Jobs at Zenith American Solutions, Inc.

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

Provide customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims. Process enrollments, correspondence, mailers, and regulatory communications; update member records and system notes; initiate and follow up on action requests; research and resolve complex issues; perform other assigned administrative duties.

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

Provide clerical and administrative support for claims-related departments: scanning, filing, mail processing, reception coverage, inventory and invoice handling, basic reporting, meeting support, vendor liaison, and light training. Maintain office equipment, adhere to security protocols for PHI/PII, and perform other assigned duties.

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

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.

Maintain accurate member and dependent records, process enrollment and eligibility requests, resolve issues with vendors, handle correspondence (ID cards, packets), respond to inquiries, and support enrollment operations and internal stakeholders.

Prepare month-end and year-end closings, journal entries, reconciliations, bank reconciliations, and revenue summaries. Produce financial statements and schedules for auditors, research discrepancies, respond to branch inquiries, perform accrual accounting, monitor accounts and cash transfers, ensure regulatory filings (941, 945, 990, 5500), and support internal controls and accounting policies.

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.

Processes routine health and welfare claims (medical, dental, vision, prescription, life, AD&D, WC, disability) per plan guidelines; handles customer inquiries via phone/written/electronic/in-person; maintains PHI/PII confidentiality; applies adjudication principles and coding (ICD-10/CPT-4); performs other assigned duties.

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.

The Business Systems Analyst writes requirements for software changes, tests programs, analyzes data issues, and provides technical support.

The Business Systems Analyst writes requirements, tests software changes, analyzes data, supports clients, and collaborates with programmers to ensure quality and documentation.

The Benefits Specialist administers employee benefit programs, serves as a contact for inquiries, manages enrollment processes, and ensures compliance with regulations.

The Participant Services Representative provides customer service regarding eligibility, benefits, and claims status for participants and providers, while maintaining accurate records and resolving issues.

The Participant Services Representative provides customer service related to eligibility, benefits, and claims status and manages member records and inquiries.

The Staff Accountant manages financial accounting duties, including month and year-end closing, journal entries, reconciliations, and compliance with regulations while providing financial statements and addressing inquiries.

The Client Services Assistant performs administrative tasks supporting the client-facing team, including correspondence, file management, invoice preparation, and meeting coordination.