Jobs at Point C

Leads client management, retention, revenue growth, and service delivery for an assigned third-party administrator business region. Manages account management teams, workforce planning, customer relationships, strategic initiatives, operational alignment, issue resolution, and performance reporting. Partners with sales on broker engagement, finalist presentations, and business development. Provides consultative account leadership while ensuring client satisfaction, profitability, and consistent delivery of the company’s service model.

Regional sales leader responsible for achieving new business targets across California, Nevada, and New Mexico. Develops broker and consultant relationships, creates territory sales strategies, promotes benefits administration services, provides consultative client support, and identifies opportunities to expand service offerings. The role is fully remote but requires living near a major airport and traveling more than 50% of the time.

Leads Point C’s enterprise analytics strategy, data platforms, governance, reporting, and insights delivery. Builds trusted analytics for brokers, employers, sales, operations, finance, and clinical teams; oversees data integration, quality, standardization, and acquisition-related analytics. Develops a scalable agile analytics organization and aligns roadmaps, metrics, and delivery standards with business growth and executive decision-making.

Process and adjudicate medical claims, adjustments, denials, appeals, and subrogation cases. Interpret plan documents and stop-loss terms, verify claim payments, resolve missing information, answer inquiries, and maintain production, financial, and procedural accuracy standards. The role requires claims processing experience, knowledge of medical coding and terminology, strong communication skills, confidentiality, and the ability to work independently in a third-party administrator or self-funded benefits environment.

Lead and build the Stop-Loss Operations function, unifying legacy teams and platforms, ensuring accurate policy setup, filings, renewals, and claims reimbursements. Implement controls, SOPs, quality audits, KPIs/SLAs, and root-cause corrective actions. Manage and coach stop-loss staff, partner with carriers/MGUs and Account Management, and support platform migrations to improve compliance and drive toward zero processing errors.

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

Lead enterprise-wide Zendesk configuration and roadmap: translate stakeholder needs into platform enhancements, manage integrations, roles, permissions, reporting, vendor relationships, rollout, training, and ongoing support to optimize service operations across Claims, Client Services, and Account Management.