Customer Care Advocate

6 days ago

San Bernardino, California, United States Zenith American Full time
Job Summary

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

Key Responsibilities
  • Provide written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) 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/or sending mailers or required forms as requested by members.
  • Process and/or send correspondence related to member or claims status.
  • Process enrollments and update member information in applicable system(s).
  • Distribute communications related to regulatory requirements.
  • Initiate Action Requests to appropriate departments requesting adjustments to claims, retirement, and/or eligibility as necessary.
  • Follow up to ensure successful completion of Action Request.
  • 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.
What We Offer

Zenith American Solutions offers 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.

We are an equal opportunity employer and welcome applications from diverse candidates. If you meet the minimum qualifications and are interested in applying for this position, please submit an application. All applications must be received by 5:00 pm on the Internal Posting Deadline listed above in order to be considered prior.

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