Aetna Customer Service Representative in Southfield, Michigan

Req ID: 37990BR


Customer Service Representative will take incoming calls for ASA (Aetna Signature Administrators), Cofinity & First Health products. Resolving claim issues, provider validations, provider participation. The positions may require outbound calls to Payers & Providers.

Fundamental Components:

In this position, you will be working on the phone the entire day and applicants should be comfortable taking back to back calls.


1- 3 years or more experience in a production environment; Required 1-3 years or more Customer Service experience in a transaction based environment such as a call center or retail location; Preference Microsoft Office Proficiency; Required Medical Terminology Knowledge; Strong Preference


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


Functional - Customer Service/Customer Service - Life/1-3 Years

Functional - Communications/Member communications/1-3 Years

Functional - Communications/Provider communications/1-3 Years

Functional - Claims/Claim processing - Life/1-3 Years

Functional - Customer Service/Customer service - Medical billing/1-3 Years


Service/Creating a Differentiated Service Experience/ADVANCED

Service/Demonstrating Service Discipline/FOUNDATION

Service/Providing Solutions to Constituent Needs/FOUNDATION


Benefits Management/Interacting with Medical Professionals/FOUNDATION

Service/Handling Service Challenges/ADVANCED

Service/Working Across Boundaries/ADVANCED


Fast pace position with the opportunity to learn several different products under Aetna.

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.

Job Function: Customer Service