Jobs at Zenith American Solutions, Inc.

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.

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

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.

Lead onboarding and system conversions for retirement plans, interpret plan rules, coordinate testing and data validation, develop training/materials, recommend automation improvements, resolve complex system issues, and maintain client and regulatory communications.

Perform advanced technical review and adjudication of group health benefit claims, handle complex and large-dollar claims, manage appeals and predeterminations, process refunds/overpayments and time-loss claims, support third-party recovery, interpret benefit plans, develop resources, and provide backup phone or processing support as needed.

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, 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 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.

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

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

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 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.