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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

On-site Account Associate

Primary Location: Fort Myers, Florida
Additional Locations: FL-Ft Myers
Customer facing position for building strong relationships with plan sponsors and members. Responsibilities include handling member inquires including customer service issues, benefits and policy administration. Will serve as subject matter expert for benefits, policies and process and claims administration. Oversight for plan sponsor eligibility, utilization management and claims reporting. Travel to multiple plan sponsor locations. Conduct open enrollment meetings, participate in employee health fairs as well as community or plan sponsor event.

Fundamental Components:
- Cultivate critical relationships with plan sponsors and members
- Assess customer needs and expectations to ensure workflows in place are appropriately developed to meet needs.
- Assist members with escalated issues timely resolution.
- Submit reports to plan sponsors timely to include analyzing for accuracy and meeting contractual identified solutions and may lead resolution of issues working with other areas.
- Collaborates with account management team to achieve growth and renewal objectives.
- May support plan administration activities, including installation, open enrollment, plan set-up, eligibility, billing, and drafting by working proactively with support areas.
- Signs off on ID cards and reporting.

Background Experience:
- Depending on role, knowledge of sales support and underwriting functions is preferred.
- 2-5 years of health insurance industry experience preferred.
- Insurance license, as required by state law.
- Bachelor's degree desired or equivalent work experience.

Required Skills:
General Business - Applying Reasoned Judgment, Service - Creating a Differentiated Service Experience, Service - Handling Service Challenges

Desired Skills:
Leadership - Collaborating for Results, Service - Providing Solutions to Constituent Needs, Service - Working Across Boundaries

Functional Skills:
Communication - Communication Delivery - Public Speaking, Communication - Member communications

Insurance - Life, Health and Variable Annuity License

Potential Telework Position:

Percent of Travel Required:
25 - 50%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Click To Review Our Benefits (PDF)


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