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Remote Zenith American Solutions Jobs (NOW HIRING)

Zenith American Solutions, Inc.

Data Architect

Tampa, FL · Remote

$60.25 - $77.50/hr

Zenith American Solutions Real People. Real Solutions. National Reach. Local Expertise. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and ...

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Remote Zenith American Solutions information

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How much do remote zenith american solutions jobs pay per year?

As of Sep 5, 2026, the average yearly pay for remote zenith american solutions in the United States is $123,284.00, according to ZipRecruiter salary data. Most workers in this role earn between $101,500.00 and $140,500.00 per year, depending on experience, location, and employer.

What is a remote Zenith American Solutions job?

A Remote Zenith American Solutions job refers to a position with Zenith American Solutions, a company specializing in third-party administration of employee benefit plans, that allows employees to work from home or outside of a traditional office setting. These remote roles can include positions in customer service, claims processing, IT, administration, and more. Working remotely enables employees to perform their job duties using digital communication tools, offering flexibility and the ability to balance work and personal life. Zenith American Solutions provides remote opportunities to attract talent from diverse locations and support a healthy work-life balance.

What skills and qualifications are needed to thrive as a remote employee at Zenith American Solutions?

To thrive as a remote employee at Zenith American Solutions, you typically need a background in employee benefits administration, strong organizational skills, and relevant experience or education in fields like insurance or business. Familiarity with benefits management platforms, Microsoft Office Suite, and secure remote work tools is important, along with knowledge of HIPAA compliance. Outstanding communication, time management, and problem-solving abilities are crucial for effective collaboration and independent productivity in a virtual environment. These competencies ensure accurate service delivery, regulatory compliance, and smooth teamwork while working remotely.

How does working remotely at Zenith American Solutions impact team collaboration and communication?

At Zenith American Solutions, remote employees typically use a range of digital tools such as video conferencing, instant messaging, and project management platforms to maintain effective communication. While remote work offers flexibility, it also requires proactive communication and strong organizational skills to ensure seamless collaboration across departments. Team members often participate in regular virtual meetings and utilize shared documents to stay aligned on goals and projects. This structure fosters a collaborative environment while accommodating the benefits of remote work.

What is the difference between Remote Zenith American Solutions vs Remote UnitedHealth Group Customer Service Representative?

AspectRemote Zenith American SolutionsRemote UnitedHealth Group Customer Service Representative
Required CredentialsHigh school diploma or equivalent; healthcare industry knowledgeHigh school diploma or equivalent; healthcare insurance knowledge
Work EnvironmentRemote, healthcare insurance administrationRemote, health insurance customer support
Employer & IndustryZenith American Solutions, healthcare administrationUnitedHealth Group, health insurance services
Common Search/ComparisonYesYes

Both roles are remote positions within the healthcare industry, requiring similar credentials and focusing on insurance-related customer support. Zenith American Solutions specializes in healthcare administration, while UnitedHealth Group Customer Service Representatives handle health insurance inquiries. The key differences lie in their employer and specific service focus, but both roles are suitable for candidates seeking remote healthcare insurance support jobs.

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What are the most commonly searched types of Zenith American Solutions jobs?

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Remote Zenith American Solutions jobs near you
Infographic showing various Remote Zenith American Solutions job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 8% Part Time, and 5% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution, with an average salary of $123,284 per year, or $59.3 per hour.

Claims Technical Review Specialist

Zenith American Solutions, Inc.

Remote

$27.52/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

Zenith American Solutions rating

8.6

Company rating: 8.6 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

60th of 500 rated business services

Job description

Position Summary

The Claims Technical Review Specialist provides advanced technical review of all types of claims 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

  • Performs technical review and analysis of all types of claims, including large dollar and technically complex claims, to ensure accuracy and adherence to prescribed procedures and plan guidelines.

  • Coordinates appeals through research and documentation; generates denial or approval letters.

  • Coordinates predetermination reviews and performs analysis to determine benefit allowance and benefit category on all types of claims.

  • Perform all functions of Third-Party Recovery (TPR); communicates with members, dependents, insurance companies, providers, and attorney offices throughout the process. Maintains and updates TPR files providing related itemizations and reports as needed.

  • Processes refunds, voids, and overpayments, including related claim adjustments, file audits, monthly reports, and responses to general correspondence.

  • Processes time loss claims and communicates with local union offices, medical service providers, employers, and members.

  • Reviews and interprets new benefit plans or plan changes. Tests benefits, develops resource materials, and assists as a resource for staff and management.

  • May provide back-up phone coverage or processing employee claims as needed.

  • Performs other duties as assigned.

Minimum Qualifications

  • High School Diploma or GED required.

  • Three years of experience processing all types of group health benefit claims.

  • In-depth knowledge of all aspects of benefits claims processing and claims adjudication principles and procedures.

  • Excellent working knowledge of terminology related to processing medical and dental claims such as HCFA, CPT-4, ICD-10, HCPCS.

  • Experience interpreting Plan documents and/or certificates of coverage related to benefits, eligibility, exclusions, and limitations.

  • Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.

  • Strong working knowledge of Claims systems.

  • Excellent attention to detail, problem solving skills, follow-through, and strong verbal and written communication skills.

  • Computer proficiency including MS Office Tools and Applications.

Preferred Qualifications

  • Experience working in a third-party administrator or Taft-Hartley environment.

*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 of this job. Duties, responsibilities and activities may change at any time with or without notice.

Working Conditions/Physical Effort

  • Prolonged periods of sitting at a desk and working on a computer.

  • Must be able to lift up to 15 pounds at times.


Disability Accommodation

Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at recruiting@zenith-american.com, and we would be happy to assist you.

Please note that in compliance with certain state law, we are displaying salary. This rate is intended for hires into this location.

Compensation: $27.52/hr

Zenith American Solutions


Real People. Real Solutions. National Reach. Local Expertise.


We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.

We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!

We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!

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