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Health Insurance Tpa Jobs (NOW HIRING)

Head of TPA Operations & Delivery

Tampa, FL ยท On-site

$200K - $280K/yr

The ideal candidate will have deep expertise in health insurance payor operations and a proven track record of driving efficiency, accuracy, and proactive compliance in a TPA environment. Essential ...

Bachelor's degree in Business, Healthcare Administration, Insurance, or a related field; or equivalent work experience. * 3-5 years of experience in TPA operations, health insurance claims, or ...

Director, TPA Claims Location: Austin, TX / Dallas, TX Reports To: Chief Claims Officer About Hippo ... insurance, Flexible Spending Accounts (FSA) for health and dependent care, and an Employee ...

Director, TPA Claims Location: Austin, TX / Dallas, TX Reports To: Chief Claims Officer About Hippo ... insurance, Flexible Spending Accounts (FSA) for health and dependent care, and an Employee ...

Account Manager, TPA

Tempe, AZ ยท On-site

$65K - $85K/yr

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators ... Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates

Account Manager, TPA

Tempe, AZ ยท On-site

$65K - $85K/yr

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators ... Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates

Account Manager, TPA

$65K - $85K/yr

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators ... Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates

Account Manager, TPA

Tempe, AZ ยท On-site

$65K - $85K/yr

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators ... Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates

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Health Insurance Tpa information

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How much do health insurance tpa jobs pay per hour?

As of Sep 6, 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:

Infographic showing various Health Insurance Tpa job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $43,763 per year, or $21 per hour.

Health Benefits Implementation Specialist

Cobalt Benefits Group LLC

Detroit, MI โ€ข On-site

$80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago


Job description

Description:

 About this Role 
 

Cobalt Benefits Group is seeking a Health Benefits Implementation Specialist with direct experience implementing self-funded employer health benefit plans within the TPA, health insurance, or employee benefits industry.  This position is responsible for managing client implementations from initial kickoff through successful go-live. The ideal candidate brings hands-on experience coordinating complex health benefits implementations, managing project plans and timelines, facilitating client and stakeholder meetings, and partnering across internal operational teams.  This is not a general IT, software/platform, HRIS, payroll, or technology implementation position. Candidates should have direct implementation experience within the health insurance, TPA, or employee benefits environment.  


This role is eligible for hybrid or fully remote work, depending on candidate location and business needs. 


Key Responsibilities  

  • Own and coordinate implementation projects for new and/or existing self-funded health benefit clients from kickoff through go-live
  • Develop, manage, and maintain detailed implementation project plans, timelines, milestones, deliverables, and tracking documentation
  • Lead implementation kickoff meetings, status meetings, and other client-facing discussions with client leadership, brokers, vendors, and internal stakeholders
  • Gather, document, and validate client requirements related to benefit plan setup and implementation
  • Coordinate implementation activities across internal operational teams and external partners to ensure accurate and timely delivery
  • Identify project risks, dependencies, delays, and implementation issues and drive them toward resolution
  • Manage multiple implementations and competing deadlines while maintaining clear ownership of deliverables and follow-up items
  • Communicate project status, risks, decisions, and next steps clearly to clients and internal stakeholders
  • Coordinate implementation requirements involving self-funded medical plans and related benefit services such as claims administration, eligibility, HSAs, FSAs, COBRA, and other applicable services
  • Build strong working relationships with clients, brokers, vendors, and cross-functional internal teams
  • Maintain accurate implementation documentation and contribute to continuous improvement of implementation processes, templates, and standards
  • Perform other related duties as assigned
Requirements:


  • 2+ years of direct health insurance, TPA, or employee benefits implementation experience
  • Demonstrated experience implementing or supporting self-funded employer health benefit plans
  • Experience managing implementation projects involving multiple internal departments, external partners, and client stakeholders
  • Strong project management and project coordination skills, including experience creating and managing project plans, timelines, milestones, dependencies, and deliverables
  • Demonstrated experience leading client-facing implementation meetings, kickoff meetings, and stakeholder discussions
  • Working knowledge of the self-funded benefits/TPA environment, including areas such as claims administration, eligibility, plan setup, HSAs, FSAs, and COBRA
  • Ability to manage multiple concurrent projects and priorities while meeting established deadlines
  • Strong written and verbal communication skills with the ability to communicate effectively with client management and internal leadership
  • Strong problem-solving skills with the ability to identify implementation risks and drive issues toward resolution
  • Proficiency with Microsoft Office, particularly Excel and PowerPoint, and the ability to learn web-based implementation/project-management systems
  • Associate’s degree or equivalent relevant industry experience
  • Willingness to travel up to 10% during peak implementation periods

 Benefits
After successfully completing a waiting period, eligible Full-time employees have access to our comprehensive benefits package, including:

  • Fantastic medical, dental, and vision insurance*
  • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
  • Company provided Basic Life and AD&D
  • Company paid Short-Term and Long-Term Disability**
  • Flexible Spending Accounts*
  • 401(k) Retirement Plan with up to a 6% employer-match** WOW! (100% fully vested after 3 years)
  • 10+ paid holidays
  • Fully Paid half day Summer Fridays
  • Generous paid vacation and sick time
  • Annual Paid Volunteer Day
  • Annual Tuition Reimbursement
  • Annual Health and Wellness Reimbursement
  • Lots of fun company events

*60 day waiting period**90 day waiting period

Who We Are


As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our four lines of business: EBPA, Blue Benefit Administrators of Massachusetts, CBA Blue,and  Great Bay Administrators. With over 30 years of experience and a dedicated team of more than 300 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit https://www.cobaltbenefitsgroup.com/careers/. 


Cobalt Benefits Group is an Equal Employment Opportunity employer.


Cobalt Benefits Group participates in E-Verify to confirm the employment eligibility of all new hires.