Aetna Account Associate in Sunrise, Florida

Req ID: 54883BR

POSITION SUMMARY

Customer facing position for building strong relationships with plan sponsors and members. Responsibilities include handling member inquires including customer service issues, benefits and policy administration. Will serve as subject matter expert for benefits, policies and process and claims administration. Oversight for plan sponsor eligibility, utilization management and claims reporting. Travel to multiple plan sponsor locations. Conduct open enrollment meetings, participate in employee health fairs as well as community or plan sponsor event.

Fundamental Components:

Cultivate critical relationships with plan sponsors and members - Assess customer needs and expectations to ensure workflows in place are appropriately developed to meet needs. Assist members with escalated issues timely resolution. Submit reports to plan sponsors timely to include analyzing for accuracy and meeting contractual identified solutions and may lead resolution of issues working with other areas. Collaborates with account management team to achieve growth and renewal objectives. May support plan administration activities, including installation, open enrollment, plan set-up, eligibility, billing, and drafting by working proactively with support areas. Signs off on ID cards and reporting.

BACKGROUND/EXPERIENCE desired:

5 yrs of health insurance experience with a combined background in customer service and sales support. Health Insurance license preferred or within 6 months of employment. Able and willing to assume additional responsibilities that add value to the customer's overall experience.

EDUCATION

The minimum level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

LICENSES AND CERTIFICATIONS

Customer Service/Associate Customer Service Specialist is desired

FUNCTIONAL EXPERIENCES

Functional - Sales & Service/Account Management/1-3 Years

Functional - Customer Service/Customer Service - Member Services - HMO products/1-3 Years

Functional - Products-Medical/Aetna Choice POS II/1-3 Years

REQUIRED SKILLS

Leadership/Driving a Culture of Compliance/FOUNDATION

Service/Demonstrating Service Discipline/FOUNDATION

Service/Providing Solutions to Constituent Needs/FOUNDATION

DESIRED SKILLS

Service/Improving constituent-focused Processes/FOUNDATION

Service/Working Across Boundaries/FOUNDATION

Telework Specifications:

Customer Contract Commitment: Onsite Customer Service position located at plan sponsor worksite.

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.

Aetna takes our candidates's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Sales and Service

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.