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Aetna Customer Service Representative Jobs (NOW HIRING)

Oak St. Health

Customer Service Representative

$17 - $31.30/hr

Customer Service Representative We're building a world of health around every individual -- shaping ... Demonstrating CVS/Aetna's Values in Action behaviors including caring, being accountable ...

Oak St. Health

Customer Service Representative

$17 - $31.30/hr

Customer Service Representative We're building a world of health around every individual -- shaping ... Demonstrating CVS/Aetna's Values in Action behaviors including caring, being accountable ...

CVS Health

Customer Service Representative

$17 - $31.30/hr

We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our ... Demonstrating CVS/Aetna's Values in Action behaviors include caring, being accountable, innovating ...

CVS Health

Customer Service Representative

$17 - $31.30/hr

We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our ... Demonstrating CVS/Aetna's Values in Action behaviors include caring, being accountable, innovating ...

CVS Health

Customer Service Representative

$17 - $31.30/hr

Follow policies, procedures, and the CVS/Aetna Code of Conduct. Your performance will be measured by: * Customer satisfaction with the service you provide. * DemonstratingCVS/Aetna'sValues in ...

CVS Health

Customer Service Representative (Arizona)

$17 - $31.30/hr

Position Summary Our Customer Service Representative is the face of Aetna/Mercy Care and impacts members' service experience by handling customer service inquiries and problems via telephone ...

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How much do aetna customer service representative jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for aetna customer service representative in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What is an Aetna Customer Service Representative?

An Aetna Customer Service Representative assists customers with inquiries about their health insurance plans, benefits, claims, and billing. They handle phone calls, emails, or chat support to resolve issues, provide accurate information, and ensure customer satisfaction. The role requires strong communication skills, problem-solving abilities, and a thorough understanding of Aetna's policies and services. Representatives may also guide members through online tools and resources to help them manage their healthcare needs efficiently.

What are the key skills and qualifications needed to thrive as an Aetna Customer Service Representative?

To thrive as an Aetna Customer Service Representative, you need strong communication, problem-solving abilities, and a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software and knowledge of healthcare insurance systems are often required. Exceptional patience, active listening, and a customer-focused attitude are valuable soft skills that elevate success in this position. These skills ensure accurate information delivery, positive member experiences, and efficient resolution of service inquiries in a fast-paced environment.

What kinds of challenges might an Aetna Customer Service Representative face on a typical day?

Aetna Customer Service Representatives often handle a wide variety of member inquiries, which can sometimes involve complex benefit questions or navigating sensitive healthcare issues. Balancing efficiency with providing thorough, empathetic assistance can be challenging, especially during peak call times or when dealing with upset members. Representatives regularly work with multiple systems to access information, requiring strong multitasking abilities and attention to detail. Despite these challenges, the role offers continuous learning and the ability to make a positive impact on members’ healthcare experiences.

Does Aetna have remote jobs?

Aetna offers remote customer service representative positions that allow employees to work from home. These roles typically require strong communication skills, computer proficiency, and the ability to handle customer inquiries independently. Remote jobs at Aetna may be available on a full-time or part-time basis, depending on the position and company needs.
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Aetna Customer Service Representative jobs near you
Infographic showing various Aetna Customer Service Representative job openings in the United States as of September 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% In-person job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Customer Service Representative (Arizona)

Remote

Oak St. Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about Oak St. Healthexternal

$17 - $31.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New

Oak Street Health rating

7.1

Company rating: 7.1 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

Job description

Customer Service Representative

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Our Customer Service Representative is the face of Aetna/Mercy Care and impacts members' service experience by handling customer service inquiries and problems via telephone, internet, or written correspondence. For this role, customer inquiries are of basic and - at times - complex nature.

General Responsibilities

  • Engage, consult, and educate members, based upon the member's unique needs, preferences, and understanding of Aetna plans, tools, and resources, in order to guide the members along a clear path to care.
  • Answer questions and resolve issues based on phone calls/letters from members, providers, and plan sponsors.
  • Triage any resulting rework to appropriate staff.
  • Document and track contacts with members, providers, and plan sponsors.
  • Guide members through benefits plan and Aetna policy & procedures, while maintaining knowledge of resources to comply with any regulatory guidelines.
  • Take accountability to fully understand members' needs by building a trusting and caring relationship with them.
  • Anticipate customer needs.
  • Provide the customer with related information to answer various questions; e.g. additional plan details, benefit plan details, member self-service tools, etc.
  • Use customer service threshold framework to make financial decisions, in order to resolve member issues.
  • Explain members' rights and responsibilities in accordance with contract.
  • Handle incoming requests for appeals and pre-authorizations, specifically those not handled by Clinical Claim Management.
  • Perform review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
  • Perform other duties as needed.

Required Qualifications

  • At least 1 year of experience in a call center and/or high call-volume environment.
  • At least 1 year of experience in health insurance, particularly Medicaid, Medicare, and/or Medicare Advantage.
  • Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).
  • Willingness to work a flexible schedule from Monday-Friday from 8am-6pm Arizona Time.

Preferred Qualifications

  • Demonstrated knowledge of medical terminology.
  • Previous experience in a healthcare environment.
  • Strong organizational and time management skills.
  • Excellent communication skills.
  • Ability to demonstrate empathy in a professional, customer-oriented manner.
  • Previous experience in Medicare.
  • Bilingual (English/Spanish).

Education

  • High school diploma or GED.

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $17.00 - $31.30

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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About Oak Street Health

Sourced by ZipRecruiter

Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street's care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients' health, spending more than twice as long with its patients and taking on the risks and costs of their care.

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Chicago, IL, US

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