If you’re fluent in English and Spanish and you know how to calm things down, solve the real issue, and leave people feeling helped, this role is a strong fit. You’ll support Aetna members and partners across benefits questions, claims-related requests, and Medicare brokerage support in a fast-paced inbound environment.
About CVS Health (Aetna)
CVS Health is building a more connected, convenient, and compassionate healthcare experience nationwide. Aetna, a CVS Health company, supports members with health benefits and resources, helping guide people to care and answers while staying compliant with regulatory standards.
Schedule
- Fully remote
- Full-time: 40 hours per week
- Inbound call center role supporting members, providers, and plan sponsors
- Must be fluent in English and Spanish
- Application window expected to close December 20, 2025
What You’ll Do
⦁ Answer inbound calls and respond to online/written inquiries from members, providers, and plan sponsors
⦁ Consult, educate, and guide members through benefits, resources, tools, and next steps to care
⦁ Resolve basic to moderately complex service issues using Aetna policies, procedures, and regulatory guidelines
⦁ Document and track all interactions accurately in target systems
⦁ Triage follow-up work to the appropriate teams when additional handling is required
⦁ Use service frameworks to make appropriate financial decisions that resolve member issues
⦁ Explain member rights and responsibilities per contract and plan rules
⦁ Process referrals, complaints, grievances, and appeals (member or provider), plus claim handoffs and nurse reviews as needed
⦁ Support provider requests including self-service education and credentialing or re-credentialing questions
⦁ Support Medicare brokerage calls, including application status, contract and appointment status, and commission inquiries
⦁ Assist with data entry and verification steps for external producers and agents (including certification verification and related documentation)
⦁ Support reporting and data compilation needs (complaint trends, claim audit data) when assigned
What You Need
⦁ Fluency in English and Spanish (required)
⦁ 6+ months of customer service experience
⦁ Strong communication skills, empathy, and the ability to build trust quickly
⦁ Comfort navigating multiple systems and tools while on live calls
⦁ High school diploma or GED
Benefits
⦁ Pay range: $17.00 to $34.15 (varies by experience, location, and qualifications)
⦁ Affordable medical plan options and 401(k) with company match
⦁ Employee stock purchase plan eligibility
⦁ No-cost wellness programs plus confidential counseling and financial coaching
⦁ Paid time off, flexible work schedules, family leave, tuition assistance, and other benefits based on eligibility
This window closes December 20, 2025. If you’re bilingual and already have customer service reps under your belt, don’t wait until the last minute.
This is a “get in, learn the systems, level up” role, and bilingual talent stays in demand.
Happy Hunting,
~Two Chicks…