Aetna are a leading diversified health care benefits company, serving an estimated 44 million people. We offer industry-leading information, tools and resources to help people achieve their best possible health. A Fortune 7 company, Aetna is the third largest health care benefits company in the United States.
Aetna’s global business, Aetna International, is one of the world’s largest and most prominent providers, with more than 650,000 members worldwide and a direct settlement network of over 125,000 hospitals and clinics.
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare across the globe. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
As well as some excellent benefits and a fantastic working environment, we will give you the space to grow and provide you with opportunities to learn new skills to keep you developing personally and professionally.
Join us and help turn health ambitions into achievements.
About the role
We have a great opportunity to join our CARE team as a Case Management Associate/Customer Service Consultant. You will be part of our exceptional team of experts supporting our members across the globe at times of need. This is a highly rewarding and important role where no two days are the same.
As our Case Management Associate/Customer Service Consultant, you will work with many different areas of the business to investigate, review and pre-authorise healthcare insurance claims. You’ll work closely with our Clinical Case Managers providing them with operational and logistic support to ensure our members get the healthcare they need anytime of the day or night.
Your typical day will include:
1. Accurately assess, cost contain and manage medical claims
2. Handling Incoming calls and provide specific actions in accordance with the request for assistance.
3. Liaising with Hospitals, GP’s, Brokers and clients directly
4. To participate in daily huddles, team meetings and shift handovers to ensure continuity of service to our clients.
5. To manage and develop internal and external relationships which allows the pre-authorisation process to function effectively and efficiently
You are required to work rotating shifts consisting of four (4) consecutive nights at work followed by four (4) consecutive days off work (the “4 on/4 off shift pattern”). Which are to be worked Monday to Sunday according to the shift pattern.
You will be rewarded with a generous shift allowance, language allowance, discretionary bonus and a good basic salary.
What you’ll need
•Fluent verbal and written skills in Japanese and English language
•Excellent customer service skills including both verbal and written skills
•You’ll be a good problem solver with a practical and methodical approach
•Initiative and the ability to prioritise varied and important tasks is important
•You’ll need to be able to display a high level of empathy and understanding
•Teamwork is at the heart of everything we do, so you should be an effective collaborator
•Accuracy and a keen eye for detail is essential
•Discretionary annual bonus
•7% Company Pension
•Private healthcare + discounted lifestyle benefits including gym membership, flights & hotels, Starbucks, cinema tickets
•Income protection insurance
•25 days holiday plus bank holidays – rising to 30 days after 5 years!
•We’ll help you grow by providing support for your professional development
•Fresh fruit and drinks
•Monthly employee appreciation lunches
•Social activities – we work hard but like to have fun too!
We’d love to hear from you, so don’t forget to follow us on Twitter, LinkedIn or find us on Facebook!