Customer Care Advocate

Summary: Zenith American Solutions is the largest independent Third Party Administrator in the United States. The Customer Care Advocate provides customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status, while maintaining knowledge of assigned plans and effectively applying that knowledge in all job functions. Responsibilities: - Maintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions - Provides written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits - Updates files, including documenting system notes of conversations or action taken - Performs tasks associated with the administration of retirement and health and welfare benefits such as - Processing and/or sending mailers or required forms as requested by members - Processing and/or sending correspondence related to member or claims status - Processing enrollments and updating member information in applicable system(s) - Distributing communications related to regulatory requirements - Initiates Action Requests to appropriate departments requesting adjustments to claims, retirement, and/or eligibility as necessary. Follows up to ensure successful completion of Action Request - Researches and resolves complex and technical issues and irregularities - Performs other duties as assigned Required Qualifications: - High school diploma or GED - Six months of experience working in customer service, third-party administrator processing, or benefits administration - Strong work ethic and team player mentality - Highly developed sense of integrity and commitment to customer satisfaction - Ability to communicate clearly and professionally, both verbally and in writing - Solid organization skills with strong detail orientation and listening skills - Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations - Proficient computer skills including MS Office tools and applications Preferred Qualifications: - Call center experience in benefits claims, billing, or eligibility Required Skills: Customer service, Benefits administration, MS Office, Strong work ethic, Team player mentality, Integrity, Commitment to customer satisfaction, Clear communication, Detail orientation, Listening skills Benefits: Health, vision, and dental coverage, A retirement savings 401(k) plan with company match, Paid time off (PTO), Great opportunities for growth, Much, much more