Claims Processor

🕒 May 18

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Zenith American Solutions, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1944

⚕️ Healthcare Insurance

👥 HR Tech

🤝 B2B

Healthcare Insurance • HR Tech • B2B

Zenith American Solutions, Inc. is a U. S. -based third‑party administrator (TPA) that manages employee benefit and pension plans—particularly Taft‑Hartley and union funds—providing health and welfare administration, claims processing, retirement plan processing, contribution accounting, payment solutions, cost containment, compliance/privacy services, and participant/provider/employer portals. The company combines benefits administration expertise with technology and security-focused services to support trustees, employers, fund professionals and millions of plan participants nationwide.

📋 Description

• Provides customer service and processes routine health and welfare claims on assigned accounts • Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims • Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers’ Compensation, or disability • May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries • Performs other duties as assigned

🎯 Requirements

• High school diploma or GED • Six months of experience processing health and welfare claims • Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes • Ability to communicate clearly and professionally, both verbally and in writing • Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations • Computer proficiency including Microsoft Office tools and applications

🏖️ Benefits

• health, vision, and dental coverage • a retirement savings 401(k) plan with company match • paid time off (PTO) • great opportunities for growth