Jobs at Zenith American Solutions, Inc.

Performs advanced technical review and adjudication of medical and dental claims, coordinates appeals and predeterminations, manages third-party recovery and refunds, processes time-loss claims, interprets benefit plans, tests benefits, and supports staff with resources and occasional backup processing or phone coverage.

Manage benefit billing operations for Taft-Hartley trust funds: perform audits and complex financial reconciliations, ensure eligibility and billing accuracy, develop controls and procedures, resolve escalated issues, support renewals and compliance, and collaborate with vendors, auditors, trustees, and legal counsel.

Lead payroll audit, training, and client implementation functions for Client Fund Accounting. Manage BSAs, auditors, and implementation staff; oversee audits, client onboarding, automation, SOPs, training materials, and complex issue resolution while ensuring compliance and stakeholder communication.

Support the Director of Client Relationship in managing assigned client accounts, prepare meeting materials, monitor regulations and filings, collate financial reports, manage contracts and documentation, liaise with vendors and trustees, coordinate invoices, respond to stakeholder requests, and assist with participant engagement and vendor analysis.

Oversee daily office support staff and reception/mail operations, assign and monitor work quality, train and coach employees, manage mail/postage/accounts, maintain supplies and equipment, coordinate with property management and couriers, and improve procedures to ensure timely, professional office services.

Independently process all types of group health and dental claims for assigned plans, provide provider/member customer service, generate correspondence, maintain plan knowledge, assist colleagues to reduce backlog, and meet production and quality goals.

Process routine health and welfare claims (medical, dental, vision, Rx, Life/AD&D, WC, disability) per plan guidelines; provide customer service via phone/written/electronic channels; maintain plan knowledge; handle PHI/PII with discretion; use Microsoft Office and claims coding (ICD-10/CPT-4).

The Eligibility & Enrollment Processor manages enrollment operations, maintains member records, resolves inquiries, and supports documentation related to coverage and benefits.

The Supervisor, Claims leads a Claims team, manages workflow, ensures compliance, oversees claims processing, and develops staff through performance management.

Process routine health and welfare claims (medical, dental, vision, prescription, disability, life, AD&D, workers' comp) per plan rules. Provide customer service via phone/written/electronic channels, document interactions, apply coding knowledge (ICD-10/CPT-4), and handle confidential PHI/PII with discretion.

Provide administrative and account-management support for client retention and member engagement. Coordinate events, create materials, resolve client issues, prepare reports, and support operational improvement projects while maintaining client and stakeholder communications.

Gather, define, document and prioritize business and system requirements; create workflows and process diagrams; support testing, QA, and end-user support; participate in peer reviews and issue management; assist functional design and ensure solutions meet stakeholder needs.

Process routine health and welfare claims (medical, dental, vision, prescription, life, disability, workers' comp) per plan guidelines; provide customer service via phone/written/electronic channels; maintain plan knowledge and adhere to policies and confidentiality.

Processes routine health and welfare claims (medical, dental, vision, prescription, disability, life/AD&D, workers' compensation) per plan guidelines, provides customer service via phone/written/electronic/in-person, maintains plan knowledge, adheres to company policies and regulatory requirements, and handles confidential PHI/PII.

Perform trust-accounting tasks including reconciliations, payroll tax deposits, journal entries, trust financial statements, vendor invoice review, money transfers, disbursements, and occasional accounts payable support.

Maintain accurate member and dependent records, process enrollment transactions, respond to member and vendor inquiries, handle inbound/outbound enrollment correspondence (ID cards, packets), research and resolve eligibility issues, and support coordination with internal teams and billing/examiner staff.

The Contribution Accounting Processor handles customer inquiries, processes payments and contracts, reconciles reports, and maintains account records ensuring compliance with company guidelines.

Provide bookkeeping and trust accounting for assigned clients and trust funds: reconcile accounts, post journal entries, prepare trust financial statements, handle payroll tax deposits and forms (941/945), review vendor invoices, perform transfers and disbursements, and support accounts payable as needed.

Supervise pension administration operations, lead and mentor staff, ensure compliance with retirement plan rules and regulations, manage client relationships and escalations, oversee accurate recordkeeping and reporting, and support process and service improvements.

Design and maintain scalable data infrastructure and ETL processes. Integrate business systems into a data warehouse, develop database objects and Informatica mappings, support metadata and data governance, produce data models and visualizations, and provide database administration and user support for BI initiatives.