[Hiring] Client Support - Representative I @CVS Health

Role Description

This is a fully remote position. The Client Support Representative for Aetna Commercial Client Support will focus on delivering exceptional service on escalated pharmacy concerns.

• Accountable for researching and resolving member escalations including Prior Authorization status, Specialty/Mail Order prescription concerns, and general requests.
• Assist members with navigating their Healthcare with an emphasis on ensuring exceptional client service and timely resolution of issues.
• Manage outstanding concerns to ensure accurate resolution and communication is completed on every concern assigned.
• Professionally manage a high volume of correspondence including phone calls, emails, and SalesForce cases from clients and internal partners.
• Deliver professional, thorough correspondence that communicates clear messages.
• Exceed quality and turnaround time expectations.
• Operate in a fast-paced environment with tight deadlines, making key decisions autonomously.

Candidate must be in Pacific or Mountain Time Zone. Occasional need for scheduled overtime, weekends, and holidays as determined by business need (Ex: “Welcome Season”).

Qualifications

• 1+ years of health insurance industry experience
• Bachelor's Degree is desired or equivalent work experience

Requirements

• Experience with RxClaim (AS400), Salesforce, Five9, and Peoplesafe/Compass preferred

Benefits

• Affordable medical plan options
• 401(k) plan including matching company contributions
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation, and weight management programs
• Confidential counseling and financial coaching
• Paid time off, flexible work schedules, family leave, and dependent care resources
• Colleague assistance programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility