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Insurance Tpa Jobs in Florida (NOW HIRING)

POSITION SUMMARY The Director of TPA Relations is responsible for overseeing and optimizing the ... global health insurance, international assistance, or travel/expat medical programs. * Direct ...

Coordinate communications and all claims-related functions between Crown personnel & insurer/TPA * Prepare monthly and quarterly claim reports, identifying trends, recommend mitigation strategies ...

... TPA within the last 12 months.*** Pay & Benefits Pay of $36.00 to $37.50 per hour*, depending on ... Competitive health insurance for you and your eligible dependents * Southwest offers health plan ...

New

General information Job Title Baggage Acceptance Handler-TPA Date Wednesday, April 22, 2026 Entity ... Comprehensive Medical, Dental and Vision Insurance for full-time employees who work 30 hours per ...

Airport Wheelchair Agent- TPA (WN)

Tampa, FL · On-site

$13.25 - $17/hr

General information Job Title Airport Wheelchair Agent- TPA (WN) Date Tuesday, March 3, 2026 Entity ... Comprehensive Medical, Dental and Vision Insurance for full-time employees who work 30 hours per ...

Airport Wheelchair Agent- TPA (WN)

Tampa, FL · On-site

$13.25 - $17/hr

General information Job Title Airport Wheelchair Agent- TPA (WN) Date Tuesday, March 3, 2026 Entity ... Comprehensive Medical, Dental and Vision Insurance for full-time employees who work 30 hours per ...

Airport Wheelchair Agent- TPA (WN)

Tampa, FL · On-site

$13.25 - $17/hr

General information Job Title Airport Wheelchair Agent- TPA (WN) Date Tuesday, March 3, 2026 Entity ... Comprehensive Medical, Dental and Vision Insurance for full-time employees who work 30 hours per ...

TPA Breeze Passenger Service FT

Tampa, FL · On-site

$14.25 - $18/hr

General information Job Title TPA Breeze Passenger Service FT Date Friday, February 27, 2026 Entity ... Comprehensive Medical, Dental and Vision Insurance (for full-time employees). * 401k for all ...

TPA Breeze Ramp Agent - FT

Tampa, FL · On-site

$14.75 - $18/hr

General information Job Title TPA Breeze Ramp Agent - FT Date Wednesday, March 25, 2026 Entity ... Comprehensive Medical, Dental and Vision Insurance (for full-time employees). * 401k for all ...

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Showing results 1-20

Insurance Tpa information

See Florida salary details

$20.9K

$46.5K

$78.5K

How much do insurance tpa jobs pay per year?

As of May 28, 2026, the average yearly pay for insurance tpa in Florida is $46,543.00, according to ZipRecruiter salary data. Most workers in this role earn between $32,900.00 and $62,400.00 per year, depending on experience, location, and employer.

What is an Insurance TPA job?

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, and why are they important?

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 Florida? The most popular types of Insurance Tpa jobs in Florida are:
What cities in Florida are hiring for Insurance Tpa jobs? Cities in Florida with the most Insurance Tpa job openings:
Infographic showing various Insurance Tpa job openings in Florida as of May 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 99% Physical, and 1% Hybrid job distribution, with an average salary of $46,543 per year, or $22.4 per hour.

Director of TPA Relations

VUMI Group

Miami, FL • On-site

Full-time

Posted 23 days ago


Job description

POSITION SUMMARY

The Director of TPA Relations is responsible for overseeing and optimizing the organization’s use of third-party administrators (TPAs). This role ensures that TPAs deliver high-quality, cost-effective administrative services aligned with company objectives. Acting as the internal owner of TPA performance, the Director drives accountability, monitors outcomes, and partners cross-functionally to improve operational efficiency and service delivery.

ESSENTIAL FUNCTIONS

Key Responsibilities:

  • Own and manage relationships with TPAs supporting global IPMI, emergency medical assistance, and cost containment programs.
  • Oversee end-to-end TPA performance, including international claims adjudication, pre-authorizations, case management coordination, and provider payments.
  • Monitor service delivery against KPIs and SLAs such as turnaround times, accuracy, customer experience, and cost savings outcomes.
  • Drive cost containment effectiveness by evaluating TPA performance in areas such as medical bill review, network utilization, negotiated discounts, and high-cost case management.
  • Lead resolution of escalated global claims and assistance cases, particularly complex, high-dollar, or sensitive international situations.
  • Partner with clinical, operations, provider network, and finance teams to ensure seamless coordination of care and cost management across regions.
  • Analyze claims and assistance data to identify trends, leakage, fraud/waste/abuse risks, and opportunities for operational and financial improvement.
  • Ensure TPAs comply with varying international regulatory requirements, policy provisions, and internal standards.
  • Lead contract oversight, including service scope, performance guarantees, and financial terms; support renegotiations where needed.
  • Support onboarding, transition, or replacement of TPAs across regions or product lines.
  • Conduct regular business reviews with TPAs to assess performance, address gaps, and implement continuous improvement initiatives.


MINIMUM QUALIFICATIONS

  • Bachelor’s degree in Business, Healthcare Administration, or related field, or equivalent practical experience. Advanced degree or specialized certifications are a plus.
  • 8–12+ years of experience in IPMI, global health insurance, international assistance, or travel/expat medical programs.
  • Direct experience working with TPAs, assistance companies, or global claims administrators from the client side.
  • Strong understanding of international healthcare systems, cross-border claims, and global provider networks.
  • Experience with cost containment strategies, including negotiation, bill review, and utilization management.
  • Proven ability to manage complex vendor relationships and hold partners accountable in a global environment.
  • Strong analytical, negotiation, and problem-solving skills.
  • Ability to operate effectively across multiple time zones and cultures.

Key Competencies:

  • Global vendor management & accountability
  • International claims & assistance operations
  • Cost containment strategy & execution
  • Data analysis & performance optimization
  • Cross-cultural communication
  • Escalation and crisis management