Teams 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.