Benefits & Eligibility Support Specialist

Zenith American Solutions; Bothell (WA); On-site; USD 34,000 - 48,000; Full time

Benefits offered by this job

Health insurance

401(k) plan with company match

Paid time off

Job summary

Zenith American Solutions is hiring a Customer Care Advocate to deliver high-quality customer service to participants, beneficiaries, union locals, and providers. You will handle eligibility, benefits, and claims status with care, maintaining PHI/PII security according to role requirements.

The role emphasizes accuracy, documentation, and proactive follow-up on requests. Expect collaboration with multiple teams to resolve complex issues while supporting retirement and health/ welfare programs.

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 written, verbal, or face-to-face customer service by 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 retirement and health and welfare benefits such as;
• Initiates Action Requests to appropriate departments requesting adjustments to claims, retirement, and/or eligibility as necessary.Follows up to ensure successful completion of Action Request.
• Researches and resolves complex and technical issues and irregularities.
• Performs other duties as assigned.

Skills

Customer service

Communication skills

MS Office proficiency

Detail oriented

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions is hiring a Customer Care Advocate to deliver high-quality customer service to participants, beneficiaries, union locals, and providers. You will handle eligibility, benefits, and claims status with care, maintaining PHI/PII security according to role requirements.

The role emphasizes accuracy, documentation, and proactive follow-up on requests. Expect collaboration with multiple teams to resolve complex issues while supporting retirement and health/ welfare programs.