Customer Service Representative

7 days ago

Bothell WA USA, United States Zenith American Full time
Job Title: Customer Care Advocate

Job Summary:

Zenith American Solutions is seeking an experienced Customer Care Advocate to provide exceptional customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status.

Key Responsibilities:

  • Maintain current knowledge of assigned plans and effectively apply knowledge in all job functions.
  • Provide written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various plan benefits.
  • Update files, including documenting system notes of conversations or action taken.
  • Perform tasks associated with the administration of retirement and health and welfare benefits, such as processing and sending mailers or required forms, processing and sending correspondence related to member or claims status, processing enrollments and updating member information in applicable systems, and distributing communications related to regulatory requirements.
  • Initiate Action Requests to appropriate departments requesting adjustments to claims, retirement, and/or eligibility as necessary, and follow up to ensure successful completion of Action Requests.
  • Research and resolve complex and technical issues and irregularities.
  • Perform other duties as assigned.

Requirements:

  • 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.

Preferred Qualifications:

  • Call center experience in benefits claims, billing, or eligibility.

Benefits:

Zenith American Solutions offers a comprehensive benefits package, including health insurance, flexible spending account, life insurance/AD&D, short-term and long-term disability, employee assistance program, pension plan, 401(k) plan, voluntary supplemental plans, paid time off, and holidays.

How to Apply:

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 internal posting deadline listed above to be considered prior to the deadline.

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