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Aetna Claims information

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$40K

$61.6K

$92K

How much do aetna claims jobs pay per year?

As of Aug 21, 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 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 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 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.

Does Aetna offer remote positions?

Aetna claims and customer service roles often offer remote or telecommuting options, especially for positions that involve claims processing and customer support. Availability of remote work may depend on the specific role, location, and company policies, and some positions may require on-site presence or occasional in-office work.
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What cities are hiring for Aetna Claims jobs?

Cities with the most Aetna Claims job openings:

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What states have the most Aetna Claims jobs?

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Aetna Claims jobs near you
Infographic showing various Aetna Claims job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, 20% Hybrid, and 20% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.

Other Service Line - Corporate - Other - COROTH

Pacer Group

Remote

Other

Posted 9 days ago

Job description

Project Manager Max SBR

Remote - EST Must Have's:

  • Strong traditional PM skills with HC experience
  • Hands-on experience as a Scrum Master with a solid grasp of Scrum frameworks and ceremonies
  • A basic understanding of claims processes is essential

JD: 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.

Additional Skills:

  • Either skills or additional skills are required

Apply