Customer Service Representative - Remote

Overview

The Customer Service Representative at CVS Health plays a vital role in transforming health care by engaging with members and providing exceptional service through various communication channels.

In Short

• Handle customer inquiries via phone, internet, or written correspondence.
• Educate members about Aetna plans and resources.
• Resolve customer issues and provide information on benefits.
• Document and track all member interactions.
• Assist providers with credentialing and claims issues.
• Anticipate customer needs and provide proactive support.
• Maintain knowledge of regulatory guidelines and company policies.
• Process claims and appeals as necessary.
• Work full-time hours within the Eastern Time Zone.
• Participate in training and development programs.

Requirements

• Customer service experience in a transaction-based environment.
• Ability to demonstrate empathy and compassion.
• High School diploma or GED equivalent.
• Preferred experience in medical terminology and insurance processes.
• Strong communication skills.
• Ability to work in a production environment.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with company match.
• Employee stock purchase plan.
• No-cost wellness programs and counseling services.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.