Erica Scott

Account Manager @Pinnacle Claims Management

Irvine, CA, US

Meet deadlines under pressure.• Analyze information and evaluate results to choose the best solution.• Responsible for the overall servicing of book of business under the PCMI platform.• Provide day-day administration and deliver on the needs of the clients and brokers as it relates to Pinnacle TPA, PRxS, PHM and ancillary products.• Support and advise clients and brokers on self-funding, pharmacy benefits management, care management and utilization review, wellness, stop loss and print and distribution.• Maintain client reference files on server for all assigned accounts, detailing past work and work-in-progress, and all pertinent information as it relates to meeting the customer’s/broker’s needs.• Monitor projects to ensure they proceed according to plan and deadlines•Identify potential problems before they occur.• Execute all product renewals in a timely manner to ensure a high PCMI retention rate.• Develop a keen understanding of PCMI system tools including PERC/WERC/Healthview and HCPS operating systems to manage customer expectations and deliverables.• Focus on opportunities to drive results such as process improvement, expectations management and resolutions.• Keep current on laws and regulations that impact the medical insurance industry.• Conduct analysis of reporting relative to claims history, pharmacy spend, chronic disease, etc. and determine if the clients’ health plans may be more successful in conjunction with PCMI ancillary products.• Strategize and collaborate with Sales in an effort to sell additional Pinnacle Products to create additional revenue for PCMI.• Prior to renewal, work with brokers to identify opportunities to focus efforts on.• Coordinate with other internal departments to generate customer specific proposals on our PCMI offerings.• Utilize all capabilities to satisfy one mission — to enhance the competitiveness and profitability of ourmembers. •Do everything possible to help members succeed.

International Foundation of Employee Benefit Plans

GBA, CEBS

Disability Management Employee Coalition (DMEC)

CLMS designation, Certified Leave Management Specialist

College of the Desert

Associate of Science - AS, Accounting

Western Governors University

BS Human Resource Management, Human Resources Management and Services

Ashworth College

Certificate, Human Resources Management