Refund Coordinator

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.

• Maintain the refund database by daily balancing, recording write‑off amounts, and processing refund checks.
• Make regular phone calls about over payments less than 45 days old.
• Refer all uncollectible over payments 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.
• Recommend process improvements based on identified issues.
• Collaborate with colleagues and departments to deliver 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.
• Adhere to departmental quality and productivity standards as specified in the work standards grid.
• Perform other duties as assigned.

• High School Diploma or GED.
• Minimum of two years of experience as a Claims Examiner.
• Proficiency in using a computer.
• Typing speed of at least 35 WPM.

• Prolonged periods of sitting at a desk and working on a computer.
• Normal degree of physical effort in a typical office environment.
• Possible interruptions.
• Flexible work schedule when workflow requires.
• Must meet established attendance and punctuality guidelines.
• Must be able to lift 15‑25 pounds at times.

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‑, and we will be happy to assist you.