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This individual will be responsible for managing social media complaints and inquiries across all Aetna products, driving resolution through thoughtful, customer-centric engagement. Issues may be multifaceted and require coordination across multiple business units. The role demands timely, empathetic responses and a proactive approach to identifying trends and recommending solutions.
Job Responsibility:
Managing social media complaints and inquiries across all Aetna products
Driving resolution through thoughtful, customer-centric engagement
Coordinating across multiple business units for multifaceted issues
Providing timely, empathetic responses
Proactively identifying trends and recommending solutions
Supporting enterprise-level escalations
Monitoring platforms seven days a week, including weekends and holidays
Requirements:
Ability to work the designated shift: Monday–Friday, 11:00 AM–7:30 PM EST
Flexibility to support weekend coverage
Flexibility to participate in holiday rotation
Minimum 6 months of experience interpreting Aetna benefit language from SPDs or COCs
Minimum 6 months of experience in one or more of the following areas: HMO and/or Traditional claim platforms, products, and benefits
Patient management
Contract drafting
Compliance and regulatory analysis
Special investigations
Provider relations
Customer service or audit functions
Demonstrated experience in researching and analyzing claim processing
High School Diploma or GED required
Nice to have:
Bilingual proficiency in Spanish and English
Familiarity with major social media platforms
Ability to work independently and collaboratively in a fast-paced environment
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