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Aetna is now a CVS Health Company

Account Associate

Primary Location: Houston, TX
Additional Locations: TX-Houston
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Description:
Self-motivated and compassionate individual responsible for customer service, issue resolution, and employee education. Must be flexible and able to address plan sponsor questions and concerns in a timely manner. This is an on-site customer service position and employee will reside in the customer's office location in Houston.


Fundamental Components:
  • Assisting the account team with implementation, plan administration, wellness initiatives, open enrollment, benefit fairs and escalated issues
  • Researching and resolving member claim issues received via walk-in, telephone or email
  • Promoting and educating members on Aetna tools and wellness initiatives
  • Collaborating with other Aetna departments (Eligibility, Network Management, APM, Precertification, etc.) to ensure timely resolution of escalated issues
  • Assisting in new-hire orientation and education
  • Delivering on-site monthly reports as necessary


Background Experience:
  • 2-5 years health benefits and customer service experience required
  • Project management experience is a plus
  • Proficient in MS Office suite
  • College degree desired or equivalent experience



Required Skills:
Service - Creating a Differentiated Service Experience, Service - Handling Service Challenges, Service - Providing Solutions to Constituent Needs

Functional Skills:
Claim - Claim processing - Medical or Hospital - ACAS, Claim - Claims Administration - coordination of benefits (COB) verification, Communication - Member communications, Customer Service - Customer Service - Member Services - Traditional products

Technology Experience:
Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

Potential Telework Position:
No

Percent of Travel Required:
10 - 25%

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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