Senior Customer Service Representative

CVS Health Careers

. Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc .

Posted 11/9/2026full-timeRemote • Minnesota • United StatesSenior💰 $19 - $42 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong customer service skills with a focus on effective communication and problem-solving in a metric-driven environment. Proficient in Microsoft Applications and experienced in handling inquiries related to medical terminology and insurance.

Highest-signal resume keywords

Customer Service ExperienceMetric Based EnvironmentMicrosoft Applications ProficiencyCall Center ExperienceMedical Terminology Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Customer ServiceClaims Status HandlingBenefits and Eligibility KnowledgeMulti-TaskingProblem-Solving

Soft Skills

Effective CommunicationTeam CollaborationSelf-Motivation

Tools & Technologies

Microsoft ApplicationsSearch Engines

Industry Keywords

Medical TerminologyInsurancePPO ParticipationCall Center Environment

About the role

Key responsibilities & impact

Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc
Address customer service inquiries via telephone, internet or written correspondence
Maintain department established performance metrics at a meets or exceeds expectations level
Work together as a team and apply the Aetna Core Values in day-to-day operations
Create a Differentiated Service Experience
Demonstrate Service Discipline
Handle Service Challenges
Provide Solutions to Constituent Needs
Work Across Boundaries

Requirements

What you’ll need

1+ years of customer service experience
Experience in a metric based environment
Proficiency with full suite of Microsoft Applications
Comfortability utilizing search engines
Excellent multi-tasking skills
Ability to Effectively Communicate
High School diploma, G.E.D. or equivalent experience
Experience working in a call center environment (preferred)
Medical terminology/insurance experience (preferred)
Results oriented and self-motivated (preferred)
Experience working remotely (preferred)

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being, based on eligibility