National Account Manager, Self-Funded TPA

Stellenbeschreibung:

Serve as the primary day-to-day contact for national account clients and brokers
Ensure timely and effective responses to client and broker inquiries
Acknowledge all client and broker emails within one business day and provide clear, accurate updates on resolution timelines
Partner with the National Account Executive to maintain strategic client relationships
Provide proactive outreach on operational updates, claims activity, and service trends
Monitor and manage claim escalations, appeals, and high-touch service issues with internal claims teams
Lead root cause analysis and ensure closure of recurring issues with full documentation
Identify trends in claims or service activity and elevate patterns to leadership
Leverage centralized service channels to monitor inquiries and ensure accountable routing and resolution
Partner cross-functionally with Finance, Claim Operations, Curated Solutions, Reporting, and Stop-Loss
Collaborate with the HPAC team to provide clients with accurate data and insights for plan performance meetings
Review and quality-check service materials, claims documentation, and client deliverables
Ensure compliance with national account service standards, regulatory requirements, and internal SLAs
Maintain Salesforce records for service activity, escalations, and client communications

Requirements

5+ years of experience in account management, client services, or benefits administration
National or large group clients preferred
Strong knowledge of self-funded health plans, stop-loss processes, and claims resolution required
Proven ability to manage high-volume, complex client relationships with professionalism
Exceptional responsiveness and organizational skills with the ability to manage multiple priorities
Advanced proficiency in Microsoft Office Suite, CRM platforms (Salesforce preferred), and reporting tools
Ability to travel 20–30% for client meetings, open enrollment events, or onsite support
Collaborative and solution-oriented mindset
Ability to thrive in a fast-paced environment
Demonstrated professional presence
Ability to communicate clearly and confidently in internal and client-facing interactions
Must be eligible to work in the United States, as Cobalt Benefits Group participates in E-Verify to confirm employment eligibility of new hires

Core Competencies

Demonstrates expertise in managing national account client relationships, ensuring compliance with service standards and regulatory requirements, and leveraging data insights for performance improvement. Proficient in claims resolution processes and maintaining accurate service documentation.