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Customer Service Representative
1 month ago
The Customer Care Advocate provides exceptional customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. This role requires a strong work ethic, team player mentality, and highly developed sense of integrity and commitment to customer satisfaction.
Key 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, 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, and initiating Action Requests to appropriate departments requesting adjustments to claims, retirement, and/or eligibility as necessary.
- Researches and resolves complex and technical issues and irregularities.
- Performs other duties as assigned.
- 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.
- Call center experience in benefits claims, billing, or eligibility.
Zenith American Solutions is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to providing a workplace that is inclusive and respectful of all employees. If you meet the minimum qualifications and are interested in applying for this position, please submit an application. All applications must be received by the deadline listed above in order to be considered.
