Vendor Service Coordination

• PPO Networks
• Silent networks
• Wrap networks
• PBM firms
• Case Management firms
• Disease Management firms
• Wellness Program firms
• Coordinate data exchange between vendors or via repository
• Stop loss carriers*
• Utilization Review

Website Services

We provide to our clients the ability to develop a customized multifunctional, self-service, website to meet the following needs:
 

• To improve communications with members (e.g. advise of changes to benefit plans, notification of open enrollment, etc.)
• To provide members with quick, easy, secure access to their data (e.g. work history, processed medical claims, pension statements).
• To provide access for service providers (e.g. physicians, hospitals, medical professionals).
• To provide online open enrollment as well as changes in enrollment.
• To reduce the use of paper forms by providing online forms.
• To provide a repository for all Trust related documents for easy and quick reference by Trustees.
• To provide a secure “portal” for Trustees, where confidential information and documents can be shared and archived.
• To reduce calls to the front office.

Some of the key customized website features include:  
 

• A secure, interactive website containing participant specific information obtained directly from benefit applications on our Benefit Administration and Claims systems.
• Members can view eligibility, work history, dependent data, defined contribution history and balances, pension statements, claim history, EOB’s on demand, vacation balances, HRA balances, etc.
• Interactive electronic forms.
• Access to published data for Trust authorized professionals including, providers, actuaries, accountants, Trustees, etc.
• Sophisticated online benefit enrollment.
• Single Sign-On (SSO) to other vendor/partner websites.
• Content Management System to enable easy and frequent website information updates.

 

Customer Service

Knowledge of the Business

We combine national resources with a local presence. We are the largest Taft-Hartley third-party administrator in the United States, serving participants through over 35 offices nationwide. It’s not how big we are that matters, though—it’s our resources. The investments we’ve made in research and development to create our systems are beyond the reach of most regional TPAs.

Every plan is unique and demands a personalized approach. Each of our offices—staffed with experienced and highly trained professionals—is focused on serving clients locally. We bring all the advantages of a national organization without any of the red tape and politics of a central office. This gives each of our offices the autonomy to offer a transparent fee structure and the flexibility to manage your plan the right way.

Meeting the Need

Zenith American Solutions provides benefit administrative services for multi-employer, single employer and public employee benefit plans. Our experienced staff is knowledgeable in the complexities of health claim processing, pension and retirement administration, managed care, COBRA administration, eligibility accounting, and flexible spending accounts, supported by a large team of expert benefit information system professionals. We are experienced in virtually every aspect of benefit plan management.

Focus on Top-Quality Customer Service

Our clients select us for many reasons and stay with us because of our commitment to service. The depth of the employee and system resources available within the Zenith American organization supports this commitment and encompasses the full range of benefit administrative services.

Website Services

Zenith American Solutions provides the internet functionality for its clients and their fund participants, and we can build custom websites for our clients. If you are interested in more information on our web services, please contact info@zenith-american.com.