Req ID: 66096BR
+ To support the service and administration of Aetna s products to achieve profitable growth.
+ This will be achieved through the development of strong relationships and execution of processes and workflows that effectively meet customer and Plan Sponsor needs.
Fundamental Components included but are not limited to:
+ Develops and executes customer product/plan administration: Meets with customers at least quarterly to discuss service levels and expectations, share process improvements, discuss operation of plans, identify gaps in service levels, determine root causes and develop solutions.
+ Identifies customer specific service issues, identifies solutions and leads resolution of issues working with other areas to implement.
+ Responds to customers requests for claim analysis, plan design changes, and benefit questions and clarifications.
+ Collaborates with account management team to achieve growth/renewal objectives; assists in preparation and delivery of renewal packages.
+ Supports all plan administration activities, including installation, plan set-up, eligibility, billing and drafting by working proactively with support areas.
+ Manages open enrollment activities.
+ Promotes Navigator usage and implements strategies to increase usage for products.
+ Notifies customers of Aetna policy changes, determining impact to customer and providing consultative support
+ Supports scheduling of customer meetings and preparation for these meetings.
Qualifications Requirements and Preferences:
+ 1-3 years of client service experience.
+ Bachelor's degree or equivalent work experience.
Administration / Operation - Telephone / Receptionist, Customer Service - Customer Service - Member Services - Traditional products
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel
General Business - Ensuring Project Discipline, General Business - Managing Sales Relationships, General Business - Maximizing Work Practices
General Business - Applying Reasoned Judgment, General Business - Communicating for Impact, Sales - Delivering on the Promise
Additional Job Information:
+ Valid driver s license in good standing.
+ Demonstrated ability to consult strategically on broad HR initiatives.
+ Overnight travel as needed.Excellent project management, organizational and presentation skills.
+ Strong team player, able to handle multiple assignments and responsibilities simultaneously.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Job Function: Customer Service
Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.