Jobs at Zenith American Solutions, Inc.

Maintain accurate member and dependent records, process enrollment transactions, handle inbound/outbound correspondence (ID cards, packets), resolve eligibility issues with vendors and internal teams, respond to inquiries, and support enrollment operations to ensure timely, accurate benefits administration.

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.

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

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.

Lead and manage a defined book of business, strengthen client relationships, execute account strategies, pursue cross-sell/upsell/renewals, oversee vendor relationships, ensure regulatory compliance, mentor staff, coordinate with operations, and drive revenue and profitability for assigned clients.

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.

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.

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.

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

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.

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.

Support the Director of Client Relationship in managing assigned client accounts for fund management: coordinate meetings, collate financial and administrative reports, maintain compliance calendars, liaise with vendors and trustees, prepare correspondence and presentations, and assist with participant engagement and issue resolution.

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.

Process and verify retirement benefit applications, determine eligibility, request documentation, respond to participants/unions, prepare correspondence, update member records and systems, perform data entry and corrections, and assist with special projects while handling PHI/PII and following regulatory and plan guidelines.