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03/17/2025  

Senior Commercial Insurance Account Manager Featured

$95,000 - $130,000 yearly

About Tropolis Tropolis  is a technology-enabled independent insurance brokerage dedicated to  insuring tomorrow together.  We are a fast-growing and exciting agency that leverages data, technology, and a community-driven approach to deliver exceptional service to our clients. Position Overview We are seeking a   Commercial Lines Senior Account Manager   to join our Michigan team and play a key role in managing and growing our commercial insurance book of business. This individual will be responsible for providing strategic account management, delivering exceptional client service, and ensuring seamless policy execution. The ideal candidate is a proactive, detail-oriented insurance professional with a strong background in commercial lines coverage, proficiency in Applied Epic, and a commitment to delivering an exceptional client experience.  Job Title:   Senior Commercial Insurance Account Manager...

Tropolis Hybrid (MI, USA)

03/17/2025  

Commercial Insurance Account Manager/Marketing Specialist Featured

$90,000 - $110,000 yearly

About Tropolis Tropolis is a technology-enabled independent insurance brokerage dedicated to insuring tomorrow together. We are a fast-growing and exciting agency that leverages data, technology, and a community-driven approach to deliver exceptional service to our clients. Position Overview We are seeking a Commercial Lines Account Manager/Marketing Specialist to be responsible for the daily servicing of a book of business on assigned accounts with direct accountability for client satisfaction and retention. Responsibilities include client and carrier relationship management, policy related service, accounts receivable management and file management. The role requires the coordination of multiple tasks to meet various deadlines and quality standards. Job Title: Commercial Lines Insurance Account Manager/Marketing Specialist Location: Northville, MI Employment Type: Hybrid Salary: $90,000 - $110,000 + Bonus Key Responsibilities...

Tropolis Hybrid (Northville, MI, USA)

03/17/2025  

Small Commercial Lines Customer Service Representative Featured

$50,000 - $72,000 yearly

About Tropolis Tropolis is a technology-enabled independent insurance brokerage dedicated to insuring tomorrow together. We are a fast-growing and exciting agency that leverages data, technology, and a community-driven approach to deliver exceptional service to our clients. Position Overview We are seeking a Small Commercial Lines Customer Service Representative (CSR-3 ) to join our team in Northville, Michigan. This in-office, full-time role provides essential support to our commercial lines team, ensuring a seamless client experience through outstanding customer service, policy management, and administrative assistance. The ideal candidate is detail-oriented, highly organized, and committed to delivering excellent client service in a fast-paced environment. Job Title: Small Commercial Lines Customer Service Representative Location: Northville, MI (100% Onsite) Employment Type: Full-time Salary: $50,000 - $72,000 (Based on...

Tropolis Hybrid (Northville, MI, USA)

03/14/2025  

Commercial Lines Account Manager (Hybrid work schedule) Ottawa County, Michigan Featured

Are you looking to take that next step in your insurance career? Work for a thriving full service independent insurance agency in Ottawa County, Michigan.     Job Responsibilities: Provide account management support for commercial accounts New, renewal, and cross sell Marketing of accounts when necessary Collaboration with sales team   Looking for: Collaborative problem-solver and Team player 2+ years of commercial lines experience Michigan P&C License Experience with Epic is a plus   We provide: Competitive Salary Hybrid work schedule if preferred Choice of 3 health plans Dental, vision, life, STD, LTD 401K with match PTO based on industry experience Pay for continuing education  

The Murphius Group MI, USA

03/14/2025  

Commercial Lines CSR/Account Manager - (Grosse Pointe Woods, Michigan) - In-office, Hybrid, or Remote for the right candidate Featured

Are you looking to work for a great independent insurance agency in Grosse Pointe Woods, Michigan?   Amazing company culture with family atmosphere and great work-life balance!   Duties: Important part commercial account servicing Works with clients and insurance carriers New and renewal responsibilities Coverage recommendations, claims handling and premium discussions Rounding out of accounts Provides amazing customer service Experience: 3+ year of commercial lines servicing experience Preference to those having experience with more complex accounts Current P&C license Compensation/Benefits: Competitive salary Full employee benefits package including health insurance Competitive PTO + Sick days Simple IRA with employer contribution Education reimbursement In-office, hybrid or remote schedule possible for the right candidate Favorable work hours; M-TH 8-4:30PM & FRI 8-3PM

The Murphius Group Hybrid (Grosse Pointe Woods, MI, USA)

03/14/2025  

Property and Casualty Underwriter, up to Sr. Level (Excess Property and Casualty) - Marketing to wholesale partners Featured

Job Description Seeking experienced Senior Property and Casualty Underwriter (Commercial / Excess Property and Casualty) with an entrepreneurial flare.  This role is well suited for a Production Underwriter who thrives on customer and wholesale/broker interaction. Primary Duties & Responsibilities: Trend analysis Pricing Profitability, retention and growth goals Pipeline management Independent underwriting decisions within assigned authority Comply with company and industry regulations File management Desired Qualifications: Bachelor’s degree preferred, high school or equivalent required 3+ years of Commercial P&C Experience Continuing education is a plus Polished and professional communication and presentation skills   Salary & Benefits: Competitive Salary & Bonus 3 Medical plans to choose from Dental Vision Life & AD&D Long Term & Short-Term...

The Murphius Group Remote (MI, USA)

03/11/2025  

Commercial Lines Field Manager (Up to Sr. Level) - Northern Illinois, (Chicagoland Area) (REMOTE) Featured

Are you looking to work for an amazing insurance carrier that values work-life balance? Do you have experience developing and growing relationships with independent insurance agencies here in Illinois? Essential Duties and Responsibilities: New business development within independent agency plant Front-line underwriting, new business only (with underwriting authority) Agency visits, agent training; product, appetite and systems Agency management for development, profitability and rehabilitation when necessary Annual agency planning New agency appointments Benefits Package: Industry leading healthcare plan including low deductibles compared to many industry competitors Dental, vision, life insurance, long-term, short-term disability, AD&D, Long Term Care Program and FSA 401K with match Competitive Paid Time Off (PTO) Bank Annual Incentive Bonus Plan Educational Assistance and Tuition Assistance RETIREE HEALTHCARE...

The Murphius Group Remote (IL, USA)

03/06/2025  

Property and Casualty Underwriter, up to Sr. Level - (Excess Property and Casualty) Marketing to wholesale partners Featured

Job Description Seeking experienced Senior Property and Casualty Underwriter (Commercial / Excess Property and Casualty) with an entrepreneurial flare.  This role is well suited for a Production Underwriter who thrives on customer and wholesale/broker interaction. Primary Duties & Responsibilities: Trend analysis Pricing Profitability, retention and growth goals Pipeline management Independent underwriting decisions within assigned authority Comply with company and industry regulations File management Desired Qualifications: Bachelor’s degree preferred, high school or equivalent required 3+ years of Commercial P&C Experience Continuing education is a plus Polished and professional communication and presentation skills   Salary & Benefits: Competitive Salary & Bonus 3 Medical plans to choose from Dental Vision Life & AD&D Long Term & Short-Term...

The Murphius Group Remote (USA)

03/06/2025  

Client Manager (Commercial Lines) Featured

Are you looking for a great team, work-life balance and amazing company culture?   Does your current employer make sure everything is handled while you're on vacation?   Here's to making 2025 that year of amazing change!   Job duties: New and renewal accounts Quoting, endorsements, changes, COI's Customer service Problem solving and advising clients learn and follow carrier guidelines Work within agency management system including documentation and compliance

The Murphius Group MI, USA

03/06/2025  

Commercial Lines Team Lead (Hybrid work schedule) Ottawa County, Michigan Featured

Are you looking to take that next step in your insurance career? Work for a thriving full service independent insurance agency in Ottawa County, Michigan.     Job Responsibilities: Develop, train and mentor Account Managers and Processors Develop staff and workflow efficiencies Provide account management support for key accounts Collaborate with senior management in developing long term strategy surrounding Commercial Lines   Looking for: Collaborative problem-solver and team player 5+ years of commercial lines experience Michigan P&C License Life-long learner Experience with Epic is a plus   We provide: Competitive Salary Hybrid work schedule if preferred Choice of 3 health plans Dental, vision, life, STD, LTD 401K with match PTO based on industry experience Pay for continuing education  

The Murphius Group MI, USA

03/23/2025  

Client Relationship Manager

Title:   Client Relationship Manager   Department:   Client Services Bargaining Unit:   NBU   Grade:   N/A FLSA:   Exempt   Hours per week:   40   Position   Summary The Client Relationship Manager supports the Director, Client Relationship across their book of business (BOB) in fund management, with direct client and vendor liaison as required by the Director, Client Relationship. The Client Relationship Manager works alongside the Director, Client Relationship to learn the role, with a gradual increase in responsibility as appropriate. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Monitors government filings and current government regulations that may affect the operations of the Company or the client. Facilitates client meetings, including minute-taking and recording key actions from board...

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Retirement Benefits Processor

Title:   Retirement Benefits Processor   Department:   Pension Position Type:   Non-Exempt   Status:   Full Time Position   Summary The Retirement Benefits Processor performs technical and administrative duties associated with the processing and verification of participants' retirement benefit inquiries and applications in accordance with Company policies, regulatory requirements, and plan guidelines. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Processes retirement benefit applications; verifies the accuracy of information, researches or investigates past service, related credits, and insurance deductions. Responds to inquiries from participants, beneficiaries, and union representatives regarding retirement benefits. Determines benefit eligibility and requests necessary documentation from unions,...

Zenith American Solutions Pittsburgh, PA, USA Full Time

03/23/2025  

Client Relationship Manager

Title:   Client Relationship Manager   Department:   Client Services Bargaining Unit:   NBU   Grade:   N/A FLSA:   Exempt   Hours per week:   40 Position   Summary The Client Relationship Manager supports the Director, Client Relationship across their book of business (BOB) in fund management, with direct client and vendor liaison as required by the Director, Client Relationship. The Client Relationship Manager works alongside the Director, Client Relationship to learn the role, with a gradual increase in responsibility as appropriate. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Monitors government filings and current government regulations that may affect the operations of the Company or the client. Facilitates client meetings, including minute-taking and recording key actions from board...

Zenith American Solutions Bothell, WA, USA Full Time

03/23/2025  

Director, Client Relationship

Title: Director, Client Relationship Department: Client Services Bargaining Unit: NBU Grade: N/A Position Type: Exempt Hours per Week: 40   Position Summary The Director, Client Relationship directly leads a defined book of business (BOB), comprising a set of named clients, in accordance with Company guidelines, client needs, and regulatory requirements. The Director, Client Relationship acts in a mentorship role to their BOB's assigned team. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Manages all aspects of the client relationship and account management activities of the assigned client(s) to retain and strengthen client relationships. Directs the execution of a defined account strategy, remaining abreast of the specific needs of each assigned client, to develop a value-based client...

Zenith American Solutions Tualatin, OR, USA Full Time

03/23/2025  

Staff Accountant

Title:   Staff Accountant   Department:   Trust Accounting Bargaining Unit:   NBU   Grade:   N/A Position Type:   Exempt   Hours per Week:   40 Position   Summary The Staff Accountant provides financial accounting in accordance with Company guidelines, client needs, and legislative requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Completes month end and year end closing processes, including preparation and input of journal entries, balance sheet reconciliations, bank reconciliations, and revenue summaries. Distributes monthly financial statements, researches and resolves income statement discrepancies, and responds to branch inquiries and requests. Audits financial statements for review by outside auditors. Assists in the development, implementation and monitoring of...

Zenith American Solutions Oak Brook, IL, USA Full Time

03/23/2025  

Supervisor, Accounts Receivable

Title:   Supervisor, Accounts Receivable   Department:   Client Fund Accounting Union:   NBU   Grade:   N/A FLSA:   Exempt   Hours:   40   Position   Summary The Supervisor, Accounts Receivable provides daily leadership and supervision to an Accounts Receivable team in accordance with Company guidelines, client needs, and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Provides daily leadership and supervision to staff consistent with management values and mission. Assigns, distributes, and monitors quality and quantity of work produced, ensuring employees are held accountable for consistently meeting quality and production requirements. Develops staff through performance management, goal setting, training, and effective employee relations. Maintains current knowledge of...

Zenith American Solutions Pittsburgh, PA, USA Full Time

03/23/2025  

Client Relationship Assistant

Title:   Client Relationship Assistant FLSA:   Non-exempt   Hours per week:   40 Position   Summary The Client Relationship Assistant position comprises a range of administrative responsibilities, including fund administration, board meeting administration, and data collection. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Support the Client-facing team in performing administrative tasks. Creates correspondence, reports, presentations, and meeting notes   for internal use or distribution to clients or vendors ; performs filing, editing, copying, or collating as needed. Keeps records in relation to the disbursement process. Coordinates meetings, activities, and other events as assigned, including scheduling, catering, and meeting room preparation. Assists the Client-facing team with analysis and...

Zenith American Solutions Tualatin, OR, USA Full Time

03/23/2025  

Claims Processor 1

Title:   Claims Processor 1   Department:   Claims Bargaining Unit:   OPEIU 29   Grade:   16 Position Type:   Non-Exempt   Hours per Week:   40 Position   Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities 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....

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Claims Processor 1

Title:   Claims Processor 1   Department:   Claims Bargaining Unit:   OPEIU 29   Grade:   16 Position Type:   Non-Exempt   Hours per Week:   40 Position   Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities 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....

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Customer Service Representative 1

Title:   Customer Service Representative 1   Department:   Service Center Bargaining Unit:   OPEIU 29   Grade:   16 Position Type:   Non-exempt   Hours per Week:   40   Position Summary: Provides customer service to participants, beneficiaries, union locals and providers regarding eligibility, benefits and claims status with routine supervision. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." General Duties: Resolve customer inquiries and complaints via written, telephonic or face-to-face communication in a timely and accurate manner. Escalate issues as appropriate. Perform administrative and clerical tasks. Consistently meet established performance standards, including quantity and quality call standards. Maintain current knowledge of assigned Plan(s) and effectively apply knowledge in all job functions. Consistently demonstrate...

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Customer Care Advocate

Title:   Customer Care Advocate   Department:   Customer Care Union:   UFCW 3000 Bothell   Grade:   7 FLSA:   Non-exempt   Hours per week:   40 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 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...

Zenith American Solutions Bothell, WA, USA Full Time

03/23/2025  

Client Relationship Assistant

Title:   Client Relationship Assistant FLSA:   Non-exempt   Hours per week:   40 Position   Summary The Client Relationship Assistant position comprises a range of administrative responsibilities, including fund administration, board meeting administration, and data collection. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Support the Client-facing team in performing administrative tasks. Creates correspondence, reports, presentations, and meeting notes   for internal use or distribution to clients or vendors ; performs filing, editing, copying, or collating as needed. Keeps records in relation to the disbursement process. Coordinates meetings, activities, and other events as assigned, including scheduling, catering, and meeting room preparation. Assists the Client-facing team with analysis and...

Zenith American Solutions Alameda, CA, USA Full Time

03/23/2025  

Client Relationship Assistant

Title:   Client Relationship Assistant FLSA:   Non-exempt   Hours per week:   40 Position   Summary The Client Relationship Assistant position comprises a range of administrative responsibilities, including fund administration, board meeting administration, and data collection. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Support the Client-facing team in performing administrative tasks. Creates correspondence, reports, presentations, and meeting notes   for internal use or distribution to clients or vendors ; performs filing, editing, copying, or collating as needed. Keeps records in relation to the disbursement process. Coordinates meetings, activities, and other events as assigned, including scheduling, catering, and meeting room preparation. Assists the Client-facing team with analysis and...

Zenith American Solutions Alameda, CA, USA Full Time

03/23/2025  

Client Relationship Manager

Title:   Client Relationship Manager   Department:   Client Services Bargaining Unit:   NBU   Grade:   N/A FLSA:   Exempt   Hours per week:   40   Position   Summary The Client Relationship Manager supports the Director, Client Relationship across their book of business (BOB) in fund management, with direct client and vendor liaison as required by the Director, Client Relationship. The Client Relationship Manager works alongside the Director, Client Relationship to learn the role, with a gradual increase in responsibility as appropriate. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Monitors government filings and current government regulations that may affect the operations of the Company or the client. Facilitates client meetings, including minute-taking and recording key actions from board...

Zenith American Solutions San Bernardino, CA, USA Full Time

03/23/2025  

Business Systems Analyst

Job Description Title:   Business Systems Analyst   Department:   Platform: CARE Position Type:   Exempt   Hours per Week:   40 Position Summary Writes requirements for minor software development items and performs testing, in accordance with Company guidelines, client needs and legislative requirements. “ Position requires access to Personally Identifiable Information and/or Personal Health Information to complete job requirements.”   Key Duties and Responsibilities Analyzes programming changes and/or system enhancements to existing programs; tests and verifies the accuracy of program changes. Develops system changes using RPGLE and SQL. Provides onsite infrastructure support including configuration and deployment of PCs and related software and administration of servers Tests programming changes due to bug fixes, enhancements, development, and version upgrades. Collaborates with programmers to drive quality output. Analyzes data...

Zenith American Solutions Las Vegas, NV, USA Full Time

03/23/2025  

Customer Service Rep 1

Title:   Customer Service Representative 1   Department:   Service Center Bargaining Unit:   OPEIU 29   Grade:   16 Position Type:   Non-exempt   Hours per Week:   40   Position Summary: Provides customer service to participants, beneficiaries, union locals and providers regarding eligibility, benefits and claims status with routine supervision. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." General Duties: Resolve customer inquiries and complaints via written, telephonic or face-to-face communication in a timely and accurate manner. Escalate issues as appropriate. Perform administrative and clerical tasks. Consistently meet established performance standards, including quantity and quality call standards. Maintain current knowledge of assigned Plan(s) and effectively apply knowledge in all job functions. Consistently demonstrate...

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Customer Service Rep 1

Title:   Customer Service Representative 1   Department:   Service Center Bargaining Unit:   OPEIU 29   Grade:   16 Position Type:   Non-exempt   Hours per Week:   40   Position Summary: Provides customer service to participants, beneficiaries, union locals and providers regarding eligibility, benefits and claims status with routine supervision. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." General Duties: Resolve customer inquiries and complaints via written, telephonic or face-to-face communication in a timely and accurate manner. Escalate issues as appropriate. Perform administrative and clerical tasks. Consistently meet established performance standards, including quantity and quality call standards. Maintain current knowledge of assigned Plan(s) and effectively apply knowledge in all job functions. Consistently demonstrate...

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Accounts Receivable Processor

Position Summary The Accounts Receivable Processor provides account reconciliation and resolves customer inquiries for assigned Trusts ensuring compliance with associated plans and company guidelines.   "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Handles customer inquiries via telephone, electronic modes, and in-person for billing questions to stakeholders such as employers, providers, auditors, or client representatives. Processes COBRA payments, self-pay payments, refund requests, and cash receipts. Receives and processes new employer contracts. Maintains and updates existing contracts. Prepares and processes incoming and outgoing contribution reports; reconciles reports to payments. Researches discrepancies, credits, retro-payments and problems; contacts employers regarding discrepancies. Submits deposits, requests stop...

Zenith American Solutions Pittsburgh, PA, USA Full Time

03/23/2025  

Accounts Receivable Processor

Position Summary The Accounts Receivable Processor provides account reconciliation and resolves customer inquiries for assigned Trusts ensuring compliance with associated plans and company guidelines.   "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Handles customer inquiries via telephone, electronic modes, and in-person for billing questions to stakeholders such as employers, providers, auditors, or client representatives. Processes COBRA payments, self-pay payments, refund requests, and cash receipts. Receives and processes new employer contracts. Maintains and updates existing contracts. Prepares and processes incoming and outgoing contribution reports; reconciles reports to payments. Researches discrepancies, credits, retro-payments and problems; contacts employers regarding discrepancies. Submits deposits, requests stop...

Zenith American Solutions Pittsburgh, PA, USA Full Time

03/23/2025  

Customer Care Advocate

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 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...

Zenith American Solutions San Bernardino, CA, USA Full Time

03/23/2025  

Supervisor, Customer Care

Position Summary The Supervisor, Customer Care provides daily leadership and oversight to a Customer Care team in accordance with Company guidelines, regulatory requirements, and client needs. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Provides daily leadership and supervision to staff consistent with management values and mission. Assigns, distributes, and monitors quality and quantity of work produced, ensuring employees are held accountable for consistently meeting quality and production requirements. Develops staff through performance management, goal setting, training, and effective employee relations. Optimizes workflows/processes, tools, and staff allocation to ensure efficient and cost-effective day to day operations. Employs management oversight measures to ensure ongoing compliance with regulatory and legal guidelines....

Zenith American Solutions Las Vegas, NV, USA Full Time

03/23/2025  

Participant Services Representative

Title: Participant Services Representative Department: Associated Administrators FLSA: Non-exempt Hours per week: 40 Position Summary The Participant Services Representative 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 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...

Zenith American Solutions Greater Landover, MD, USA Full Time

03/23/2025  

Refund Coordinator 1

Title: Refund Coordinator Union: Teamsters 986 Grade: 22 Date: 1/23/2025 Position Summary The Refund Coordinator 1 is responsible for processing all refunds accurately and in a timely manner. This involves handling refund requests efficiently, verifying the validity of each request, managing any required documentation, and effectively communicating with customers about the status of their refunds. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintain the refund database by daily balancing, recording write-off amounts, and processing refund checks. Make regular phone calls about overpayments less than 45 days old. Refer all uncollectible overpayments to CRS after 45 days. Create written communications for providers, members, and other carriers using Microsoft Word software as necessary. Assist in resolving any issues that...

Zenith American Solutions Las Vegas, NV, USA Full Time

03/23/2025  

FWA Nurse Reviewer

Position Summary The Nurse Reviewer for FWA Clinical Reviews is essential in identifying and preventing healthcare fraud, waste, and abuse (FWA). The Nurse Reviewer analyzes medical claims, conducts clinical reviews, and collaborates with teams to ensure healthcare services are appropriate and necessary. Additionally, the position involves preparing reports and contributing to FWA prevention strategies while maintaining confidentiality. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Clinical Reviews: Assess medical records, claims data, and supporting documentation to determine the appropriateness and necessity of healthcare services. Analyze clinical information using evidence-based guidelines, payer policies, and industry standards. Evaluate medical necessity, appropriateness, and the quality of healthcare services rendered....

Zenith American Solutions USA Full Time

03/23/2025  

Claims Processor 1

Title:   Claims Processor 1   Department:   Claims Bargaining Unit:   OPEIU 29   Grade:   16 Position Type:   Non-Exempt   Hours per Week:   40 Position   Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities 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....

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Claims Processor 1

Title:   Claims Processor 1   Department:   Claims Bargaining Unit:   OPEIU 29   Grade:   16 Position Type:   Non-Exempt   Hours per Week:   40 Position   Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities 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....

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Client Relationship Manager

Position Summary The Client Relationship Manager supports the Director, Client Relationship across their book of business (BOB) in fund management, with direct client and vendor liaison as required by the Director, Client Relationship. The Client Relationship Manager works alongside the Director, Client Relationship to learn the role, with a gradual increase in responsibility as appropriate. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Monitors government filings and current government regulations that may affect the operations of the Company or the client.  Facilitates client meetings, including minute-taking and recording key actions from board meetings. Manages contracts and documentation including client financial statements, Summary Plan Descriptions, benefit communications, and other documents at the direction of client...

Zenith American Solutions Wallingford, CT, USA Full Time

03/23/2025  

Business Systems Analyst

Title: Business Systems Analyst Department: Platform: Claims Position Type: Exempt Hours per Week: 40 Position Summary Writes requirements for minor software development items and performs testing, in accordance with Company guidelines, client needs and legislative requirements. " Position requires access to Personally Identifiable Information and/or Personal Health Information to complete job requirements." Key Duties and Responsibilities Analyzes programming changes and/or system enhancements to existing programs; tests and verifies the accuracy of program changes. Develops system changes using RPGLE and SQL. Provides onsite infrastructure support including configuration and deployment of PCs and related software and administration of servers Tests programming changes due to bug fixes, enhancements, development, and version upgrades. Collaborates with programmers to drive quality output. Analyzes data files and...

Zenith American Solutions USA Full Time

03/23/2025  

Business Systems Analyst

Title: Business Systems Analyst Department: Platform: Claims Position Type: Exempt Hours per Week: 40 Position Summary Writes requirements for minor software development items and performs testing, in accordance with Company guidelines, client needs and legislative requirements. " Position requires access to Personally Identifiable Information and/or Personal Health Information to complete job requirements." Key Duties and Responsibilities Analyzes programming changes and/or system enhancements to existing programs; tests and verifies the accuracy of program changes. Develops system changes using RPGLE and SQL. Provides onsite infrastructure support including configuration and deployment of PCs and related software and administration of servers Tests programming changes due to bug fixes, enhancements, development, and version upgrades. Collaborates with programmers to drive quality output. Analyzes data files and...

Zenith American Solutions USA Full Time

03/23/2025  

Data Architect

Position Summary The Data Architect is responsible for designing data infrastructure to extract and organize data. This role identifies the Company’s internal data sources to determine storage needs and optimize utilization of the information to create and maintain data infrastructure for business intelligence needs. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Responsible for the design and delivery of solutions for longevity and scalability. Integrates data from line of business to data warehouse; presents the data using data visualization software. Provides expertise in creating database objects, tables, views, stored procedures, functions, indexes, triggers, agent jobs and scheduling in SQL Server. Creates ETL Mappings, Workflows and worklets using Informatica Using Informatica software to design and maintain data storage....

Zenith American Solutions Tampa, FL, USA Full Time

03/23/2025  

Claims Processor

Title: Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Position Type: Non-exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities 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...

Zenith American Solutions Tualatin, OR, USA Full Time

03/23/2025  

Claims Processor 3

Title: Claims Processor 3 Department: Claims Bargaining Unit: OPEIU 29 Grade: 18 Position Type: Non-Exempt Hours per Week : 40 Position Summary: Responsible for independently processing all types of health claims on an assigned Plan(s), and for assuming primary or back-up customer service responsibilities as necessary. General Duties: Independently process all types of health claims in accordance with assigned Plan(s). Perform customer service responsibilities for providers and members as needed. Generate correspondence and form letters. Maintain current knowledge of assigned Plan(s) and effectively apply this knowledge in the payment of claims. Assist other processors with claims as needed to minimize backlog. Perform other related duties and special projects as assigned. Minimum Qualifications: High school diploma or general education degree (GED); two years related experience processing all types of...

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Staff Accountant

Position Summary The Staff Accountant provides financial accounting in accordance with Company guidelines, client needs, and legislative requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Completes month end and year end closing processes, including preparation and input of journal entries, balance sheet reconciliations, bank reconciliations, and revenue summaries. Distributes monthly financial statements, researches and resolves income statement discrepancies, and responds to branch inquiries and requests. Audits financial statements for review by outside auditors. Assists in the development, implementation and monitoring of internal accounting systems and policies and procedures to ensure operations remain in compliance with regulations and reporting requirements. Performs accrual accounting functions including preparing...

Zenith American Solutions Las Vegas, NV, USA Full Time

03/23/2025  

Claims Processor

Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities 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. Minimum Qualifications High school diploma or GED. Six months of experience processing health and welfare claims. Basic knowledge of benefits...

Zenith American Solutions Pittsburgh, PA, USA Full Time

03/23/2025  

Litigation Support II

Position Summary Litigation Support II provides Tier 2 data support to projects related to confidential client information in claims litigation in accordance with company policy, regulatory requirements, and client needs. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities · Pulls reports, images, and data as requested by project lead. · Performs redaction to data files as requested by project lead. · Coordinates and tracks assignments to ensure deadlines and data requirements are met. · Prepares files and spreadsheets for submission to client. · Acts as administrator of document review databases, including managing users’ rights and securities. · Partners with Litigation Support team to ensure project tasks are delegated and completed according to requirements and withing timelines. · Reviews work of...

Zenith American Solutions USA Full Time

03/23/2025  

Litigation Project Analyst, Sr

Position Summary The Litigation Project Analyst, Sr provides expertise data support to projects related to confidential client information in claims litigation in accordance with company policy, regulatory requirements, and client needs. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Acts as lead project resource to stakeholders including attorneys, client, management, and auditors. Manages routine and complex audits of claims to ensure payment integrity in accordance with regulatory standards, plan benefit guidelines, and company policy. Reviews system processing of claims to ensure coding and system configuration are aligned with contract specifications. Identifies noncompliant processes or outcomes and determines appropriate steps for resolution. Completes and maintains detailed claim documentation for all assigned projects to...

Zenith American Solutions USA Full Time

03/23/2025  

Customer Service Rep 1

Title:   Customer Service Representative 1   Department:   Service Center Bargaining Unit:   OPEIU 29   Grade:   16 Position Type:   Non-exempt   Hours per Week:   40   Position Summary: Provides customer service to participants, beneficiaries, union locals and providers regarding eligibility, benefits and claims status with routine supervision. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." General Duties: Resolve customer inquiries and complaints via written, telephonic or face-to-face communication in a timely and accurate manner. Escalate issues as appropriate. Perform administrative and clerical tasks. Consistently meet established performance standards, including quantity and quality call standards. Maintain current knowledge of assigned Plan(s) and effectively apply knowledge in all job functions. Consistently demonstrate...

Zenith American Solutions San Francisco, CA, USA Full Time

03/23/2025  

Retirement Benefits Clerk

Title:   Retirement Benefits Clerk   Department:   Pension FLSA:   Non-exempt   Status:   Full Time Position   Summary The Retirement Benefits Clerk performs administrative and clerical duties associated with the verification of participants' retirement benefits applications in accordance with Company policies, regulatory requirements, and Plan guidelines. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key   Duties   and   Responsibilities Maintains current knowledge of assigned Plan(s). Verifies all required documents are received to process application. Reviews submitted documents for accuracy and completeness. Verifies that all required entries are completed. Verifies signatures have been provided where needed. Determines if additional or supplemental documentation is needed (e.g. QDRO, Social Security Earning report, historical...

Zenith American Solutions USA Full Time

03/23/2025  

Customer Care Advocate, Sr

Position Summary The Customer Care Advocate, Sr provides advanced 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 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...

Zenith American Solutions Pittsburgh, PA, USA Full Time

03/23/2025  

Learning & Development Specialist

Position Summary The Learning & Development Specialist develops training modules, computer-based training (CBT) programs, quick reference guides, and job aids. This role also involves conducting training sessions and quality reviews while providing an in-depth analysis of customer service processes in alignment with company and client guidelines, client requirements, and relevant legislative standards. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Stays updated on plans; analyzes, interprets, and communicates changes while providing training and resource materials. Conducts training sessions, either in-person or virtually, for new hires and current employees. Provides continuous training in customer service, health and welfare, pensions, claims, and more. Engages with subject matter experts (SMEs) to collaboratively design and...

Zenith American Solutions USA Full Time