Aetna Supervisor, Claim Operations in New Albany, Ohio

Req ID: 51977BR

POSITION SUMMARY

Responsible for the overall supervision of a team of Medicare Claim processing employees. Accountable for member/provider satisfaction, retention, and growth by efficiently delivering competitive services to members/providers.

FUNDAMENTAL COMPONENTS:

Candidates who enjoy a challenge and are looking to grow within a fast-paced environment will be successful in this position. This position will be responsible for supervising a team of Medicare medical claim processors on the HMO platform. Other duties include inventory management and representing Medicare on various projects and initiatives. The candidate will be responsible for conducting yearly performance evaluations as well as ongoing coaching/mentoring of staff. The ideal candidate will be highly engaged in delivering industry leading performance. Ability to collaborate across boundaries is highly desired.

BACKGROUND/EXPERIENCE desired:

1 -3 years of claim processing and/or customer service experience. Previous experience mentoring staff. Strong communication and problem solving skills. Working knowledge of MS Office. Previous supervisory skills highly recommended.

EDUCATION:

The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.

FUNCTIONAL EXPERIENCES:

Claims/Claim processing - Medical - Medicare/1-3 Years

REQUIRED SKILLS:

General Business/Maximizing Work Practices/ADVANCED

Leadership/Driving a Culture of Compliance/ADVANCED

Leadership/Engaging and Developing People/ADVANCED

DESIRED SKILLS:

Leadership/Collaborating for Results/ADVANCED

Leadership/Creating Accountability/ADVANCED

Service/Creating a Differentiated Service Experience/ADVANCED

ADDITIONAL JOB INFORMATION

The ideal candidate for this opportunity will possess the desire/ability to manage independently and develop staff while consistently delivering caring, high-quality, efficient service to our Medicare beneficiaries and plan sponsors. This role provides the successful candidate with future growth in management and leadership development.

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 candidate'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.

Job Function: Claim