... Aetna Claims domain. However, at a minimum, a basic understanding of claims processes is essential.
... Aetna Claims domain. However, at a minimum, a basic understanding of claims processes is essential.
Manager, Medical Economics
$66K - $145K/yr
Activities will include domain ownership of Aetna claims data, data quality initiatives and best practices as well as managing the communication strategy out to our Finance colleagues. * Create and ...
Manager, Medical Economics
$66K - $145K/yr
Activities will include domain ownership of Aetna claims data, data quality initiatives and best practices as well as managing the communication strategy out to our Finance colleagues. * Create and ...
Workers Compensation QRC Qualified Rehabilitation Consultant RN Registered Nurse - 58068BR
Saint Paul, MN · On-site
Company Description Aetna is about more than just doing a job. This is our opportunity to re-shape ... claims adjusters, attorneys, employers and medical personnel. QRC licensure required in good ...
Workers Compensation QRC Qualified Rehabilitation Consultant RN Registered Nurse - 58068BR
Saint Paul, MN · On-site
Company Description Aetna is about more than just doing a job. This is our opportunity to re-shape ... claims adjusters, attorneys, employers and medical personnel. QRC licensure required in good ...
Workers Compensation QRC Qualified Rehabilitation Consultant RN Registered Nurse - 58068BR
Saint Paul, MN · On-site
Company Description Aetna is about more than just doing a job. This is our opportunity to re-shape ... claims adjusters, attorneys, employers and medical personnel. QRC licensure required in good ...
Workers Compensation QRC Qualified Rehabilitation Consultant RN Registered Nurse - 58068BR
Saint Paul, MN · On-site
Company Description Aetna is about more than just doing a job. This is our opportunity to re-shape ... claims adjusters, attorneys, employers and medical personnel. QRC licensure required in good ...
Blue Cross Blue Shield UnitedHealthcare / Optum Humana Elevance Health (Anthem) Aetna / CVS Health ... claims processing and Coordination of Benefits (COB) experience who thrive in a detail-oriented ...
Blue Cross Blue Shield UnitedHealthcare / Optum Humana Elevance Health (Anthem) Aetna / CVS Health ... claims processing and Coordination of Benefits (COB) experience who thrive in a detail-oriented ...
Company Description Aetna is about more than just doing a job. This is our opportunity to re-shape ... Clients are primarily from workers comp claims in various stages of recovery. This is a work-from ...
Company Description Aetna is about more than just doing a job. This is our opportunity to re-shape ... Clients are primarily from workers comp claims in various stages of recovery. This is a work-from ...
Company Description Aetna is about more than just doing a job. This is our opportunity to re-shape ... Clients are primarily from workers comp claims in various stages of recovery. This is a work-from ...
Company Description Aetna is about more than just doing a job. This is our opportunity to re-shape ... Clients are primarily from workers comp claims in various stages of recovery. This is a work-from ...
Position Summary Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years ... Claims systems and processing, Third-Party Liability (TPL) and Coordination of Benefits (COB ...
Position Summary Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years ... Claims systems and processing, Third-Party Liability (TPL) and Coordination of Benefits (COB ...
The Director of Claims Management will oversee and lead Coterie's Liability and Property claims ... Health insurance through Aetna (we pay 100% of premiums) * Dental and vision insurance through ...
The Director of Claims Management will oversee and lead Coterie's Liability and Property claims ... Health insurance through Aetna (we pay 100% of premiums) * Dental and vision insurance through ...
Process and submit routine vision and medical vision insurance claims (e.g., Aetna, Medical Mutual, VSP) through practice management software via batch submission to the clearinghouse, manual entry ...
Process and submit routine vision and medical vision insurance claims (e.g., Aetna, Medical Mutual, VSP) through practice management software via batch submission to the clearinghouse, manual entry ...
Process and submit routine vision and medical vision insurance claims (e.g., Aetna, Medical Mutual, VSP) through practice management software via batch submission to the clearinghouse, manual entry ...
Process and submit routine vision and medical vision insurance claims (e.g., Aetna, Medical Mutual, VSP) through practice management software via batch submission to the clearinghouse, manual entry ...
Chief Operations Officer, Aetna Better Health of Kentucky
Louisville, KY · On-site
$131.50 - $303.20/hr
That's why Aetna ® Medicaid plans include the guidance and support needed to connect our members ... Claims systems and processing, Third-Party Liability (TPL) and Coordination of Benefits (COB ...
Chief Operations Officer, Aetna Better Health of Kentucky
Louisville, KY · On-site
$131.50 - $303.20/hr
That's why Aetna ® Medicaid plans include the guidance and support needed to connect our members ... Claims systems and processing, Third-Party Liability (TPL) and Coordination of Benefits (COB ...
Claims Analyst
Boston, MA · On-site
$24 - $29/hr
... Aetna, Cigna, or similar carriers. -Out-of-network claims experience, especially with longer aging cycles or No Surprises Act-related follow-up.
Quick apply
Claims Analyst
Boston, MA · On-site
$24 - $29/hr
... Aetna, Cigna, or similar carriers. -Out-of-network claims experience, especially with longer aging cycles or No Surprises Act-related follow-up.
... Aetna initiatives across claims and provider domains, including largescale enterprise transformation and core QA delivery. These roles are pivotal to ensuring release stability, regression coverage ...
... Aetna initiatives across claims and provider domains, including largescale enterprise transformation and core QA delivery. These roles are pivotal to ensuring release stability, regression coverage ...
Program Director
Boston, MA · On-site
$80 - $90/hr
... Aetna-focused payer migration, operational readiness, governance, go-live planning, and post ... Manage dual claims environments during legacy-to-future-state transition * Develop runbooks ...
Quick apply
Program Director
Boston, MA · On-site
$80 - $90/hr
... Aetna-focused payer migration, operational readiness, governance, go-live planning, and post ... Manage dual claims environments during legacy-to-future-state transition * Develop runbooks ...
Insurance Credentialing Specialist (Medical Office)
Jamaica, NY · On-site
$25 - $30/hr
... Aetna, other health insurances. * Part-time medical billing to include A medical biller, or insurance billing specialist, processes healthcare claims to ensure accurate billing and timely ...
Quick apply
Insurance Credentialing Specialist (Medical Office)
Jamaica, NY · On-site
$25 - $30/hr
... Aetna, other health insurances. * Part-time medical billing to include A medical biller, or insurance billing specialist, processes healthcare claims to ensure accurate billing and timely ...
Director , Product Management - AI Claims Platform
Lincoln, NE · On-site
$144.20 - $288.40/hr
Translate complex, nuanced claims policies and business operational workflows into a clear, prioritized technology product strategy across Aetna's commercial and government lines of businesses
Director , Product Management - AI Claims Platform
Lincoln, NE · On-site
$144.20 - $288.40/hr
Translate complex, nuanced claims policies and business operational workflows into a clear, prioritized technology product strategy across Aetna's commercial and government lines of businesses
Insurance billing for 2 offices that are both growing. Follow-up on unpaid claims, send appeals, patient billing. Indemnity and PPO billing (Cigna, Guardian, Aetna and Delta Premier) QUALTIES OF ...
Quick apply
Insurance billing for 2 offices that are both growing. Follow-up on unpaid claims, send appeals, patient billing. Indemnity and PPO billing (Cigna, Guardian, Aetna and Delta Premier) QUALTIES OF ...
... Aetna initiatives across claims and provider domains, including largescale enterprise transformation and core QA delivery. These roles are pivotal to ensuring release stability, regression coverage ...
... Aetna initiatives across claims and provider domains, including largescale enterprise transformation and core QA delivery. These roles are pivotal to ensuring release stability, regression coverage ...
... Aetna etc.) or a government organization working on Medicaid projects/Claims Data in a data warehousing environment. Optum is a national healthcare provider and government integrator. In New Jersey ...
... Aetna etc.) or a government organization working on Medicaid projects/Claims Data in a data warehousing environment. Optum is a national healthcare provider and government integrator. In New Jersey ...
Aetna Claims information
See salary details
$40K - $44.7K
8% of jobs
$44.7K - $49.5K
7% of jobs
$53.2K is the 25th percentile. Wages below this are outliers.
$49.5K - $54.2K
12% of jobs
$54.2K - $58.9K
14% of jobs
The median wage is $60.2K / yr.
$58.9K - $63.6K
33% of jobs
$64.2K is the 75th percentile. Wages above this are outliers.
$63.6K - $68.4K
11% of jobs
$68.4K - $73.1K
7% of jobs
$73.1K - $77.8K
4% of jobs
$77.8K - $82.5K
3% of jobs
$82.5K - $87.3K
1% of jobs
$87.3K - $92K
0% of jobs
$40K
$61.6K
$92K
How much do aetna claims jobs pay per year?
As of Aug 5, 2026, the average yearly pay for aetna claims in the United States is $61,600.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $65,500.00 per year, depending on experience, location, and employer.
What skills and qualifications are needed for an Aetna Claims?
To excel in an Aetna Claims position, candidates need strong analytical skills, attention to detail, and experience in medical billing or insurance claims processing, often supported by a high school diploma or related certification. Familiarity with claims management software, ICD-10/CPT coding, and proprietary Aetna systems is highly valuable. Excellent communication, problem-solving, and customer service abilities help professionals navigate complex claims and interact with providers and insured members. Mastery of these skills ensures timely and accurate claims adjudication while maintaining compliance and customer satisfaction.
What is an Aetna Claims?
An Aetna Claims job involves processing and reviewing insurance claims submitted by healthcare providers or policyholders. Claims representatives evaluate medical services, verify coverage, and ensure compliance with company policies and regulations. They may communicate with customers, healthcare providers, and internal teams to resolve claim issues. The role requires attention to detail, knowledge of insurance policies, and strong problem-solving skills.
What are common challenges faced in an Aetna Claims and how are they addressed?
Aetna Claims professionals often encounter complicated cases involving unclear or incomplete medical documentation, complex policy rules, or discrepancies in submitted information. These challenges are typically addressed through careful review, use of established protocols, and effective communication with providers, members, and other internal teams to gather missing details or clarify policy coverage. Guidance and support are available from supervisors and teammates, fostering a collaborative environment to resolve difficult claims. Staying current with industry updates and ongoing training also helps team members navigate the evolving insurance landscape.
More about Aetna Claims jobs
What cities are hiring for Aetna Claims jobs? Cities with the most Aetna Claims job openings:
What are the most commonly searched types of Aetna Claims jobs? The most popular types of Aetna Claims jobs are:
What states have the most Aetna Claims jobs? States with the most job openings for Aetna Claims jobs include:
What job categories do people searching Aetna Claims jobs look for? The top searched job categories for Aetna Claims jobs are:
Job description
Role: Project Manager
Location: Remote - EST - USA
Contract Role
Job description:
Must Have's:
1.Strong Traditional IT PM skills with HC experience (7+ years)
2. Hands-on experience as a Scrum Master with a solid grasp of Scrum frameworks and ceremonies a basic understanding of claims processes is essential.
Strong experience managing large-scale, complex projects/programs
End-to-End Project Planning & Delivery
Excellent Stakeholder Management (Senior-Level)
Risk, Issue & Dependency Management
Budget & Financial Management
Governance & Reporting Discipline
Vendor & Contract Management
Communication & Executive Presentation Skills
Change Management
Team Leadership & Delivery Ownership
Hands-on experience as a Scrum Master with a solid grasp of Scrum frameworks and ceremonies
Expertise in Agile and Waterfall methodologies
It would be a great advantage if the candidates have previously worked in the Aetna Claims domain. However, at a minimum, a basic understanding of claims processes is essential.
Location: Remote - EST - USA
Contract Role
Job description:
Must Have's:
1.Strong Traditional IT PM skills with HC experience (7+ years)
2. Hands-on experience as a Scrum Master with a solid grasp of Scrum frameworks and ceremonies a basic understanding of claims processes is essential.
Strong experience managing large-scale, complex projects/programs
End-to-End Project Planning & Delivery
Excellent Stakeholder Management (Senior-Level)
Risk, Issue & Dependency Management
Budget & Financial Management
Governance & Reporting Discipline
Vendor & Contract Management
Communication & Executive Presentation Skills
Change Management
Team Leadership & Delivery Ownership
Hands-on experience as a Scrum Master with a solid grasp of Scrum frameworks and ceremonies
Expertise in Agile and Waterfall methodologies
It would be a great advantage if the candidates have previously worked in the Aetna Claims domain. However, at a minimum, a basic understanding of claims processes is essential.
About Lorven technologies
Sourced by ZipRecruiter
Lorven Technologies, headquartered in Plainsboro, New Jersey, United States, is a reputable company in the technology industry, specializing in providing effective IT solutions and consulting services. The company's official website, lorventech.com, offers comprehensive insights into its offerings which include but are not limited to software development, IT consulting, project management, and business analysis. Since its inception, Lorven Technologies has been committed to ensuring efficiency and reliability in delivering IT services to its global clientele, establishing itself as a trusted name in the industry.
Industry
It services
Company size
51 - 200 Employees
Headquarters location
Plainsboro, NJ, US
Year founded
2001