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- 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.
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- 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.
- 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.
- Call center experience in benefits claims, billing, or eligibility.
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Customer Care Advocate - Spokane, United States - Zenith American
Description
Title: Customer Care Advocate Department: Customer CareUnion: UFCW 1439 Grade: 6
FLSA: Non-exempt Hours per week: 40
Date Posted: 03/05/2024
Position Summary
The Customer Care Advocate provides customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status.
"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
Key Duties and Responsibilities
Disability Accommodation
Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at , and we would be happy to assist you.
Zenith American Solutions
Real People. Real Solutions. National Reach. Local Expertise.
We are currently seeking an experienced Customer Care Advocate with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 40 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before
Benefits:
23.36/hr
Health Insurance, Flexible Spending Account, Life Insurance / AD&D, Short Term & Long Term Disability, Employee Assistance Program, Pension Plan, 401(k) Plan, Voluntary Supplemental Plans, Paid Time Off and Holidays offered.
Internals to Apply:
If you meet the minimum qualifications and are interested in applying for the above position, please submit an application. All applications must be received by 5:00 pm on the Internal Posting Deadline listed above in order to be considered prior
