Zenith American Solutions, Inc.
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Refund Coordinator 1
role at
Zenith American Solutions, Inc.
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.
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 as necessary.
Assist in resolving any issues that arise with the Finance department as needed.
Prepare a refund request for the fund.
Complete daily database balancing 100 %.
Identify potential problems and trends in processes and elevate them for management review.
Identify potential problems and possible solutions for process improvement.
Collaborate with colleagues and departments to ensure timely, high‑quality service.
Engage with the Customer Relations Service (CRS) daily to discuss refund close‑outs and address complex issues.
Provide assistance to participants, co‑workers, and vendors in a friendly, courteous, and professional manner.
Excel in a team environment with minimal supervision.
Ensure adherence to departmental quality and productivity standards as specified in the work standards grid.
Perform other duties as assigned.
Minimum Qualifications
High School Diploma or GED.
A minimum of two years of experience as a Claims Examiner.
Proficiency in using a computer.
Typing skills meeting or exceeding 35 WPM.
Note: This job description is not exhaustive and may change at any time.
Working Conditions / Physical Effort
Prolonged periods of sitting at a desk and working on a computer.
Normal physical effort in a typical office environment with comfortable, constant temperatures.
May be subject to interruptions.
Requires flexibility in work schedule when workflow demands.
Meet established attendance and punctuality guidelines.
Can lift 15‑25 pounds at times.
Disability Accommodation Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, Zenith American Solutions provides reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. Requests for reasonable accommodation apply to all aspects of employment, including the application process. For assistance, contact Recruiting Department at
recruiting@zenith-american.com .
Zenith American Solutions is the largest independent Third‑Party Administrator in the United States.
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Refund Coordinator 1
role at
Zenith American Solutions, Inc.
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.
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 as necessary.
Assist in resolving any issues that arise with the Finance department as needed.
Prepare a refund request for the fund.
Complete daily database balancing 100 %.
Identify potential problems and trends in processes and elevate them for management review.
Identify potential problems and possible solutions for process improvement.
Collaborate with colleagues and departments to ensure timely, high‑quality service.
Engage with the Customer Relations Service (CRS) daily to discuss refund close‑outs and address complex issues.
Provide assistance to participants, co‑workers, and vendors in a friendly, courteous, and professional manner.
Excel in a team environment with minimal supervision.
Ensure adherence to departmental quality and productivity standards as specified in the work standards grid.
Perform other duties as assigned.
Minimum Qualifications
High School Diploma or GED.
A minimum of two years of experience as a Claims Examiner.
Proficiency in using a computer.
Typing skills meeting or exceeding 35 WPM.
Note: This job description is not exhaustive and may change at any time.
Working Conditions / Physical Effort
Prolonged periods of sitting at a desk and working on a computer.
Normal physical effort in a typical office environment with comfortable, constant temperatures.
May be subject to interruptions.
Requires flexibility in work schedule when workflow demands.
Meet established attendance and punctuality guidelines.
Can lift 15‑25 pounds at times.
Disability Accommodation Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, Zenith American Solutions provides reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. Requests for reasonable accommodation apply to all aspects of employment, including the application process. For assistance, contact Recruiting Department at
recruiting@zenith-american.com .
Zenith American Solutions is the largest independent Third‑Party Administrator in the United States.
#J-18808-Ljbffr