Claims Processor

Job Summary:

Zenith American Solutions is seeking a dedicated and detail-oriented Claims Processor 1 to join our team. As a Claims Processor 1, you will be responsible for providing exceptional customer service and processing routine health and welfare claims in accordance with plan guidelines and company policies.

Key Responsibilities:

• Process routine claims, including medical, dental, vision, prescription, death, life, and AD&D claims.
• Provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
• Maintain current knowledge of assigned plans and effectively apply that knowledge in the payment of claims.
• Perform other duties as assigned.

Requirements:

• High school diploma or GED.
• Six months of experience processing health and welfare claims.
• Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.
• Possesses a 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.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans, and regulations.
• Ability to calculate figures and amounts, such as discounts, interest, proportions, and percentages.
• Must be able to work in an environment with shifting priorities and handle a wide variety of activities and confidential matters with discretion.
• Computer proficiency, including Microsoft Office tools and applications.

Preferred Qualifications:

• Experience working in a third-party administrator.

About Zenith American Solutions:

Zenith American Solutions is the largest independent Third Party Administrator in the United States, operating over 44 offices nationwide. We believe in hiring the best employees who share our dedication to high-quality work, exceptional service, and mutual respect. If you're interested in working in an environment where people matter, consider bringing your talents to Zenith American.

We offer a comprehensive benefits program to our employees and their families, including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), and great opportunities for growth.