Member Benefits Support Specialist

Praxy; Honolulu, Northern (HI, KY); Hybrid; USD 36,000 - 52,000; Full time

Benefits offered by this job

Health, vision, and dental coverage

401(k) retirement plan with company  

Paid time off

Job summary

Zenith American Solutions is seeking a dedicated Customer Care Advocate to support participants, beneficiaries, union locals, and providers with eligibility, benefits, and claims status. The role requires maintaining knowledge of plans, responsive service, and accurate documentation of inquiries and actions.

It also involves processing enrollments and communicating regulatory information to members. The position emphasizes integrity, professional communication, and the ability to resolve complex

Qualifications

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

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 inquiries.
• Updates files, including documenting system notes of conversations or actions taken.
• Processes enrollments and updates member information in applicable systems.
• Distributes communications related to regulatory requirements.
• Initiates actions to departments requesting adjustments to claims, retirement, and eligibility.
• Researches and resolves complex and technical issues and irregularities.

Skills

Customer service experience

Clear communication

MS Office

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions is seeking a dedicated Customer Care Advocate to support participants, beneficiaries, union locals, and providers with eligibility, benefits, and claims status. The role requires maintaining knowledge of plans, responsive service, and accurate documentation of inquiries and actions.

It also involves processing enrollments and communicating regulatory information to members. The position emphasizes integrity, professional communication, and the ability to resolve complex