天津招聘

职位描述：
Family Summary/Mission
To increase member satisfaction, retention, and growth by efficiently delivering competitive services to members and providers through a fully-integrated organization staffed by knowledgeable, customer-focused professionals supported by exemplary technologies and processes.

Position Summary/Mission
? The PSL will serve as the Single Point Of Contact (SPOC) for the customer’s Human Resources personnel (Benefit Coordinator, Administrator, etc.) and respond, manage, and resolve escalated and complex global issues for the overall Operations.
? Acts as single point of contact for internal escalation.
? Be able to identify and analyze on recurring problem and take lead in providing a remedy.

Fundamental Components & Physical Requirements include but are not limited to
? Attend/ participate in Sales meetings
? Acts as a single-point-of-contact for escalated member-specific issues and/or broader plan administration matters
? Provide weekly updates on new & potential procedural risk/improvement opportunity
? Provide regular stats on escalation and analysis on the volume
? Proactively identify and surface customer and plan issues for resolution while acting as a liaison to communicate workflow results, ideas and solutions
? Proactively resolve issues with account executives, sales representatives, installation managers and the claims offices etc
? Manage escalated customer issues and provide proper communication/education to all parties
? Assist customers and sales in understanding the impacts of non standard benefits
? Proactively analyzes constituent data, identifies trends and issues.
? Identifies most urgent business problems, obtains necessary information, accurately identifies root causes and generates solutions.
? Initiates and maintains partnerships with others throughout the organization. Encourages cooperation by promoting common goals and building trust. Inspires, supports, and initiates cross-functional activities.
? For non-supervisory positions, exhibits behaviors outlined in the Plan Sponsor Liaison Competencies
? For supervisory positions, exhibits behaviors outlined in the Plan Sponsor Liaison Supervisor Competencies

Background/Experience Desired
? 4 years or above experience in operation team of high-end health insurance industry.
? Knowledge of individual & group insurance business characters, working flow, business nature and etc. Claim related background preferred.
? Fluent in English and conversational in Mandarin. Speaking Japanese is an asset.
? Strong team work spirit
? Independent and self-driven individual
? Strong communication skill

Education and Certification Requirements
Bachelor degree or equivalent

Additional Information (situational competencies, skills, work location requirements, etc.)
? Demonstrates strong consultative skills and the ability to influence constituents
? Strong leadership skills
? Strong communication skills (verbal, written, presentation)
? Strong problem solving skill
? Strong understanding of multiple aspects of the plans and products (e.g., CCI coding)
? Ability to work with cross-functional business units and vendors to support the customer’s needs; promotes collaboration among constituents and represents a professional image of the company
? Strong project management skills
? Ability to support multiple plan sponsors and multiple products
? Critical thinking and decision making skills
? Automatic adjudication knowledge (e.g., number of claims affected on on-standard plans, knowing when a benefit auto adjudicates)
? Strong knowledge of Aetna Standards

安态（上海）企业服务有限公司是美国安泰集团在中国的全资子公司。美国安泰集团公司（纽约证券交易所代号: AET，以下简称安泰集团） 始创于1853年，全球总部位于美国康涅狄格州哈特福德市，是美国历史最悠久的金融保险集团之一，也是全球财富500强企业，2010年营业收入超过342亿美金。

跨入21世纪，安泰集团已发展成为国际领先的专业健康福利保障公司，业务范围涵盖健康保险产品及相关服务，其中包括医疗、药物、牙科、行为健康、团体人寿和伤残计划，以及针对公共医疗补助计划的医疗管理功能和保健管理服务。

安泰集团在全球聘用了超过35000名员工，包括执业医师、护士、药剂师及其他临床专业人士。作为健康福利保障业的翘楚，我们的客户包括员工团体、个人、大学学生、***和小时工、健康计划、资助计划、劳工组织及外籍人员。

2008年3月，安泰集团被美国财富杂志推选为美国最值得推崇的健康福利保障公司。同年，安泰集团也被美国商业周刊杂志推选为最适合开展职业生涯的公司之一。

安态（上海）企业服务有限公司致力引进美国先进的健康管理理念与技术，为中国市场企业客户提供高质量的健康管理服务和健康保险外包服务。

更多信息，请登陆公司网站：
www.aetna.com

Aetna (Shanghai) Enterprise Services Co. Ltd is a wholly owned enterprise of Aetna Inc. Aetna (NYSE: AET) was established in 1853 with headquarter in Hartford, CT, USA. As a global Fortune 500 company, Aetna is a well-known finance – insurance group in the US. Its 2010 revenue exceeded USD 34.2 billion.

Entering into the 21st century, Aetna now is a leading provider of health and related benefits programs, covering health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities and health care management services for Medicaid plans.

Aetna has over 35,000 employees worldwide, including licensed physicians, nurses, pharmacists and other clinic staff. Being the leading health-related benefit provider, Aetna’s customers include employer groups, individuals, college students, part-time and hourly workers, health plans, governmental units, government-sponsored plans, labor groups and expatriates.

In 2008, Aetna was ranked 1st in Fortune's 2008 Most Admired Health Care Company and was also recognized as one of the "Best Places to Launch a Career" in 2008 by Business Week.

Aetna (Shanghai) Enterprise Services Co. Ltd aims to introduce international concepts and practice of health management services into China to provide high quality health management services.

For more information, please visit our website:
www.aetnainternational.com