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Health Insurance Tpa Jobs (NOW HIRING)

ProviDRs Care

Account Management Coordinator

Wichita, KS · On-site

$18 - $23.25/hr

Experience with employee benefits, health insurance, TPA, claimsadministration, or healthcare. * Experience working with CRM or benefits administration systems. * Experience supporting employer ...

woodmenlife

Director, TPA Vendor Relations

We offer a comprehensive benefits package including health, dental, vision, 401(k), life insurance ... Ensure alignment of TPA services with operational priorities, service models, and customer ...

WoodmenLife

Director, TPA Vendor Relations

Omaha, NE · On-site +1

$110K - $170K/yr

We offer a comprehensive benefits package including health, dental, vision, 401(k), life insurance ... Ensure alignment of TPA services with operational priorities, service models, and customer ...

Jobtailor

Director, TPA Vendor Relations

Omaha, NE · On-site

$100 - $130/hr

Director, TPA Vendor Relations This position is eligible for a hybrid work schedule. WoodmenLife is ... We offer a comprehensive benefits package including health, dental, vision, 401(k), life insurance ...

AIG

Claims Complex Director TPA

Atlanta, GA · On-site

Strong technical expertise interpreting insurance contracts. * In depth knowledge of claim handling ... your health, wellbeing and financial security-as well as your professional development-to bring ...

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Health Insurance TPA information

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$13

$21

$27

How much do health insurance tpa jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for health insurance tpa in the United States is $21.04, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $23.80 per hour, depending on experience, location, and employer.

What is a health insurance TPA?

Health Insurance TPAs, or Third Party Administrators, are organizations that process insurance claims or certain aspects of employee benefit plans for health insurance companies. They act as intermediaries between insurance providers, policyholders, and healthcare providers, ensuring that claims are processed efficiently and in accordance with policy terms. TPAs handle tasks such as claim adjudication, customer service, network management, and sometimes even policy administration. Their main role is to streamline operations for insurance companies and improve the experience for policyholders.

What are the key skills and qualifications needed to thrive as a health insurance TPA?

To excel as a Health Insurance TPA, you need a solid understanding of health insurance policies, claims processing, and regulatory compliance, often backed by a relevant degree in insurance, business, or healthcare administration. Familiarity with claims management software, policy administration systems, and industry certifications such as HIPAA compliance are typically required. Strong attention to detail, problem-solving abilities, and effective communication skills help build trust with clients and resolve issues efficiently. These competencies ensure accurate and timely claims processing, regulatory adherence, and high-quality customer service in a complex healthcare environment.

How does a health insurance TPA typically interact with insurance companies and healthcare providers on a daily basis?

A Health Insurance Third Party Administrator (TPA) acts as an intermediary between insurance companies, policyholders, and healthcare providers. On a daily basis, TPAs process insurance claims, coordinate with hospitals for cashless treatments, and verify documentation to ensure smooth claim settlements. They frequently communicate with insurers to clarify policy terms and resolve discrepancies, while also assisting healthcare providers in understanding claim requirements. This collaborative approach requires strong organizational and communication skills, as well as attention to detail.

What is the difference between Health Insurance Tpa vs Health Insurance Claims Processor?

AspectHealth Insurance TpaHealth Insurance Claims Processor
RoleManages claims, customer service, and policy administration on behalf of insurersProcesses individual insurance claims, verifies documents, and approves or rejects claims
CredentialsTypically requires insurance or TPA-specific certificationsOften requires basic insurance knowledge and claims processing training
Work EnvironmentOffice-based, interacting with clients, insurers, and healthcare providersOffice or remote, focusing on data entry and claim verification
Industry UsageCommonly employed by third-party administrators in health insuranceUsed within insurance companies or third-party claims teams

In summary, a Health Insurance Tpa oversees claims management and customer service for insurers, while a Health Insurance Claims Processor focuses on the detailed processing and verification of individual claims. Both roles are essential in the health insurance industry but differ in scope and responsibilities.

More about Health Insurance TPA jobs

What states have the most Health Insurance Tpa jobs?

States with the most job openings for Health Insurance Tpa jobs include:

What job categories do people searching Health Insurance Tpa jobs look for?

The top searched job categories for Health Insurance Tpa jobs are:

Health Insurance TPA jobs near you
Infographic showing various Health Insurance Tpa job openings in the United States as of August 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 79% In-person, 3% Hybrid, and 18% Remote job distribution, with an average salary of $43,763 per year, or $21 per hour.

Account Management Coordinator

ProviDRs Care

Wichita, KS • On-site

$18 - $23.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description


Position Summary
The Account Management Coordinator provides administrative andoperational support to the Account Management team and serves as animportant point of contact for clients, brokers, and internaldepartments. This position helps ensure client requests are handledtimely and accurately, account information is maintained, andimplementations, renewals, and ongoing client activities stay on track.
The ideal candidate is highly organized, detail-oriented, responsive,and comfortable managing multiple priorities in a fast-pacedhealthcare benefits environment.
Essential Duties & Responsibilities
Client & Broker Support
  • Respond to routine client and broker requests and coordinateresolutions with appropriate internal teams.
  • Serve as a reliable point of contact for account-related questionsand follow up on outstanding issues.
  • Assist Account Managers with client communications, meetings,presentations, and follow-up activities.
  • Maintain professional and timely communication with clients,brokers, vendors, and internal departments.
  • Track open client issues and ensure appropriate follow-up through resolution.
Account Administration
  • Maintain accurate client, group, plan, and contact informationwithin company systems.
  • Prepare and distribute routine account documentation, reports,notices, and correspondence.
  • Assist with group implementations, renewals, plan changes, and terminations.
  • Coordinate required information and documentation between clients,brokers, vendors, and internal departments.
  • Maintain account files and ensure documentation is complete and organized.
Implementation & Renewal Support
  • Assist Account Managers with implementation and renewal checklistsand timelines.
  • Track outstanding implementation requirements and communicatestatus to stakeholders.
  • Coordinate collection of enrollment, plan, billing, network, andother required information.
  • Help prepare renewal materials and ensure required deliverablesare completed on schedule.
  • Identify potential delays or missing information and escalateissues appropriately.
Internal Coordination
  • Coordinate with Claims, Customer Service, Billing, Network, CareManagement, Compliance, and other departments to resolve account needs.
  • Assist with research and resolution of client-specific issues.
  • Monitor service requests and ensure they are routed to theappropriate department.
  • Maintain visibility into outstanding items and deadlines acrossassigned accounts.
Reporting & Quality
  • Prepare routine account reports and spreadsheets.
  • Assist with client-specific data and reporting requests.
  • Review information for accuracy and identify discrepancies beforeinformation is provided to clients.
  • Maintain accurate records within CRM and other operating systems.
  • Support Account Managers in monitoring client service levels and deliverables.
Other Responsibilities
  • Participate in client and internal meetings as requested.
  • Document meeting notes, action items, and follow-ups.
  • Assist with special projects and process improvement initiatives.
  • Maintain confidentiality of member, client, and company information.
  • Perform other duties as assigned.

Requirements
Required
  • High school diploma or equivalent.
  • 2+ years of experience in customer service, account coordination,administration, healthcare benefits, insurance, or a related field.
  • Strong organizational and time-management skills.
  • Excellent written and verbal communication skills.
  • Strong attention to detail and accuracy.
  • Ability to manage multiple priorities and meet deadlines.
  • Proficiency with Microsoft Office, particularly Excel and Outlook.
Preferred
  • Experience with employee benefits, health insurance, TPA, claimsadministration, or healthcare.
  • Experience working with CRM or benefits administration systems.
  • Experience supporting employer groups, brokers, or business clients.
  • Associate or bachelor's degree.

Benefits
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • 401(k) Retirement Plan
  • Paid Time Off
  • Paid Holidays
  • Employee Assistance Program
  • Wellness Programs

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