Benefits Support Specialist

zenithamerican; San Francisco (CA); On-site; USD 29,000 - 42,000; Full time

Job summary

Zenith American Solutions in San Francisco is seeking a Customer Care Advocate to provide frontline support to participants, beneficiaries, union locals and providers on eligibility, benefits, and claims status. The role involves handling PHI/PII securely, processing enrollments, documenting inquiries, and coordinating with departments to resolve issues.

A high school diploma and at least six months in customer service or benefits processing are required; bilingual candidates are encouraged to

Qualifications

• High school diploma or GED.
• Six months of customer service, third-party administrator processing, or benefits administration experience.
• 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 applies knowledge in all job functions.
• Provides written, verbal, or face-to-face customer service by responding to and documenting inquiries in accordance with Plan(s) benefits.
• Updates files, including documenting system notes of conversations or actions.
• Processes enrollments and updates member information in applicable system(s).
• Distributes communications related to regulatory requirements.
• Initiates Action Requests to appropriate departments and follows up to ensure completion.
• Researches and resolves complex and technical issues and irregularities.
• Performs other duties as assigned.

Skills

Customer service

Benefits administration

Documentation

Communication

Team player

Integrity

Attention to detail

Reading & interpretation

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions in San Francisco is seeking a Customer Care Advocate to provide frontline support to participants, beneficiaries, union locals and providers on eligibility, benefits, and claims status. The role involves handling PHI/PII securely, processing enrollments, documenting inquiries, and coordinating with departments to resolve issues.

A high school diploma and at least six months in customer service or benefits processing are required; bilingual candidates are encouraged to