Senior Benefits & Customer Care Advocate

American Benefit Plan Administrators, Inc.; Bothell (WA); On-site; USD 37,000 - 52,000; Full time

Benefits offered by this job

Health, vision, and dental coverage

401(k) plan with company match

Paid time off (PTO)

Career growth opportunities

Job summary

Zenith American Solutions in the United States seeks a Senior Customer Care Advocate to provide advanced service on eligibility, benefits, and claims status for participants, beneficiaries, and providers. The role requires handling PHI/PII with integrity and delivering accurate documentation of inquiries.

The position supports retirement and health/welfare plans, with a standard 40-hour work week, and requires a minimum high school education and three years of related experience.

Qualifications

• High school diploma or GED.
• At least three years of related work experience in health and welfare benefits administration or customer service.
• Strong integrity and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Proficient computer skills including MS Office tools and applications.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.

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 about benefits and claims.
• 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 mailings and forms.
• Processes enrollments and updates member information in applicable system(s).
• Distributes communications related to regulatory requirements.
• Initiates requests to departments requesting adjustments to claims, retirement, and/or eligibility.
• Follows up to ensure successful completion of actions and resolutions of escalated calls.

Skills

Communication skills

Detail orientation

Microsoft Office

Team player

Education

High school diploma or GED

Tools

MS Office

Job description

Zenith American Solutions in the United States seeks a Senior Customer Care Advocate to provide advanced service on eligibility, benefits, and claims status for participants, beneficiaries, and providers. The role requires handling PHI/PII with integrity and delivering accurate documentation of inquiries.

The position supports retirement and health/welfare plans, with a standard 40-hour work week, and requires a minimum high school education and three years of related experience.