Employee Benefits
Medical Claims Auditing | PBM Auditing Services | Affordable Care Act Consulting | More
At Pinnacle Risk Solutions, we’ve created a culture of support, appreciation, and opportunities for personal and professional growth for our valued team. And our team is dedicated to supporting yours! Our proactive style and strategic planning help our clients provide their employees with high-quality benefits and payroll solutions, to encourage a positive work environment, and support employee wellness. Our goal is to ensure we understand your culture and needs when helping you create and implement your tailored solutions.
Each step of your Pinnacle Risk Solutions Toolkit facilitates valuable discussions to uncover the critical information we need to maximize the impact of every dollar you spend on employee benefits.
- Cost Control
- Technology
- Compliance
- Education
- Advocacy
We help self-insured employers uncover and recover overpaid healthcare claims, putting money back into your business. We audit any TPA or claims administrator with a detailed, contingency-based approach, ensuring you only pay for results. Let us help you take control of your healthcare spending and maximize savings.
Modern database technologies have made outdated sample-based audits a thing of the past, yet many PBMs resist transitioning to comprehensive validations.
Pinnacle Risk Solutions is helping organizations across the country change this dynamic. With pharmacy transactions often trailing other industries in accuracy, systematic and electronic audits have become invaluable for identifying and correcting errors.
Since January 1, 2015, the Affordable Care Act (ACA) Employer Mandate has required Applicable Large Employers (ALEs) to ensure compliance with IRS reporting and coverage requirements.
Failure to comply can result in substantial financial penalties, making it critical for organizations to track, document, and report employee status and health coverage accurately.
Whether you’re an HCM professional looking to support Medicare-eligible employees or an individual planning your transition, our experienced advisors are here to simplify every step of the journey.
Navigating Medicare doesn’t have to be confusing or stressful.
Enhance employee retention and satisfaction with a strategically optimized benefits program. Pinnacle Risk Solutions analyzes and refines your benefits package, aligning it with industry best practices to offer high value to your team without compromising your financial objectives.
Fully insured group benefits provide stability, simplicity, and confidence, ensuring dependable coverage while protecting your business from risk. Pinnacle Risk Solutions makes it easy to deliver competitive benefits with fixed premiums, expert support, and stress free administration tailored to your unique needs.