Firm Name: Aetna
Numbers of Jobs: Customer Service Representative
Education Need: Graduate
Job Hours: 8
Payment: $20-$30/Hours
What's Job City: Chandler
Job Details:
A description of the job.
- This job can be applied for remotely if you live in the CST or EST time zones.
- Health Concierge is Aetna's representative for giving individualized, targeted care.
- service founded on a thorough understanding of the member, benefits, health information, and engagement. Responds to customer inquiries and handles problems via email, web chat, the phone, or other written means. engages, consults, and informs members based on their unique needs, preferences, and understanding of Aetna plans, tools, and resources in order to help guide them down the right path to care. uses resources to assist clients in understanding the cost-sharing, usage, accumulators, and claims aspects of Aetna products. Responds to questions and manages issues based on phone calls, plan sponsors, PSS/ISO, clients, and suppliers as a "single-point-of-contact.".
- offers customized interaction based on customer preferences and specific needs, fostering an emotional connection with members by thoroughly understanding and involving them.
- Completely understands the member's needs by building a trusting and caring relationship with them. the client's desires are known.
- providing the client with relevant information will help them with any queries they may have, e. g. resources for member self-service, additional plan details, and benefit plan details, etc.
- to address member issues, makes financial decisions based on a customer service threshold framework.
- In order to enhance their overall experience with the company's customer service, customers are guided and helped with a variety of available benefit plan information and services (i. e. assistance with member self-service tools, easy-to-follow instructions for consultation opportunities, cost of care tools, a program for natural alternatives, etc. ).
- makes use of all relevant data to enhance member engagement.
- immediately takes action after being presented with a challenge or informed of a situation.
- takes charge of every customer interaction to handle their issues and, if necessary, connect them to additional services.
- identifies additional member needs by responding to the questions that aren't being asked.
- eliminates issues or only needs minimal management involvement.
- through education, assists members in managing their health.
- quickly, but without going overboard, responds to customer needs and problems.
- A few other tasks that might be carried out include clarifications of plan eligibility, information on claim status, and interpretations of benefit coverage.
- process claim referrals, new claim handoffs, and escalate issues for complaints and appeals through the system as needed.
- to ensure that constituents' expectations are met or exceeded, begin making outreach and welcome calls.
- By identifying trends and any new customer service issues, and working to develop solutions to address potential issues and/or interesting plan features, this task aims to increase post-enrollment member satisfaction while also improving understanding of benefit plans.
- delivers presentations tailored to the needs of the client in cooperation with other departments.
- Coordination of internal and departmental efforts is necessary to effectively address service-related issues and develop process improvements that will enhance the delivery of services as a whole.
- Strives to understand the customer, including their circumstances, issues, expectations, and needs. Works cooperatively with coworkers to provide the best customer experience possible.
- asks probing questions to ascertain the client's true needs.
- how to properly investigate possibilities for extending customer interactions.
- locates the best health resources for members and, if necessary, offers alternatives.
- the customer's needs are the focal point of all interactions.
- by collaborating with coworkers and colleagues, delivers a first-rate customer experience.
- provides technical support for calls, products, and/or system application delivery problems as needed, acting as an SME.
- Presentations created and delivered especially for specific clients can be contributed to.
- data that has been tracked and trended.
- the coaching, instruction, and support that call center employees require.
- As necessary, participates in unique initiatives or projects that deal with service-related problems, and/or acts as the initiative's leader.
- When necessary, provides technical or subject matter expertise on the procedures, methods, and equipment used by programs and systems to carry out particular tasks.
- executing internal quality inspections.
- Offers assistance during third-party audits as required.
- Records and maintains a record of all communications, actions, and outcomes with clients using the appropriate systems and procedures.
Paid Snippet.
The usual pay range for this position is as follows.
- 17.00 is the minimum.
- 27 maximum points out of 90.
For all positions in the job grade under which this position is classified, this pay range represents the base hourly rate or base annual full-time salary. The actual base salary offered will be based on a number of factors, including the candidate's background, level of education, geographic location, and other relevant factors. 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.
In addition to receiving a competitive salary, benefit from working for a company that values its people and the communities in which it operates. Comprehensive medical, dental, and vision benefits are offered by the company. Employees who meet the eligibility requirements can participate in the company's 401(k) retirement savings plan as well as the employee stock purchase program. In addition to short-term and long-term disability benefits, the Company provides eligible employees with a fully paid term life insurance plan. Additional services provided by CVS Health include a wide range of wellness initiatives, financial aid for education, no-cost training courses, a discount at participating CVS stores, and partner discount programs. All year long, paid holidays as well as Paid Time Off (PTO) or vacation pay are available to Company employees. The number of paid holidays, sick days, and other vacation days is offered in accordance with applicable state law and company policies.
Visit to learn more about the benefits that are offered in detail.
jobs. benefit pages at CVSHealth.com.
Qualifications needed.
Experience with customer service in a transaction-based setting, such as a call center or retail location, is preferred.
• Excellent organizational skills and the ability to manage multiple tasks.
• Strong verbal and written communication skills.
Preferred qualifications.
Education.
- High school diploma or an equivalent level of work experience is required.