... Aetna Claims domain. However, at a minimum, a basic understanding of claims processes is essential. Additional Skills: * Either skills or additional skills are required
... Aetna Claims domain. However, at a minimum, a basic understanding of claims processes is essential. Additional Skills: * Either skills or additional skills are required
... 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.
... Aetna Claims domain. However, at a minimum, a basic understanding of claims processes is essential. Years of Experience: 5.00 Years of Experience
... Aetna Claims domain. However, at a minimum, a basic understanding of claims processes is essential. Years of Experience: 5.00 Years of Experience
Medical Economics Analyst
Hartford, CT · Remote
$54K - $145K/yr
Serve as a subject matter expert on Aetna claims and membership data. * Partner with Finance, Data Governance, and business stakeholders to ensure data consistency, quality, and usability. * Create ...
Medical Economics Analyst
Hartford, CT · Remote
$54K - $145K/yr
Serve as a subject matter expert on Aetna claims and membership data. * Partner with Finance, Data Governance, and business stakeholders to ensure data consistency, quality, and usability. * Create ...
Medical Economics Analyst
$54K - $145K/yr
Serve as a subject matter expert on Aetna claims and membership data. * Partner with Finance, Data Governance, and business stakeholders to ensure data consistency, quality, and usability. * Create ...
Medical Economics Analyst
$54K - $145K/yr
Serve as a subject matter expert on Aetna claims and membership data. * Partner with Finance, Data Governance, and business stakeholders to ensure data consistency, quality, and usability. * Create ...
Senior Manager, Medical Economics
$67K - $199K/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. * Assist the ...
Senior Manager, Medical Economics
$67K - $199K/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. * Assist the ...
Executive Healthcare Claims Transformation Consultant
$100 - $200/hr
Including migration of healthcare claims operations from Harvard Pilgrim administration processes to Aetna-aligned operational models. Ensure continuity of claims processing and member/provider ...
Executive Healthcare Claims Transformation Consultant
$100 - $200/hr
Including migration of healthcare claims operations from Harvard Pilgrim administration processes to Aetna-aligned operational models. Ensure continuity of claims processing and member/provider ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
... cost share, claims, prior authorization, preventive care, clinical programs, EAP, and other ... Represent the Aetna and City of Orlando wellness partnership with professionalism, confidentiality ...
... cost share, claims, prior authorization, preventive care, clinical programs, EAP, and other ... Represent the Aetna and City of Orlando wellness partnership with professionalism, confidentiality ...
... cost share, claims, prior authorization, preventive care, clinical programs, EAP, and other ... Represent the Aetna and City of Orlando wellness partnership with professionalism, confidentiality ...
... cost share, claims, prior authorization, preventive care, clinical programs, EAP, and other ... Represent the Aetna and City of Orlando wellness partnership with professionalism, confidentiality ...
Quality Control Reviewer III
Manhattan, NY · On-site
$18.75 - $23.75/hr
... with Aetna P.O.S on specific requests Ensure timely/accurate processing of hospital claims according to Claims Xten, Lab Management, Radiation Therapy, High-End Imaging, Medical Oncology and ...
Quality Control Reviewer III
Manhattan, NY · On-site
$18.75 - $23.75/hr
... with Aetna P.O.S on specific requests Ensure timely/accurate processing of hospital claims according to Claims Xten, Lab Management, Radiation Therapy, High-End Imaging, Medical Oncology and ...
Join Aetna in a meaningful onsite role supporting the health and wellbeing of City of Orlando ... cost share, claims, prior authorization, preventive care, clinical programs, EAP, and other ...
Join Aetna in a meaningful onsite role supporting the health and wellbeing of City of Orlando ... cost share, claims, prior authorization, preventive care, clinical programs, EAP, and other ...
Quality Control Reviewer III
$18.75 - $23.75/hr
... with Aetna P.O.S on specific requests Ensure timely/accurate processing of hospital claims according to Claims Xten, Lab Management, Radiation Therapy, High-End Imaging, Medical Oncology and ...
Quality Control Reviewer III
$18.75 - $23.75/hr
... with Aetna P.O.S on specific requests Ensure timely/accurate processing of hospital claims according to Claims Xten, Lab Management, Radiation Therapy, High-End Imaging, Medical Oncology and ...
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 19, 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.
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:
- Bcbs Claims
- Remote Medical Billing Internship
- Remote Medical Billing Accounts Receivable
- Managed Care Billing Specialist
- Remote Cvs Medical Billing
- Cbcs Insurance
- Evening Aia Billing Specialist
- Remote Medical Billing Clearinghouse
- Work From Home Medical Billing Payment Poster
- Remote Entry Level Medical Billing
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
About Pacer Group
Sourced by ZipRecruiter
Industry
Electrical equipment, appliance, and component manufacturing
Company size
11 - 50 Employees
Headquarters location
Sarasota, FL, US
Year founded
1979