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Client Advocate

Expired Job

Aetna Inc. Jacksonville , FL 32277

Posted 4 months ago

Job Description:

POSITION SUMMARY

Client Advocate is responsible for the full range of provider services, claim, and call quality. Client Advocates are Medicaid plan specific specialist that will build and nurture positive relationships between the health plan, providers and managers. Responsibilities also include attending health plan operation meetings, identify, trouble shoot and resolve claim/system/contract issues.

Fundamental Components:

  • Provide world class service to our providers by responding to provider issues and inquiries that are received via the telephone

  • Review, research and respond to inquiries from Providers

  • Identify issues based on provider inquiries and elevate those issues management

  • Analyze database to identify problems / issues pertaining to claim processing.

  • Complete claim adjustments and/or claim processing upon request

  • Complete miscellaneous assignments/projects upon request.

BACKGROUND/EXPERIENCE desired:

Account Management experience and/or Plan Sponsor Service experience

EDUCATION

The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

TECHNOLOGY EXPERIENCES

Technical

  • Aetna Applications/QNXT/1-3 Years/

Technical

  • Desktop Tools/Microsoft PowerPoint/1-3 Years/

REQUIRED SKILLS

General Business/Communicating for Impact/FOUNDATION

Leadership/Driving a Culture of Compliance/FOUNDATION

Service/Creating a Differentiated Service Experience/FOUNDATION

DESIRED SKILLS

Leadership/Collaborating for Results/ADVANCED

Service/Demonstrating Service Discipline/ADVANCED

Service/Handling Service Challenges/ADVANCED

Telework Specifications:

Option for telework will be evaluated after a certain period of employment

Consideration for current internal teleworkers (in any area)

ADDITIONAL JOB INFORMATION

  • Analyzes and investigates

  • Prioritize and organize own work to meet deadlines

  • Investigate non-standard requests and problems

  • Provide explanation and information to others on plan specific topics

  • Use pertinent data and facts to identify and solve a range of problems

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

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

Aetna takes our candidates'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.


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Client Advocate

Expired Job

Aetna Inc.