Jobs at Point C

Serve as primary client support within the Client Services team for retention and satisfaction. Provide administrative and operational support, generate client reports, coordinate issue resolution across departments and partners, and participate in client-facing activities like benefit fairs and enrollment meetings.

Process and adjudicate medical claims for a TPA, manage adjustments, appeals, and subrogation, ensure compliance with plan documents and stop-loss terms, meet production and accuracy standards, respond to inquiries, and follow up on missing information to finalize accurate claim payments.

Build and maintain full-stack Azure-hosted portals and an EDI processing platform. Develop APIs, UI, data layers, CRM integrations, and AI/automation features. Participate in architecture, CI/CD, and stakeholder collaboration to deliver production-ready solutions.

The System Configuration Supervisor is responsible for leading a team in healthcare plan setup, overseeing system configurations, managing claims adjudication, ensuring compliance, and driving process improvements.

The Stop Loss Sales Support Specialist will manage data, coordinate with carriers, and support sales efforts within the stop loss operations. They will analyze client data, act as a liaison, submit reporting requests, and manage workflows to ensure timely execution of marketing strategies.

The Case Manager will coordinate patient care, manage treatment plans, ensure adherence, connect patients with resources, and maintain documentation while upholding confidentiality standards.

The Account Manager is responsible for managing key client accounts, ensuring satisfaction and retention, and fostering long-term partnerships while overseeing client lifecycle activities.

The Inside Sales Representative will engage employers and brokers to generate new business, manage the sales cycle, and maintain relationships while tracking activities in CRM.