National Account Manager, Self-Funded TPA

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

📋 Description

• Act as the main point of contact for national account clients and brokers on a daily basis.

• Respond to client and broker emails within one business day, providing clear updates regarding resolution timelines.

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

• Engage in proactive communication regarding operational updates, claims activity, and service trends.

• Oversee and manage escalated claims, appeals, and complex service issues in conjunction with internal claims teams.

• Conduct root cause analysis and ensure that recurring issues are resolved with complete documentation.

• Detect trends in claims or service activities and report patterns to leadership.

• Supervise centralized service channels to ensure inquiries are properly routed and resolved with accountability.

• Work collaboratively across departments including Finance, Claim Operations, Curated Solutions, Reporting, and Stop-Loss.

• Team up with the HPAC group to provide accurate data and insights for plan performance meetings.

• Review and verify the quality of service materials, claims documentation, and client deliverables.

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

• Maintain Salesforce records to track service activity, escalations, and communications with clients.

⛳️ 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.

• Demonstrated capability to manage complex client relationships with high volume.

• Outstanding responsiveness and organizational abilities, with the capacity to handle multiple priorities.

• Advanced skills 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-driven approach.

• Ability to excel in a fast-paced environment.

• Proven professional demeanor.

• Capable of communicating clearly and confidently in both internal and client-facing interactions.

• Must have authorization to work in the United States; employer participates in E-Verify.

🏝️ Benefits

• Excellent medical, dental, and vision insurance.

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

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

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

• Flexible Spending Accounts.

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

• More than 10 paid holidays.

• Fully paid half-day Summer Fridays.

• Generous paid vacation and sick leave.

• Annual Paid Volunteer Day.

• Annual Tuition Reimbursement.

• Annual Health and Wellness Reimbursement.

• Numerous fun company events.