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Aetna is now a CVS Health Company

Accident & Health Claims Processor

Primary Location: Franklin, TN
Additional Locations: TN-Franklin
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Description:
Process accident and health medical claims in accordance with claim processing guidelines, answer inbound and make outbound calls, meeting minimum performance requirement in a consistent manner.

Fundamental Components:
Ability to interpret, apply and process policyholder health plans in an accurate and timely manner. Effective communication with various levels of peers and leadership. Opportunity to provide hands-on assistance to policyholder, via system enhancements , customer service and direct contact in a supportive and collaborative manner. Rewarding opportunity to manage payments and provide outstanding customer service to policyholders, dependents and beneficiaries. Detailed training and responsive leadership is always available to ensure success in the role.

Background Experience:
Experience in a production environment. Claim processing experience.

Additional Job Information:
Understanding of medical terminology.Oral and written communication skills.Ability to maintain accuracy and production standards.Technical skills.Attention to detail and accuracy.Analytical skills.

Required Skills:
Service - Creating a Differentiated Service Experience, Service - Demonstrating Service Discipline, Service - Handling Service Challenges, Service - Working Across Boundaries

Desired Skills:
General Business - Applying Reasoned Judgment, General Business - Communicating for Impact, General Business - Demonstrating Business and Industry Acumen

Functional Skills:
Administration / Operation - Data Entry, Claim - Claim processing - Medical or Hospital - ACAS, Claim - Payment management, Claim - Policies & procedures, Customer Service - Customer service - production environment

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel, Operating System - Windows

Potential Telework Position:
No

Percent of Travel Required:
0 - 10%

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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