Sr Claim Benefit Specialist- Ops
Company: Aetna Inc.
Posted on: September 24, 2022
* Works to research and resolve encounter errors
* Reviews and adjust complex, sensitive, and/or specialized claims
in accordance with claim processing guidelines.
* Ensures all compliance requirements are satisfied and that all
payments are made against company practices and procedures
* Identifies and reports possible claim over payments,
underpayments and any other irregularities
The typical pay range for this role is:
Please keep in mind that this range represents the pay range for
all positions in the job grade within which this position falls.
The actual salary offer will take into account a wide range of
factors, including location.
* 2+ years claim processing experience
* Ability to research complex issues
* Demonstrated ability to handle multiple assignments competently,
accurately and efficiently.
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated
against COVID-19 (including any booster shots if required), where
allowable under the law, unless they are approved for a reasonable
accommodation based on disability, medical condition, religious
belief, or other legally recognized reasons that prevents them from
You are required to have received at least one COVID-19 shot prior
to your first day of employment and to provide proof of your
vaccination status or apply for a reasonable accommodation within
the first 10 days of your employment. Please note that in some
states and roles, you may be required to provide proof of full
vaccination or an approved reasonable accommodation before you can
begin to actively work.
* QNXT experience is highly desired.
Associates degree or equivalent experience.
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose:
Bringing our heart to every moment of your health. This purpose
guides our commitment to deliver enhanced human-centric health care
for a rapidly changing world. Anchored in our brand - with heart at
its center - our purpose sends a personal message that how we
deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors--- support this purpose. We want
everyone who works at CVS Health to feel empowered by the role they
play in transforming our culture and accelerating our ability to
innovate and deliver solutions to make health care more personal,
convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion
and belonging every day.
CVS Health is an affirmative action employer, and is an equal
opportunity employer, as are the physician-owned businesses for
which CVS Health provides management services. We do not
discriminate in recruiting, hiring, promotion, or any other
personnel action based on race, ethnicity, color, national origin,
sex/gender, sexual orientation, gender identity or expression,
religion, age, disability, protected veteran status, or any other
characteristic protected by applicable federal, state, or local
Keywords: Aetna Inc., Wilmington , Sr Claim Benefit Specialist- Ops, Other , Dover, Delaware
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