Jobs at Zenith American Solutions, Inc.

Supports health plan enrollment operations by maintaining member and dependent records, processing enrollment documentation, responding to coverage and benefits inquiries, resolving eligibility issues with vendors, and researching enrollment irregularities. Coordinates with examiners, billing processors, internal teams, and external partners while protecting PHI and PII. Provides timely customer service and correspondence support in an office environment.

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

Processes accounts receivable transactions for assigned trusts, including COBRA and self-pay payments, refunds, cash receipts, deposits, and contribution reports. Reconciles payments and reports, researches discrepancies, handles billing inquiries, maintains employer contracts, performs delinquency and payroll audit processing, and balances month-end reports while following company and plan requirements.

Processes routine health and welfare claims according to plan guidelines, company policies, and regulatory requirements. Applies knowledge of medical, dental, vision, prescription, disability, workers’ compensation, and life benefit plans. Responds to customer inquiries by phone, electronically, in writing, or in person, while protecting confidential PHI and PII. Maintains claims knowledge, documents interactions, performs calculations, and manages shifting priorities with professionalism and discretion.

Supervises the Accounts Receivable team, assigning work, monitoring quality and productivity, managing performance and training, optimizing workflows, resolving client service issues, supporting client implementations, and coordinating timecard and payroll information. Maintains knowledge of benefit plans and communicates with clients, agencies, unions, participants, attorneys, and consultants while ensuring regulatory and company requirements are met.

Processes enrollment activities, maintains member and dependent records, resolves eligibility issues with vendors, handles coverage correspondence, and provides customer service regarding benefits and enrollment. Researches complex enrollment irregularities and coordinates with examiners, billing processors, internal teams, and external partners while safeguarding PHI and PII.

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.

Supports client relationships for assigned benefit fund accounts by coordinating meetings, documentation, financial reports, compliance calendars, vendors, invoices, and issue resolution. Acts as a liaison among clients, trustees, vendors, government agencies, and internal teams. Prepares correspondence, presentations, reports, and complex Excel files while supporting participant engagement and maintaining regulatory awareness. Regular travel across multiple states is required.

Leads a defined book of business, managing client relationships, account strategies, renewals, cross-selling, contracts, vendors, compliance, financial performance, and service delivery. Mentors and develops staff, coordinates with operations and internal departments, facilitates client meetings, supports implementations, monitors benefits regulations, and drives client retention and growth. Regular travel across multiple states and occasional remote work are expected.

Analyze and document software requirements, develop and test system changes (RPGLE/SQL), provide technical support and server/PC configuration, generate reports and data extracts, coordinate vendor/client changes, assist client implementations, and maintain system documentation.

Provide client and vendor liaison support for assigned fund clients, assist the Director with account management, prepare reports and meeting materials, monitor regulatory filings, coordinate invoices and documentation, maintain compliance calendars, support vendor relationships and participant engagement, and conduct research to resolve client issues.

Manages daily accounting operations, including month- and year-end close, accounts payable and receivable, journal reviews, reconciliations, revenue analysis, audits, variance analysis, and financial reporting. Leads and develops accounting staff, maintains internal controls, documents procedures, ensures GAAP compliance, analyzes accounting data, produces reports, and implements process improvements and efficiencies.

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

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.

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).

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.