Zenith American Solutions, Inc. Benefits Overview

Processes member eligibility and enrollment records, maintains dependent files, responds to benefits-related inquiries, resolves enrollment issues with vendors, and handles coverage correspondence such as ID cards and eligibility packets. The role researches irregularities, supports examiners and billing processors, protects PHI and PII, and ensures accurate, timely enrollment administration and customer service.

Provides customer service to participants, beneficiaries, and union locals regarding eligibility, benefits, and claims status. Maintains benefit plan knowledge, documents inquiries and actions, updates files, sends requested forms, initiates and follows up on administrative requests, and resolves complex calls. Handles protected health and personal information while supporting health and welfare benefit administration.

Processes accounts receivable activities for assigned trusts, including payment processing, refunds, deposits, contribution reports, reconciliations, delinquency and payroll audits, and month-end corrections. Responds to billing inquiries from employers, providers, auditors, and client representatives. Maintains employer contracts, researches discrepancies, and ensures compliance with plan and company guidelines while handling limited PHI and PII access.