Job Description:
• Determine the purpose of call by actively listening and interacting with callers; triage call in a professional and timely manner
• Assess client needs; research and articulately communicate information regarding pertinent EAP/Worklife services and resources
• Use screening tools to identify where urgent clinical intervention is needed, and transfer calls appropriately, including for members in crisis and at risk
• Perform appropriate research in internal databases and online, in order to identify potential providers and resources
• Enter member information into the appropriate EAP system, in order to initiate the case; document comments and information thoroughly and professionally
• Communicate effectively with all internal stakeholders
• Utilize relevant Aetna databases to research and identify validated, appropriate member resources
• In the appropriate EAP system, maintain an inventory of materials
• Provide miscellaneous support functions, including administrative support, follow-up calls, and other duties as assigned
• Maintain compliance with policies and regulatory standards
• Protect the confidentiality of member information and adhere to enterprise policies, as well as EAP and Worklife policies and procedures
• Maintain accurate and complete internal documentation of required information that meets risk management and regulatory requirements
• Proactively listen to members and anticipates their needs, taking full ownership of each member interaction
• Address inquiries and resolve issues as a "single-point-of-contact" based on phone calls & digital and written correspondence
• Provide customized interaction based on customer preference and individualized needs
• Resolve complex issues without or with limited management intervention
• Administer structured pre-screening assessment based on triggers, in order to assure urgent needs are directed appropriately
• Identify triggers for additional resources and support connections to such responses
• Assess for social determinants/needs & offers, and connect members with viable resources to address those needs.
Requirements:
• 1 year of experience in a medical or healthcare-related call center environment
• 1 year of experience in a social, psychological, or human service field providing client support
• Basic proficiency with Microsoft Office Suite (i.e. Word, Excel, Teams, etc.)
• Ability to work Monday-Friday from 8:00am-4:30pm Eastern Standard Time
• Preferred Qualifications: 1 year of experience in behavioral health
• Bachelor’s degree or higher
• Strong empathy and communication skills
• Excellent organization and time management
• Detail-oriented nature
• Ability to receive and apply constructive criticism, in an effort to maintain continuous performance improvement
• Strong collaboration skills.
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access
Apply Now
Apply Now