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Health Insurance Tpa Jobs (NOW HIRING)

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 ...

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 ...

Director, TPA Vendor Relations

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 ...

Director, TPA Vendor Relations

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 ...

Showing results 21-40

Health Insurance Tpa information

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$13

$21

$27

How much do health insurance tpa jobs pay per hour?

As of Aug 17, 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 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.

TPA Specialist

Acrisure

Grove City, PA โ€ข On-site

$86K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago


Job description

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.