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Customer Service Representative (Multiple Openings Available!) - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Omaha, Nebraska |
About this job
Please note that this exciting opportunity with Aetna is open to candidates residing within a commutable distance to the Omaha, NE office location. Bilingual proficiency in Spanish is a plus, and multiple openings are available!
POSITION SUMMARY
As a Customer Service Representative, you will handle customer service inquiries and claim intake via telephone for Aetna One Premier Disability members. These customer inquiries are both routine and complex in nature requiring the highest level of attention to detail. Successful Customer Service Representatives will have the ability to multi-task to accomplish workload efficiently, strong analytical skills, ability to maintain accuracy and production standards, robust technical skills, preferably an understanding of medical terminology, and strong problem solving skills.
Fundamental Components of the Customer Service Representative include, but are not limited to:
Answers questions and resolves issues based on phone calls members, providers, and plan sponsors. Documents and tracks contacts with members, providers and plan sponsors. Explains member's rights and responsibilities in accordance with contract. Educates providers on our self-service options. Handles extensive file review requests, performs review of member claim history to ensure accurate information is communicated. Uses applicable system tools and resources to handle inquiries. BACKGROUND/EXPERIENCE desired:
1-3+ years of current or recent Customer Service experience in a transaction based environment such as a call center or retail location required. Bilingual proficiency in English and Spanish a plus! 1-3+ years of current or recent Healthcare, Medical, or Insurance experience preferred. Excellent Oral and written communication skills required. Attention to detail and accuracy is a must. EDUCATION
The minimum level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
FUNCTIONAL EXPERIENCES
Functional - Customer Service//1-3 Years
REQUIRED SKILLS
Service/Creating a Differentiated Service Experience/ADVANCED
Service/Demonstrating Service Discipline/FOUNDATION
Service/Providing Solutions to Constituent Needs/FOUNDATION
DESIRED SKILLS
Service/Handling Service Challenges/ADVANCED
Service/Working Across Boundaries/ADVANCED
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Employment Type Regular Career Band Description Business Support & Technical
POSITION SUMMARY
As a Customer Service Representative, you will handle customer service inquiries and claim intake via telephone for Aetna One Premier Disability members. These customer inquiries are both routine and complex in nature requiring the highest level of attention to detail. Successful Customer Service Representatives will have the ability to multi-task to accomplish workload efficiently, strong analytical skills, ability to maintain accuracy and production standards, robust technical skills, preferably an understanding of medical terminology, and strong problem solving skills.
Fundamental Components of the Customer Service Representative include, but are not limited to:
Answers questions and resolves issues based on phone calls members, providers, and plan sponsors. Documents and tracks contacts with members, providers and plan sponsors. Explains member's rights and responsibilities in accordance with contract. Educates providers on our self-service options. Handles extensive file review requests, performs review of member claim history to ensure accurate information is communicated. Uses applicable system tools and resources to handle inquiries. BACKGROUND/EXPERIENCE desired:
1-3+ years of current or recent Customer Service experience in a transaction based environment such as a call center or retail location required. Bilingual proficiency in English and Spanish a plus! 1-3+ years of current or recent Healthcare, Medical, or Insurance experience preferred. Excellent Oral and written communication skills required. Attention to detail and accuracy is a must. EDUCATION
The minimum level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
FUNCTIONAL EXPERIENCES
Functional - Customer Service//1-3 Years
REQUIRED SKILLS
Service/Creating a Differentiated Service Experience/ADVANCED
Service/Demonstrating Service Discipline/FOUNDATION
Service/Providing Solutions to Constituent Needs/FOUNDATION
DESIRED SKILLS
Service/Handling Service Challenges/ADVANCED
Service/Working Across Boundaries/ADVANCED
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Employment Type Regular Career Band Description Business Support & Technical
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