At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. As part of the Western Growers Family of Companies, we are committed to providing our employees with everything they need to succeed and grow. We know that taking care of our clients starts with taking care of our employees.               As a keystone of our philosophy, we recognize that every person on our team comes to us with a unique background, history and story that adds strength to our organization. Additionally, employees are encouraged to recognize that there isn’t a work life and a home life, there is one life. This recognition throughout the organization emphasizes the value of finding a healthy and happy balance in every employee’s life. One way this is realized for employees of Pinnacle Claims Management is flexible work arrangements with work-from-home, in-office or hybrid options.               With competitive compensation packages, premier investment support, enriching personal development and more, we strive for our employees’ job satisfaction and success.             
Compensation:$ $46,669.19 - $ $60,668.60  with a rich benefits package that includes profit-sharing.

Job Description Summary

This position reports to the Supervisor I, Key Accounts. This position is responsible for serving as the first point of contact for Operations Specialist Is and Field Operations Specialists assigned to their Pod. This position will process financial transactions in the company’s financial processing systems as it relates to individual and group billing, automated clearing house (ACH), and cash receipt processing. The incumbent will also maintain and balance individual accounts receivables including delinquency processing and terminations. Additionally, they will manage all financial aspects of reimbursement requests submitted by consumers, generating desired reports, and processing and approving reimbursement payments via the company’s financial processing systems. The incumbent is responsible for managing all incoming claims and reimbursement requests and processing claims and client reimbursements, including complex claim cases requiring research and resolution. Lastly, they mentor and support the development of the Specialist level I in conjunction with the Team Lead.Q UA L IF IC A T IO NS ·      BA/BS degree in accounting, finance or business-related field preferred plus three (3) to four (4) years experience working in a related field or equivalent combination of education and experience, preferred.·      Excellent oral and written communication skills in English and Spanish, to include modern business communications, formatting of professional letters, reports and phone etiquette, required.·      Comprehensive command of the Spanish language with the ability to utilize it up to 50% of the time.·      Demonstrated ability to multi-task, work in a fast-paced environment, meet established deadlines, and work independently with minimal supervision or in team environment.·      Proficient knowledge of end-user office software i.e., calendaring, word-processing, spreadsheet and email and the ability to develop strong proficiency working with a proprietary Health Care system.·      Advanced customer service skills.·      Moderate ability to analyze and resolv