person, one family and one community at a time.
- Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines.
- Preferred Qualifications - Self-Funding experience - DG system knowledge Education - High School Diploma required - Preferred Associates degree or equivalent work experience.
- 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.
- This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.
- Additional details about available benefits are provided during the
- application process and on Benefits Moments.
Company info
- our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
- Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.
- They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
- 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.
- Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
This listing is sourced directly from Aetna's careers page and normalized into a canonical job model.