Benefits & Claims Support Specialist

Zenith American Solutions, Inc.; Sparks (NV); On-site; USD 22,000 - 31,000; Full time

Job summary

Zenith American Solutions in Sparks, NV is seeking an Accident & Sickness Representative to provide customer service to participants, beneficiaries, and union locals regarding eligibility, benefits, and claims status. The role requires handling PHI/PII per job description and following up on action requests to ensure resolution.

You will maintain knowledge of multiple plans, document inquiries, and update system notes. This position emphasizes accuracy, integrity, and strong communication.

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.
• Initiates Action Requests to department requesting stop pay, return to work, address change as necessary. Follows up to ensure successful completion of Action Request.
• Researches and resolves complex calls.
• Performs other duties as assigned.

Skills

Communication skills

Team player

Detail orientation

Listening skills

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions in Sparks, NV is seeking an Accident & Sickness Representative to provide customer service to participants, beneficiaries, and union locals regarding eligibility, benefits, and claims status. The role requires handling PHI/PII per job description and following up on action requests to ensure resolution.

You will maintain knowledge of multiple plans, document inquiries, and update system notes. This position emphasizes accuracy, integrity, and strong communication.