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Aetna Claims Jobs (NOW HIRING)

Claims Analyst

Middletown, NJ · On-site

$25 - $28/hr

... Aetna, Cigna, or similar carriers. -Out-of-network claims experience, especially with longer aging cycles or No Surprises Act-related follow-up.

Program Director

Boston, MA · On-site

$80 - $90/hr

... Aetna-focused payer migration, operational readiness, governance, go-live planning, and post ... claims, enrollment, eligibility, and member services • Manage dual claims environments during ...

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Aetna Claims information

See salary details

$40K

$61.6K

$92K

How much do aetna claims jobs pay per year?

As of Jul 27, 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 are the key skills and qualifications needed to thrive in the Aetna Claims position, and why are they important?

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.

Is it hard to get hired by Aetna?

Getting hired for an Aetna Claims position can vary depending on the role and applicant experience. Candidates typically need relevant insurance or claims processing knowledge, strong attention to detail, and good communication skills. The hiring process may include interviews and background checks, and competition can be moderate to high depending on the position and location.

Does Aetna have remote jobs?

Aetna offers remote job opportunities for various roles, including claims processing and customer service positions. These remote jobs typically require strong communication skills, familiarity with healthcare systems, and the ability to work independently in a virtual environment.

How are Aetna claims paid?

Aetna claims are typically paid through electronic funds transfer or check, based on the provider’s preferred method. Payments are processed after claim review and approval, which involves verifying coverage, medical necessity, and accuracy of submitted information. Claims processing often requires familiarity with claims management systems and adherence to deadlines.

What is an Aetna Claims job?

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.

Is Aetna remote jobs legit?

Aetna offers remote jobs, including claims processing roles, which are generally legitimate employment opportunities. Candidates should verify job postings directly on the official Aetna careers website and be cautious of scams by avoiding offers that require upfront payments or personal information outside official channels.

What are some common challenges faced in an Aetna Claims position 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:
Infographic showing various Aetna Claims job openings in the United States as of July 2026, with employment types broken down into 75% Full Time, 19% Part Time, and 6% Contract. Highlights an 75% In-person, 6% Hybrid, and 19% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.
Project Manager

Full-time

Posted 28 days ago


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.

Lorven technologies logo

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

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