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Insurance Tpa Jobs in California (NOW HIRING)

Citi Staff

Be Seen First

Claims Administrator

Orange, CA · On-site

$20 - $23/hr

... to the insurance / TPA, closing completed claims and ensuring compliance with procedures and deadlines. Key Responsibilities: * Investigate, evaluate, and manage medical only work injuries.

New

VALLARTA SUPERMARKETS

Risk Rep

Pacoima, CA

$20.50 - $28/hr

Participates in claims review with the insurance carrier/TPA * Coordinate return to work program with injured worker, Stores and TPA * Documentation of file activities in accordance with established ...

MGT Insurance

Senior Accountant

San Francisco, CA · On-site

$100K - $150K/yr

... AI-driven insurer. Nice To Have * Prior MGA/MGU or carrier experience with trust accounting, producer commissions, and TPA claims flows. * Workiva/automation/reporting tooling familiarity. We ...

Vuori, Inc

Risk & Insurance Analyst

Carlsbad, CA · On-site

Track and follow up on the timely payment of insurance and legal invoices, including premiums, broker fees, TPA charges, claims settlements, and outside counsel fees * Reconcile invoices against ...

Foster Farms

Workers Comp Program Manager

Fresno, CA · On-site

$93K - $117K/yr

Oversee TPA, insurance partners, and vendors to ensure effective claims handling, compliance, and service performance. Act as the primary Workers' Compensation resource for plant operations ...

Foster Farms

Workers Comp Program Manager

Fresno, CA · On-site

$93K - $117K/yr

Oversee TPA, insurance partners, and vendors to ensure effective claims handling, compliance, and service performance. * Act as the primary Workers' Compensation resource for plant operations ...

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Insurance Tpa information

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 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 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 most commonly searched types of Insurance Tpa jobs in California?

The most popular types of Insurance Tpa jobs in California are:

What are popular job titles related to Insurance Tpa jobs in California?

For Insurance Tpa jobs in California, the most frequently searched job titles are:

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

The top searched job categories for Insurance Tpa jobs in California are:

What cities in California are hiring for Insurance Tpa jobs?

Cities in California with the most Insurance Tpa job openings:

Insurance Tpa jobs near you
Infographic showing various Insurance Tpa job openings in California as of August 2026, with employment types broken down into 90% Full Time, and 10% Contract. Highlights an 86% In-person, and 14% Remote job distribution.

Claims Administrator

Citi Staff

Orange, CA • On-site

$20 - $23/hr

Full-time

PTO

Posted 3 days ago

New

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Job description

Position Summary:

The Claims Administrator is responsible for the day-to-day administration and handling of primarily medical-only claims, investigation, coordination with safety team, adjusters, making claim reports to the insurance / TPA, closing completed claims and ensuring compliance with procedures and deadlines. 

Key Responsibilities:

  • Investigate, evaluate, and manage medical only work injuries. 
  • Coordinate with safety and other claims team members. 
  • Open new claim with TPA 
  • Inputting claim details into claims management software
  • Communicate with injured workers, employers, and other stakeholders professionally.
  • Review and respond to subpoenas. ( Record collection and pick up coordination).
  • Respond to routine inquiries from injured workers, providers, and attorneys, escalating as needed.
  • Data entry and maintenance of claim status updates, diary entries, and payment records
  • Assist with generating claim reports and spreadsheets.
  • Provide general office support to the claims team (supplies, meeting coordination, correspondence)
  • Mail Distribution and Collection. 

Qualifications:

Claims or administrative experience. (Entry/admin level: 0-2 years, prior general office experience)

Strong organizational skills and ability to manage volume claims communication. 

Excellent written and verbal communication skills

Helpful if candidate has knowledge of Claims, WCAB, Labor Code and best practices but not required. 

Company Description

CitiStaff Solutions, Inc.