Member Benefits Support Specialist

Zenith American Solutions, Inc.; Henderson (NV); On-site; USD 40,000 - 52,000; Full time

Benefits offered by this job

Health insurance

Vision coverage

Dental coverage

401(k) with company match

Paid time off

Growth opportunities

Job summary

Zenith American Solutions is seeking a Customer Care Advocate in Henderson, NV to support participants, beneficiaries, and providers with eligibility, benefits, and claims status. This role emphasizes accuracy, confidentiality (PHI/PII), and courteous service.

You will handle plan knowledge, document inquiries, process enrollments, and coordinate with departments to resolve complex issues. A high school diploma and customer service experience are required; MS Office proficiency is expected, with

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; Processing and/or sending mailers or required forms as requested by members.
• Processing and/or sending correspondence related to member or claims status.
• Processing enrollments and updating member information in applicable system(s).
• Distributing communications related to regulatory requirements.
• 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

Team player

Integrity

Organization

MS Office

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions is seeking a Customer Care Advocate in Henderson, NV to support participants, beneficiaries, and providers with eligibility, benefits, and claims status. This role emphasizes accuracy, confidentiality (PHI/PII), and courteous service.

You will handle plan knowledge, document inquiries, process enrollments, and coordinate with departments to resolve complex issues. A high school diploma and customer service experience are required; MS Office proficiency is expected, with