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Job Details

CVS Health

Customer Service Representative- Hybrid Schedule (1964699BR)





Franklin, Tennessee, United States

Job Description
• Correspond with applicants via phone to collect and analyze Insurance or health information that facilities the risk assessment process and provides underwriting support.
• Document and communicate policy approvals to the insurance agents and clients in a timely manner.
• Assist Insurance agents and clients on whether they qualify for Guarantee Issue or Open Enrollments within their state Guidelines.
• Following up with clients or Insurance agents on policies
• Requesting decline letters to be sent out
• Explaining the appeal process with agents or applicants
• Escalating Queries or concerns
• Working with a team of CSRs and other departments to find the appropriate solution

Engages, consults and educates members based upon the member unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care.

Required Qualifications
1 year previous call center experience and / or
customer service experience

COVID Requirements

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 being vaccinated.

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.

Preferred Qualifications
• medical terminology
• some underwriting experience
• experience working with the geriatric community

High School Diploma or GED

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.