TPA Specialist
Grove City, PA ยท On-site
$86K/yr
Job Summary We are seeking a TPA Specialist to join our Employee Benefits Third-Party ... Resources, Healthcare Administration, Insurance, or a related field preferred. * Equivalent ...
Grove City, PA ยท On-site
$86K/yr
Job Summary We are seeking a TPA Specialist to join our Employee Benefits Third-Party ... Resources, Healthcare Administration, Insurance, or a related field preferred. * Equivalent ...
Grove City, PA ยท On-site
$86K/yr
Job Summary We are seeking a TPA Specialist to join our Employee Benefits Third-Party ... Resources, Healthcare Administration, Insurance, or a related field preferred. * Equivalent ...
Seattle, WA ยท On-site
$165K - $180K/yr
The Senior Enterprise Sales Executive is a TPA or self-insured employer sales specialist and ... Contemporary knowledge of employer self-insurance and health plan benefit administration
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Seattle, WA ยท On-site
$165K - $180K/yr
The Senior Enterprise Sales Executive is a TPA or self-insured employer sales specialist and ... Contemporary knowledge of employer self-insurance and health plan benefit administration
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 ...
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 ...
Omaha, NE ยท 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 ...
Omaha, NE ยท 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 ...
Seattle, WA ยท On-site
$120K - $145K/yr
Job Summary The Senior Account Executive, TPA is responsible for managing and growing a portfolio ... Active Life & Health insurance license. * Strong customer-focused mindset with the ability to ...
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Seattle, WA ยท On-site
$120K - $145K/yr
Job Summary The Senior Account Executive, TPA is responsible for managing and growing a portfolio ... Active Life & Health insurance license. * Strong customer-focused mindset with the ability to ...
Northridge, CA ยท On-site
$34 - $57/hr
Health, dental, and vision benefits available * PTO, sick days, and holidays * 401k match * Company ... INSURANCE/TPA RESTORATION INDUSTRY experience REQUIRED ** * 3+ years mitigation management ...
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Northridge, CA ยท On-site
$34 - $57/hr
Health, dental, and vision benefits available * PTO, sick days, and holidays * 401k match * Company ... INSURANCE/TPA RESTORATION INDUSTRY experience REQUIRED ** * 3+ years mitigation management ...
Omaha, NE ยท 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 ...
Omaha, NE ยท 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 ...
Miami, FL ยท On-site
$100K - $120K/yr
Requirements Knowledge 7-10+ years of progressive experience in TPA operations, managed care, health insurance, or specialty healthcare administration Deep knowledge of the end-to-end claims ...
Miami, FL ยท On-site
$100K - $120K/yr
Requirements Knowledge 7-10+ years of progressive experience in TPA operations, managed care, health insurance, or specialty healthcare administration Deep knowledge of the end-to-end claims ...
Nashville, TN ยท On-site
$70K - $80K/yr
Seeking an experienced Pension Services TPA Administrator and Services Development Manager for a ... Comprehensive Benefits package with group health insurance available first of month. * 10.5 paid ...
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Nashville, TN ยท On-site
$70K - $80K/yr
Seeking an experienced Pension Services TPA Administrator and Services Development Manager for a ... Comprehensive Benefits package with group health insurance available first of month. * 10.5 paid ...
Metairie, LA ยท On-site
$48K - $62K/yr
Benefits: * Health insurance * Paid time off * Vision insurance * Dental insurance Own the ... Manage TPA intake end-to-end: receive referrals, verify documentation, meet compliance requirements ...
New
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Metairie, LA ยท On-site
$48K - $62K/yr
Benefits: * Health insurance * Paid time off * Vision insurance * Dental insurance Own the ... Manage TPA intake end-to-end: receive referrals, verify documentation, meet compliance requirements ...
New
We distribute a proprietary suite of benefits by top-rated insurance carriers and TPA's, including health, life, and supplemental plans - built in-house and not available anywhere else - giving our ...
New
We distribute a proprietary suite of benefits by top-rated insurance carriers and TPA's, including health, life, and supplemental plans - built in-house and not available anywhere else - giving our ...
New
SISCO, our medical claims TPA, is looking for an experienced sales professional to launch their ... insured ancillary benefits. Optional services include a suite of advocacy and population health ...
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SISCO, our medical claims TPA, is looking for an experienced sales professional to launch their ... insured ancillary benefits. Optional services include a suite of advocacy and population health ...
Full-time and part-time opportunities are available for a TPA-certified optometrist to join a ... Health insurance, dental, vision and life insurance, paid sick time, paid and paid vacation. The ...
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Full-time and part-time opportunities are available for a TPA-certified optometrist to join a ... Health insurance, dental, vision and life insurance, paid sick time, paid and paid vacation. The ...
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 ...
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 ...
Full-time and part-time opportunities are available for a TPA-certified optometrist to join a ... Health insurance, dental, vision and life insurance, paid sick time, paid and paid vacation. The ...
Full-time and part-time opportunities are available for a TPA-certified optometrist to join a ... Health insurance, dental, vision and life insurance, paid sick time, paid and paid vacation. The ...
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 ...
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 ...
... diversified insurance firm providing custom, self-funded healthcare solutions to a limited ... Drive regional revenue growth by developing and executing a strategic sales plan focused on TPA ...
Quick apply
... diversified insurance firm providing custom, self-funded healthcare solutions to a limited ... Drive regional revenue growth by developing and executing a strategic sales plan focused on TPA ...
... diversified insurance firm providing custom, self-funded healthcare solutions to a limited ... Drive regional revenue growth by developing and executing a strategic sales plan focused on TPA ...
... diversified insurance firm providing custom, self-funded healthcare solutions to a limited ... Drive regional revenue growth by developing and executing a strategic sales plan focused on TPA ...
... diversified insurance firm providing custom, self-funded healthcare solutions to a limited ... Drive regional revenue growth by developing and executing a strategic sales plan focused on TPA ...
... diversified insurance firm providing custom, self-funded healthcare solutions to a limited ... Drive regional revenue growth by developing and executing a strategic sales plan focused on TPA ...
$65.25 - $84/hr
Familiarity with medical stop loss insurance, TPA ecosystems, or healthcare claims data formats (837, 835) * Microsoft Fabric Analytics Engineer (DP-600) or Azure AI Engineer Associate (AI-102 ...
$65.25 - $84/hr
Familiarity with medical stop loss insurance, TPA ecosystems, or healthcare claims data formats (837, 835) * Microsoft Fabric Analytics Engineer (DP-600) or Azure AI Engineer Associate (AI-102 ...
$13.94 - $15.17
9% of jobs
$16.31 is the 25th percentile. Wages below this are outliers.
$15.17 - $16.39
17% of jobs
$16.39 - $17.61
9% of jobs
$17.61 - $18.84
0% of jobs
$18.84 - $20.06
0% of jobs
$20.06 - $21.28
5% of jobs
The median wage is $21.93 / hr.
$21.28 - $22.51
18% of jobs
$23.60 is the 75th percentile. Wages above this are outliers.
$22.51 - $23.73
19% of jobs
$23.73 - $24.96
13% of jobs
$24.96 - $26.18
5% of jobs
$26.18 - $27.40
5% of jobs
$13
$21
$27
| Aspect | Health Insurance Tpa | Health Insurance Claims Processor |
|---|---|---|
| Role | Manages claims, customer service, and policy administration on behalf of insurers | Processes individual insurance claims, verifies documents, and approves or rejects claims |
| Credentials | Typically requires insurance or TPA-specific certifications | Often requires basic insurance knowledge and claims processing training |
| Work Environment | Office-based, interacting with clients, insurers, and healthcare providers | Office or remote, focusing on data entry and claim verification |
| Industry Usage | Commonly employed by third-party administrators in health insurance | Used 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.
States with the most job openings for Health Insurance Tpa jobs include:
The top searched job categories for Health Insurance Tpa jobs are:

$86K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 3 days ago
About Acrisure
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services - and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
Job Summary
We are seeking a TPA Specialist to join our Employee Benefits Third-Party Administration (TPA) & Technology team. As a core contributor to day-to-day TPA operations, the TPA Specialist will support client servicing, plan administration, and the execution of key deliverables that directly impact client satisfaction and retention. Responsibilities include supporting Consumer Driven Health Plans (FSA, HRA, HSA), COBRA administration, benefits technology platforms, compliance services, claims processing, and client support.
This position is critical to supporting the continued growth of the TPA operations, including the onboarding of new clients and the transition of administrative services previously managed by external vendors within Acrisure.
Responsibilities
Consumer Account Administration
Manage daily monetary transactions related to claims, contributions, and revenue.
Process Positive Pay and ACH files for FSA, HRA, and HSA accounts.
Set up and maintain new and existing consumer-driven health plan clients.
Generate monthly invoices for administrative services clients.
Maintain and support the 1Cloud Consumer Accounts platform.
Provide exceptional customer service to individual and group clients.
Develop a working knowledge of consumer-driven health plans and related services.
Maintain confidentiality and comply with all HIPAA and PHI regulations.
Claims Administration
Understand the structure and administration of FSA and HRA plans.
Review and adjudicate claims, including receipt verification and debit card claims review.
Ensure accuracy and compliance in claims processing.
Respond to client questions and provide claim-related support.
COBRA Administration
Learn and apply COBRA regulations and requirements.
Set up and maintain new and existing COBRA clients.
Generate daily COBRA notices and process monthly remittances.
Maintain the COBRApoint platform.
Provide customer service and administrative support related to COBRA programs.
Employee Navigator Administrator
Learn and effectively utilize the Employee Navigator platform.
Manage the setup and maintenance of client accounts.
Support clients and internal staff with day-to-day platform navigation.
Establish and maintain carrier and platform integrations.
Compliance Services
Support the preparation and distribution of compliance-related documents.
Learn and assist with Forms 1094, 1095, 5500, and 720.
Utilize compliance software to generate required documentation.
Stay informed of regulatory updates and changing compliance requirements.
Requirements
Strong communication, organization, and customer service skills.
Attention to detail with the ability to manage multiple priorities.
Proficiency in Microsoft Office (Word, Excel) and general computer skills.
Analytical mindset with the ability to work independently and solve problems.
Ability to handle confidential information with professionalism and discretion.
Willingness to learn benefits administration, insurance terminology, compliance requirements, and related technology platforms.
Commitment to continuous learning and professional growth.
Education and Experience
Associate's degree or Bachelor's degree in Business, Finance, Human Resources, Healthcare Administration, Insurance, or a related field preferred.
Equivalent combination of education, training, and relevant work experience will be considered.
Previous experience in employee benefits administration, insurance, banking, customer service, claims processing, healthcare administration, or a related field is highly preferred.
Experience working with benefits administration platforms, COBRA administration, or consumer-driven health plans is a plus.
#LI-LS1
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.
Why Join Us:
At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.
Employee Benefits
We also offer our employees a comprehensive suite of benefits and perks, including:
Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
... and so much more!
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.
Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.
California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.
Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.
Welcome, your new opportunity awaits you.