As an entry-level Work From Home Customer Service Representative at Aetna, you will be the frontline of our customer support, assisting members with inquiries related to health insurance benefits, claims, and account details. You will provide exceptional service, ensuring customer satisfaction by addressing concerns with professionalism and empathy. This remote position is ideal for individuals seeking to build a career in the healthcare insurance sector from the comfort of their home.

Key Responsibilities:

• Answer inbound customer calls and emails, resolving questions and concerns about Aetna health insurance products and services.
• Guide members through policy information, claims processing, billing inquiries, and account management.
• Provide accurate and timely information regarding benefits, plan details, and eligibility requirements.
• Escalate complex issues to the appropriate departments while maintaining excellent customer communication.
• Follow-up with customers to ensure resolutions meet their needs and expectations.
• Document interactions in the system, ensuring all details are captured for future reference.
• Stay informed about updates in healthcare policies and Aetna product offerings to provide knowledgeable assistance.
• Uphold Aetna standards of privacy and confidentiality in all communications.

Required Skills and Qualifications:

• High school diploma or equivalent (required).
• Excellent verbal and written communication skills, with a focus on active listening and problem-solving.
• Basic computer skills, including proficiency with email, chat platforms, and CRM systems.
• Ability to work independently in a remote environment, managing time effectively.
• Strong customer service orientation with a passion for helping others.
• Familiarity with healthcare or insurance terminology is a plus but not required.

Experience:

• No prior customer service experience is required for this entry-level role.
• Previous experience in call center, customer service, or insurance fields is a plus but not mandatory.
• Training will be provided to ensure success in the role.

Working Hours:

• Flexible full-time and part-time shifts available.
• Typical work hours are Monday to Friday, with occasional weekend or evening shifts depending on customer needs.
• This is a fully remote position, offering flexibility to balance work with personal life.

Knowledge, Skills, and Abilities:

• Ability to quickly grasp complex insurance policies and procedures.
• Strong organizational skills and attention to detail when handling customer accounts.
• Ability to handle multiple tasks simultaneously in a fast-paced environment.
• High level of emotional intelligence and empathy when interacting with customers facing stressful situations.
• Adaptability to changes in processes and systems as the healthcare industry evolves.

Benefits:

• Competitive salary with performance-based incentives.
• Comprehensive health, dental, and vision insurance plans.
• Paid time off, including vacation days, holidays, and sick leave.
• Retirement savings plan with company contributions.
• Employee wellness programs and mental health support.
• Career development opportunities with access to ongoing training and certification programs.
• Work-from-home flexibility with equipment provided by Aetna.

Why Join Aetna?
Joining Aetna means becoming part of a company that is committed to improving the health and well-being of its members. You will have the opportunity to make a real difference in people lives by helping them navigate the complex world of health insurance. Aetna offers a supportive and inclusive work environment, focusing on career growth, employee wellness, and work-life balance.

How to Apply:
Interested candidates are invited to submit their application through Aetna career portal. Please provide an updated resume and a cover letter outlining why you are interested in this position. Applications will be reviewed on a rolling basis, and successful applicants will be contacted for an interview.