Office Support Clerk, Sr

Title:

Office Support Clerk, Sr

Department: Contribution Accounting

Union: UFCW 555 |
Grade: 2

Provides exceptional customer service to members and providers regarding routine to moderately complex billing and eligibility issues. Creates and maintains accurate enrollment, billing, and eligibility records for administration of plan benefits; reconciles and troubleshoots moderately complex issues. Works within plan guidelines and applicable regulations such as Taft Hartley, ERISA, HIPAA, etc. Accomplishes work independently with minimal supervision.

Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role.

• Provide customer service (telephone, electronic, and in-person) for billing and eligibility to providers, members, and employers; maintain positive client relationships.
• Prepare and process incoming/outgoing contribution reports; review for completeness and accuracy; correct discrepancies.
• Prepare termination letters, COBRA and self‑pay correspondence, and HIPAA notices.
• Process COBRA payments, refund requests, disability waivers and cash receipts.
• Process new enrollments and update existing enrollments for participants and qualified dependents.
• Identify, request and follow up on necessary dependent documentation.
• Provide eligibility updates to outside insurance carriers.
• Update participant and dependent information in the system; perform other general data entry and clerical tasks.
• Receive and process new employer contracts.
• Consistently meet established performance standards.
• Occasional work outside normal hours based on business needs.
• Perform special projects as requested by management.
• Perform other related duties and special projects as assigned.

• Strong work ethic and ability to work effectively in a team environment.
• High integrity and commitment to customer satisfaction.
• High school diploma or GED.
• Minimum 1 year of related experience.
• Typing speed 45 WPM and 10‑key proficiency; proficient PC skills including MS Word and Excel.
• Strong math skills for calculating figures such as discounts, interest, proportions, and percentages.
• Solid organization skills with strong detail orientation.
• Strong research, analytical, and problem‑solving skills.
• Effective verbal and written communication.
• Ability to present information in one‑on‑one situations to customers, clients, and other employees.
• Ability to follow standard operating procedures.
• Excellent attendance and punctuality.
• Read and interpret documents and write routine reports and correspondence.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change at any time with or without notice.

Consistent with the Americans with Disabilities Act (ADA) and applicable federal and state law, Zenith American Solutions provides reasonable accommodation for qualified applicants or employees with a disability unless the accommodation causes undue hardship. For requests, please contact Recruiting Department at r

Zenith American Solutions is the largest independent third‑party administrator in the United States, operating over 44 offices nationwide. Established in 1944 and formed through a merger in 2011, we provide high‑quality work, exceptional service and mutual respect. We offer a comprehensive benefits program including health, vision, dental, 401(k) plan with company match, paid time off and growth opportunities.