Benefits Claims Specialist - Accident & Sickness Support

zenithamerican; Sparks (NV); On-site; USD 22,000 - 30,000; Full time

Job summary

Zenith American Solutions in Sparks, NV seeks an Accident & Sickness Representative to assist participants and beneficiaries with eligibility, benefits, and claims status. The role requires attention to PHI/PII handling per job description.

Responsibilities include responding to inquiries, updating files with notes, and processing benefit forms. Strong communication, organization, and integrity are essential. Call center experience in benefits is a plus; bilingualism is a plus.

Qualifications

• High school diploma or GED.
• Six months of experience working in customer service, third-party administrator processing, or benefits administration.
• Strong work ethic and team player mentality.
• Highly developed sense of integrity and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Solid organization skills with strong detail orientation and listening skills.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
• Proficient computer skills including MS Office tools and applications.

Responsibilities

• Maintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions.
• Provides verbal and/or in person customer service, responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits.
• Updates files, including documenting system notes of conversations or action taken.
• Performs tasks associated with the administration of health and welfare benefits such as sending required forms as requested by members.

Skills

Customer service

Communication

Team player

Integrity

MS Office

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions in Sparks, NV seeks an Accident & Sickness Representative to assist participants and beneficiaries with eligibility, benefits, and claims status. The role requires attention to PHI/PII handling per job description.

Responsibilities include responding to inquiries, updating files with notes, and processing benefit forms. Strong communication, organization, and integrity are essential. Call center experience in benefits is a plus; bilingualism is a plus.