Teams 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.