Strategic Account Manager, Employer Benefits

Pinnacle Claims Management; Irvine (CA); On-site; USD 70,000 - 95,000; Full time

Job summary

Pinnacle Claims Management (PCMI) seeks an Account Manager to oversee and service employer benefit programs across the PCMI suite, including TPA, PRxS, PHM, and ancillary vendor partners like WGIS.

In collaboration with internal teams, you will support pre and post-sale implementation, plan support, and cross-sell initiatives while maintaining California licensure and traveling up to 30% to client locations.

Qualifications

• Maintain an active Life & Health insurance license in California.
• Travel to locations throughout the US (mainly California and Arizona) up to 30%.

Responsibilities

• Manage overall servicing of their book of business under the PCMI platform.
• Provide day-to-day administration and deliver on client and broker needs for Pinnacle TPA, PRxS, PHM and ancillary products.
• Advise clients and brokers on self-funding, pharmacy benefits management, care management and utilization review, wellness, stop loss and print and distribution.
• Maintain client reference files on server for assigned accounts and document relevant information.
• Monitor projects to ensure they proceed on plan and deadlines, identifying problems early.
• Execute all product renewals in a timely manner to support retention.
• Develop understanding of PCMI tools (PERC/WERC/Healthview/HCPS) to manage expectations and deliverables.
• Identify opportunities for process improvement and resolutions, staying current on medical insurance regulations.

Job description

Pinnacle Claims Management (PCMI) seeks an Account Manager to oversee and service employer benefit programs across the PCMI suite, including TPA, PRxS, PHM, and ancillary vendor partners like WGIS.

In collaboration with internal teams, you will support pre and post-sale implementation, plan support, and cross-sell initiatives while maintaining California licensure and traveling up to 30% to client locations.