Member Benefits Advocate

zenithamerican; Bothell (WA); On-site; USD 34,000 - 47,000; Full time

Job summary

Zenith American Solutions is seeking a Customer Care Advocate to provide customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. The role requires access to PHI/PII as defined by the job description.

The position operates in a 40-hour workweek as a non-exempt role within the Customer Care department, with a focus on accurate documentation and timely resolution of inquiries.

Qualifications

• High school diploma or GED required.
• Six months of experience in customer service, third-party administrator processing, or benefits administration.
• Strong work ethic and team player mentality with integrity.
• Ability to communicate clearly and professionally, both verbally and in writing.

Responsibilities

• Maintains current knowledge of assigned Plan(s) and applies knowledge in all duties.
• Provides customer service by responding to and documenting inquiries in accordance with Plan(s) benefits.
• Updates files and documents system notes of conversations or actions.
• Processes enrollments and updates member information in applicable systems.
• Initiates Action Requests to appropriate departments and follows up for completion.
• Researches and resolves complex and technical issues.

Skills

Customer service

Communication skills

Team player

Detail-oriented

Problem solving

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions is seeking a Customer Care Advocate to provide customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. The role requires access to PHI/PII as defined by the job description.

The position operates in a 40-hour workweek as a non-exempt role within the Customer Care department, with a focus on accurate documentation and timely resolution of inquiries.