Customer Service Representative
hace 3 semanas
Job Summary
Zenith American Solutions is seeking an experienced Customer Care Advocate to provide exceptional customer service to participants, beneficiaries, union locals, and providers.
Key Responsibilities
- Maintain current knowledge of assigned plans and effectively apply knowledge in all job functions.
- Provide written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various plan benefits.
- Update files, including documenting system notes of conversations or action taken.
- Perform tasks associated with the administration of retirement and health and welfare benefits, such as processing and sending mailers or required forms, processing and sending correspondence related to member or claims status, processing enrollments and updating member information in applicable systems, and distributing communications related to regulatory requirements.
- Initiate Action Requests to appropriate departments requesting adjustments to claims, retirement, and/or eligibility as necessary.
- Follow up to ensure successful completion of Action Requests.
- Research and resolve complex and technical issues and irregularities.
Requirements
- 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.
Accommodation
Zenith American Solutions is committed to providing reasonable accommodation to qualified applicants and employees with disabilities, unless such accommodation would cause an undue hardship.
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