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Aetna Claims Remote Jobs (NOW HIRING)

Psychotherapy Collective of Atlanta

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Healthcare Operations Manager

Atlanta, GA · Remote

$55K - $62K/yr

This position is 100% remote. Candidates do not have to live in the state of Georgia. Key ... Oversee the revenue cycle, including claims submission, rejections, denials, corrected claims ...

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Aetna Claims Remote information

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$40K

$61.6K

$92K

How much do aetna claims remote jobs pay per year?

As of Aug 15, 2026, the average yearly pay for aetna claims remote 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 as an Aetna Claims remote specialist?

To thrive as an Aetna Claims Remote Specialist, you need strong analytical abilities, attention to detail, and a background in health insurance or claims processing, often supported by a high school diploma or associate degree. Proficiency with claims management systems, medical coding (such as ICD-10, CPT), and Microsoft Office applications is typically required. Excellent communication, problem-solving, and time management skills help you efficiently resolve claims issues and provide clear support to customers. These skills ensure accurate claims processing, compliance with regulations, and high customer satisfaction in a remote work environment.

Does Aetna offer remote positions?

Aetna offers remote positions for various roles, including claims processing and customer service. These jobs often require familiarity with healthcare systems and may involve working with specific software or tools from home. Remote work options can vary by position and location, so checking current openings is recommended.

What are some common challenges faced by remote Aetna Claims representatives, and how can they be managed?

Aetna Claims representatives working remotely often encounter challenges such as staying updated with changing policies, maintaining effective communication with team members, and managing a high volume of claims efficiently. To overcome these, representatives can leverage company-provided digital tools, participate in regular virtual team meetings, and actively seek clarification from supervisors when needed. Staying organized and proactive in managing workload helps ensure accuracy and timely processing of claims. Building a strong remote work routine and staying connected with the team are essential for success in this role.

What is an Aetna Claims remote job?

Aetna Claims Remote jobs are positions with Aetna, a health insurance company, that involve processing, reviewing, and managing insurance claims from a remote or work-from-home location. Employees in these roles typically review member claims for accuracy, ensure compliance with policies, and help resolve issues related to benefits and coverage. These jobs often require strong attention to detail, good communication skills, and familiarity with insurance procedures. Working remotely allows flexibility and the ability to handle tasks from a home office while still supporting Aetna’s clients and members.
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Aetna Claims Remote jobs near you
Infographic showing various Aetna Claims Remote job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.

Client/Member Service Representative

TAC Benefits Group LLC

Fort Washington, PA • Remote

$15.50 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description

General Description

TAC Benefits Group’s Client/Member Service Representative is the primary customer facing advocate for our customers and would assist clients year-round with plan administration, renewal strategies, enrollment/education, and general service.

Job Duties

  • Service & support client accounts for day-to-day issues
  • Collect data for RFPs, quoting, and renewals
  • Maintain current product knowledge for all key carriers
  • Analyze, investigate, and resolve client concerns pertaining to claims and billing
  • Address member concerns, and maintain exemplary customer service
  • Build and maintain direct relationships with clients and industry partners
  • Assist with COBRA administration and Spending Account administration
  • Conduct group enrollment meetings/webinars for new clients and new hires
  • Update and maintain a CRM system and run reporting when necessary.
  • Work closely with sales representatives
  • Assist with preparing analyses, that may occasionally be customized
  • Rate and Contribution analysis
  • Financial funding analysis, e.g., fully insured versus self-funded.
  • Miscellaneous duties as assigned

Job Qualifications

  • 3+ years of experience in employee benefits and/or consulting, brokerage, or carrier environment
  • Proven ability to diagnose and resolve issues, of all kinds
  • Clear organizational skills
  • Strong interpersonal and team skills.
  • Proficiency in Excel, PowerPoint, and MS Word.
  • Experience with employee benefit products including medical, prescription, vision, dental, life, and disability plans FSA, HSA, Cobra, etc.
  • Knowledge of medical plans with Blue Cross, Aetna, and other major carriers.
  • Knowledge of the employee benefits regulations such as ACA, ERISA, HIPAA, etc.
  • Some understanding of self-insured medical and stop-loss plans is helpful.
  • Ability to successfully manage multiple projects and deliver quality.
  • Flexibility to change projects quickly when needed
  • Polished oral and written communication skills.
  • Strong analytical and creative skills - The ability to see the "big picture," leveraging the resources of related practices to address the clients' business challenges.
  • Self-starter attitude and ability to work independently with minimal supervision
  • Life & Health Insurance License or ability to obtain one within 6 months of hire

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Parental leave

Schedule:

  • 8-hour shift

Experience:

  • Benefits: 3 years (Preferred)

Work Location: Remote/Hybrid