Benefits & Claims Care Advocate

zenithamerican; Las Vegas (NV); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Health, vision & dental coverage

401(k) with company match

Paid time off (PTO)

Growth opportunities

Job summary

Zenith American Solutions is seeking a Customer Care Advocate to support participants, beneficiaries, and providers with eligibility, benefits, and claims status. You will operate in a non-exempt, 40-hour workweek, collaborating with a union-aligned team and handling PHI/PII with integrity.

You will maintain plan knowledge, process inquiries, document actions, and support enrollment and regulatory communications while ensuring accuracy and exemplary service across all interactions.

Qualifications

• High school diploma or GED.
• Six months of experience in customer service, third-party administrator processing, or benefits administration.
• Strong work ethic and team player mentality.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Proficient computer skills including MS Office tools and applications.

Responsibilities

• Maintains current knowledge of assigned Plan(s) and applies knowledge in all job functions.
• Provides written, verbal, or face-to-face customer service by responding to inquiries and documenting conversations.
• Updates files and documents system notes of conversations or actions taken.
• Processes enrollments and updates member information in applicable systems.
• Distributes communications related to regulatory requirements.
• Initiates action requests to departments for adjustments to claims, retirement, or eligibility and follows up on completion.
• Researches and resolves complex and technical issues and irregularities.

Skills

Customer service

Written/verbal communication

MS Office proficiency

Team player mentality

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions is seeking a Customer Care Advocate to support participants, beneficiaries, and providers with eligibility, benefits, and claims status. You will operate in a non-exempt, 40-hour workweek, collaborating with a union-aligned team and handling PHI/PII with integrity.

You will maintain plan knowledge, process inquiries, document actions, and support enrollment and regulatory communications while ensuring accuracy and exemplary service across all interactions.