National Account Manager – Self-Funded TPA

This is a fully remote position, open to applicants in Connecticut.

📋 Description

• Act as the primary daily liaison for national account clients and brokers.

• Ensure prompt and effective communication in response to client and broker inquiries.

• Acknowledge all client and broker emails within one business day, providing clear updates on resolution timelines.

• Collaborate with the National Account Executive to nurture strategic client relationships.

• Initiate proactive outreach regarding operational updates, claims activities, and service trends.

• Oversee and manage claim escalations, appeals, and high-touch service matters with internal claims teams.

• Conduct root cause analysis and ensure the resolution of recurring issues with comprehensive documentation.

• Identify trends in claims or services and escalate patterns to leadership for long-term remediation.

• Monitor centralized service channels to ensure that inquiries are efficiently routed and resolved with accountability.

• Work cross-functionally with Finance, Claim Operations, Curated Solutions, Reporting, and Stop-Loss.

• Collaborate with the HPAC team to deliver accurate data and insights for plan performance meetings.

• Review and perform quality checks on service materials, claims documentation, and client deliverables.

• Ensure adherence to national account service standards, regulatory requirements, and internal SLAs.

• Maintain Salesforce records for service activities, escalations, and client communications.

⛳️ Requirements

• Over 5 years of experience in account management, client services, or benefits administration.

• Experience with national or large group clients is preferred.

• Strong understanding of self-funded health plans, stop-loss processes, and claims resolution is essential.

• Proven capability to manage complex, high-volume client relationships professionally.

• Exceptional organizational skills and responsiveness, with the ability to juggle multiple priorities.

• Advanced proficiency in Microsoft Office Suite, CRM platforms (Salesforce preferred), and reporting tools.

• Willingness to travel 20–30% for client meetings, open enrollment events, or onsite support.

• A collaborative and solution-focused mindset, thriving in a fast-paced environment.

• Demonstrated professional presence with the ability to communicate clearly and confidently in both internal and client-facing situations.

• Must fulfill employment eligibility requirements; employer participates in E-Verify.

🏝️ Benefits

• Excellent medical, dental, and vision insurance coverage.

• Biannual employer contributions to HSA, covering 50% of the HDHP plan’s annual deductible.

• Company-provided Basic Life and AD&D insurance.

• Company-paid Short-Term and Long-Term Disability benefits.

• Flexible Spending Accounts available.

• 401(k) Retirement Plan with an employer match of up to 6%.

• More than 10 paid holidays annually.

• Fully paid half-day Summer Fridays.

• Generous paid vacation and sick leave.

• Annual Paid Volunteer Day.

• Annual Tuition Reimbursement program.

• Annual Health and Wellness Reimbursement.

• Numerous enjoyable company events throughout the year.