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Aetna is now a CVS Health Company

Claims Adminstrator

Primary Location: Franklin, TN
Additional Locations: TN-Franklin
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Description:
Receives, sorts and distributes incoming mail; processes and sends outgoing mail according to established procedures. Ensures timely scanning of all incoming claims and other documents into appropriate systems within established turnaround times. Works in Excel to sort and distribute assignments and runs SQL queries to support team workflow processes. Reports metrics for all working queues in different applications.

Fundamental Components:
Processing Incoming Mail - Receives incoming mail, sorts by established schemes (may include date stamping, opening, bundling and/or counting). Routes mail to other offices as necessary. Scans claims and other documents received and routes these documents in proper work queues Properly re-indexes the claims in other databases, routes priority items and files the daily scanned documents accordingly Researches missing and/or insufficient information Ensures compliance with requirements of regional compliance authority/industry regulator Adheres to international privacy policies, practices and procedures. Monitors daily and weekly task items for oldest items and volumes. Distributes work to processors from various sources.

Background Experience:
*Previous experience in office administrative role
*in the health insurance industry preferable.
* High School graduate or equivalent

Additional Job Information:
daily task items to be completed, no carry over. Handling of incoming mail, sorting, and registration and scanning of said items.
Works queues in different applications and routes to various workflows.

Potential Telework Position:
No

Percent of Travel Required:
N/A

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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