Customer Service Claims Processor jobs in United States
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Zenith American Solutions, Inc. · 10 hours ago

Customer Service Claims Processor

Zenith American Solutions is the largest independent Third Party Administrator in the United States, dedicated to providing exceptional service. The Customer Service Claims Processor will handle customer inquiries, process claims, and maintain knowledge of various benefit plans to ensure timely and accurate service delivery.

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Responsibilities

Provides written, verbal or face-to-face customer service to members by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits
Resolves customer inquiries and complaints in a timely and accurate manner. Escalates issues as appropriate
Processes routine medical, dental, life, Medicare, Medicaid and/or hospital claims in accordance with assigned Plan(s)
Conducts research in relation to member/client/management inquiries and documents findings
Maintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions
Consistently meets established performance quotas, including quantity and quality claims processing standards
Utilizes multiple operating platforms and portals for research and claims processing
Performs other related duties as assigned

Qualification

Customer ServiceClaims ProcessingMS Office ProficiencyResearch SkillsConference Software

Required

High School Diploma or GED
One year of experience working on the Customer Service or Claims teams
Proficiency with MS Office tools and applications

Preferred

Proficiency with conference software such as Zoom or Webex

Benefits

Health, vision, and dental coverage
A retirement savings 401(k) plan with company match
Paid time off (PTO)
Great opportunities for growth

Company

Zenith American Solutions, Inc.

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Zenith American Solutions (“Zenith”) stands out as a top provider of third-party administration services specifically designed for Taft-Hartley trust funds in the U.S.

Funding

Current Stage
Late Stage
Total Funding
unknown
2017-12-13Acquired

Leadership Team

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Michele Rivas
EVP, Chief Legal Officer
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Company data provided by crunchbase