Benefits & Eligibility Support Advocate

American Benefit Plan Administrators, Inc.; San Francisco, Northern (CA, KY); Hybrid; USD 30,000 - 41,000; Full time

Benefits offered by this job

Health coverage

Vision coverage

Dental coverage

Retirement savings 401(k) plan with会社マ

Job summary

Zenith American Solutions is hiring a Customer Care Advocate to provide service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. The role requires handling PHI/PII access per job description and maintaining knowledge of multiple plans.

Responsibilities include documenting inquiries, processing enrollments, and communicating regulatory updates. Strong communication, detail orientation, and MS Office proficiency are essential;

Qualifications

• High school diploma or GED.
• Six months of customer service or benefits processing experience.
• Strong work ethic and team player mentality.
• Integrity and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Strong organizational skills with attention to detail.
• Ability to read, analyze, and interpret business materials and benefit plans.
• Proficient with MS Office tools.

Responsibilities

• Maintains current knowledge of assigned Plan(s) and applies it in all job functions.
• Provides written, verbal, or face-to-face customer service by responding to inquiries and documenting them per plan benefits.
• Updates files, including system notes of conversations or actions taken.
• Processes and/or sends mailers or required forms to members.
• Processes and/or sends correspondence related to member or claims status.
• 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, and eligibility as needed.
• Follows up to ensure completion of Action Requests.
• Researches and resolves complex issues and irregularities.

Skills

Customer service mindset

Team player

Communication skills

Organization

Reading & interpretation of documents

MS Office proficiency

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions is hiring a Customer Care Advocate to provide service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. The role requires handling PHI/PII access per job description and maintaining knowledge of multiple plans.

Responsibilities include documenting inquiries, processing enrollments, and communicating regulatory updates. Strong communication, detail orientation, and MS Office proficiency are essential;