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Insurance Tpa Jobs (NOW HIRING)

Bachelor's degree in Business, Information Systems, Healthcare Administration, or related field. 5+ years of experience in the health insurance, TPA, or healthcare technology industry. Strong ...

Business Optimization Architect - LH

$62.25 - $80.75/hr

Experience within healthcare, insurance, or a health insurance TPA environment. Strong experience developing business cases and value realization frameworks. Excellent executive communication and ...

We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. The Co/Action TPA Manager plays a critical role in ensuring that our outsourced ...

We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. The Co/Action TPA Manager plays a critical role in ensuring that our outsourced ...

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 ...

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 ... Willingness to learn benefits administration, insurance terminology, compliance requirements, and ...

TPA Specialist

Grove City, PA

$86K/yr

Job Summary We are seeking a TPA Specialist to join our Employee Benefits Third-Party ... Willingness to learn benefits administration, insurance terminology, compliance requirements, and ...

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 ...

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Insurance Tpa information

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$28K

$62.3K

$105K

How much do insurance tpa jobs pay per year?

As of Aug 6, 2026, the average yearly pay for insurance tpa in the United States is $62,283.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,000.00 and $83,500.00 per year, depending on experience, location, and employer.

What is an insurance TPA?

An Insurance TPA (Third-Party Administrator) job involves managing claims processing, policy administration, and customer support on behalf of insurance companies. TPAs act as intermediaries between insurers, policyholders, and healthcare providers, ensuring smooth claim settlements and compliance with regulations. Responsibilities may include verifying claims, coordinating with medical professionals, and handling customer inquiries. This role requires strong analytical skills, attention to detail, and knowledge of insurance policies and procedures.

What is the typical work environment and team structure for an insurance TPA position?

Insurance TPA professionals typically work in office environments, either within specialized administrative firms or large insurance providers, and often operate in teams alongside claims processors, customer service representatives, and compliance specialists. Collaborating closely with insurers, policyholders, healthcare providers, and regulatory bodies is a key part of the role. Daily responsibilities may include reviewing claims, processing documentation, responding to inquiries, and coordinating case management. Teamwork and clear communication are vital, as TPAs are expected to ensure smooth claims resolution and deliver high-quality service. Many companies also offer career growth opportunities into supervisory or client management roles as you gain experience and expertise.

What are the key skills and qualifications needed to thrive in the insurance TPA position?

To excel as an Insurance TPA (Third-Party Administrator), a strong understanding of insurance processes, claims adjudication, and regulatory compliance is essential, often supported by a degree in business, finance, or a similar field. Familiarity with claims management systems, industry-standard software (such as TPA-specific platforms), and relevant certifications like Health Insurance TPA certification are highly valued. Excellent organizational skills, attention to detail, effective communication, and the ability to manage multiple priorities help professionals stand out. These competencies are crucial for ensuring accurate and timely claims processing, building client trust, and maintaining compliance in a dynamic insurance environment.

What cities are hiring for Insurance Tpa jobs? Cities with the most Insurance Tpa job openings:
What are the most commonly searched types of Insurance Tpa jobs? The most popular types of Insurance Tpa jobs are:
What states have the most Insurance Tpa jobs? States with the most job openings for Insurance Tpa jobs include:
Infographic showing various Insurance Tpa job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $62,283 per year, or $29.9 per hour.

TPA and Systems Coordinator

American Restoration Operations LLC

Union, NJ โ€ข On-site

$65K - $85K/yr

Full-time

Medical, Dental, Retirement, PTO

Posted 14 days ago


Job description

Overview
The TPA and Systems Coordinator is responsible for supporting insurance estimating and third-party administrator (TPA) processes by ensuring accurate data entry, compliance, and documentation. This office-based role requires advanced computer proficiency, extreme accuracy, and strong organizational skills. It offers an exciting opportunity to make a meaningful impact by helping property owners recover after sustaining damage to their homes or businesses.

Key Responsibilities

  • Manage the operations portion of the job management system, overseeing job progression from start to finish, including authorizations, compliance tasks, paperwork, photos, certificates of completion, and related documentation.
  • Enter all job updates and required information into TPA programs.
  • Upload photos, documents, and insurance information needed for estimates to be reviewed and sent to insurance carriers with invoices.
  • Audit and prepare estimates in alignment with TPA guidelines prior to review.
  • Accurately enter daily drying logs into Moisture Mapper and MICA.
  • Support data entry of time sheets, daily schedules, and appointment reminders.
  • Maintain up-to-date knowledge of all required programs, including Xactimate, Symbility, Moisture Mapper, MICA, and DocuSketch.
  • Work independently to manage tasks, prioritize workload, and solve problems.
  • Meet deadlines and work effectively under time constraints.
  • Assist in updating, creating, and educating team members on TPA-related processes and procedures.

Requirements

  • Advanced computer skills with proficiency in Microsoft Word, Excel, and Outlook; ability to learn and operate new programs quickly.
  • Effective written and verbal communication skills.
  • Strong attention to detail with excellent data-entry accuracy.
  • High level of integrity and ability to collaborate effectively with team members.
  • Self-motivated, dependable, and able to work additional hours during emergencies as needed.

Experience

  • 3+ years of Xactimate experience.
  • 3+ years of experience working directly with insurance TPA programs.
  • 3+ years of experience with Moisture Mapper and MICA.
  • 2+ years of Symbility experience strongly preferred.
  • 3+ years of experience working with insurance TPAs (third-party program administrators).

Job Type

  • Full-time

Benefits

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off

Schedule

  • Monday to Friday

Ability to Report to:

  • Union, NJ 07083

Work Location

  • In person