Byron Center, MI · On-site
$40K - $55K/yr
... and TPA guidelines. • Handle insurance carrier documentation. • Facilitates correspondence between all parties - clients, Insurance, TPA's, etc. • Assist in the communication & scheduling ...
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Byron Center, MI · On-site
$40K - $55K/yr
... and TPA guidelines. • Handle insurance carrier documentation. • Facilitates correspondence between all parties - clients, Insurance, TPA's, etc. • Assist in the communication & scheduling ...
Leads insurance procurement, claims management, contract risk transfer, policy interpretation, and ... TPA), and monitors claim activity through final disposition. 9. Performs financial and operational ...
Leads insurance procurement, claims management, contract risk transfer, policy interpretation, and ... TPA), and monitors claim activity through final disposition. 9. Performs financial and operational ...
Leads insurance procurement, claims management, contract risk transfer, policy interpretation, and ... TPA), and monitors claim activity through final disposition. 9. Performs financial and operational ...
Leads insurance procurement, claims management, contract risk transfer, policy interpretation, and ... TPA), and monitors claim activity through final disposition. 9. Performs financial and operational ...
Leads insurance procurement, claims management, contract risk transfer, policy interpretation, and ... TPA), and monitors claim activity through final disposition. 9. Performs financial and operational ...
Leads insurance procurement, claims management, contract risk transfer, policy interpretation, and ... TPA), and monitors claim activity through final disposition. 9. Performs financial and operational ...
$48K - $52K/yr
Insurance claims and or TPA(Third Party Administrator) experience a must. Brightserv, Alacrity and Sedgwick to name a few. * MS Office products experience F. Lax Construction is your preferred ...
$48K - $52K/yr
Insurance claims and or TPA(Third Party Administrator) experience a must. Brightserv, Alacrity and Sedgwick to name a few. * MS Office products experience F. Lax Construction is your preferred ...
Description Founded in 1946, Kapnick Insurance is an independent insurance advisory firm with ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
Description Founded in 1946, Kapnick Insurance is an independent insurance advisory firm with ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
Description Founded in 1946, Kapnick Insurance is an independent insurance advisory firm with ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
Description Founded in 1946, Kapnick Insurance is an independent insurance advisory firm with ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
Initiate and participate in pharmacy benefits strategy development with client (broker/TPA), to ... Bachelor's degree preferred * 3-5 years of experience in PBM industry, group health insurance, or ...
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Initiate and participate in pharmacy benefits strategy development with client (broker/TPA), to ... Bachelor's degree preferred * 3-5 years of experience in PBM industry, group health insurance, or ...
Howell, MI · On-site
We are currently growing and are looking for a TPA Property Claims Examiner with a minimum of three years of experience in this discipline of the insurance claims industry. The optimal candidate will ...
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Howell, MI · On-site
We are currently growing and are looking for a TPA Property Claims Examiner with a minimum of three years of experience in this discipline of the insurance claims industry. The optimal candidate will ...
Howell, MI · On-site
We are currently growing and are looking for a TPA Property Claims Examiner with a minimum of three years of experience in this discipline of the insurance claims industry. The optimal candidate will ...
Howell, MI · On-site
We are currently growing and are looking for a TPA Property Claims Examiner with a minimum of three years of experience in this discipline of the insurance claims industry. The optimal candidate will ...
Lansing, MI · On-site
Post Excess & TPA Payments to claim files. Post internal claim costs. Post manual payments ... E.D. Advanced training or college level coursework in business, accounting, or insurance.
Lansing, MI · On-site
Post Excess & TPA Payments to claim files. Post internal claim costs. Post manual payments ... E.D. Advanced training or college level coursework in business, accounting, or insurance.
Lansing, MI · On-site
... TPA Payments to claim files. • Post internal claim costs. • Post manual payments. • Provides ... E.D. Advanced training or college level coursework in business, accounting, or insurance.
Lansing, MI · On-site
... TPA Payments to claim files. • Post internal claim costs. • Post manual payments. • Provides ... E.D. Advanced training or college level coursework in business, accounting, or insurance.
Post Excess & TPA Payments to claim files. Post internal claim costs. Post manual payments ... E.D. Advanced training or college level coursework in business, accounting, or insurance.
Post Excess & TPA Payments to claim files. Post internal claim costs. Post manual payments ... E.D. Advanced training or college level coursework in business, accounting, or insurance.
Lansing, MI · On-site
... TPA Payments to claim files. • Post internal claim costs. • Post manual payments. • Provides ... E.D. Advanced training or college level coursework in business, accounting, or insurance.
Lansing, MI · On-site
... TPA Payments to claim files. • Post internal claim costs. • Post manual payments. • Provides ... E.D. Advanced training or college level coursework in business, accounting, or insurance.
Adrian, MI · On-site
$40K - $55K/yr
Job Type Full-time Description Founded in 1946, Kapnick Insurance is an independent insurance ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
Adrian, MI · On-site
$40K - $55K/yr
Job Type Full-time Description Founded in 1946, Kapnick Insurance is an independent insurance ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
Founded in 1946, Kapnick Insurance is an independent insurance advisory firm with Michigan roots ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
Founded in 1946, Kapnick Insurance is an independent insurance advisory firm with Michigan roots ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
Auburn Hills, MI · On-site
$80K - $90K/yr
Experience managing insurance program work and TPA processes * Proficiency with Microsoft Office, Xactimate, and platforms such as Dash, Encircle, Matterport, or similar * Strong verbal and written ...
Auburn Hills, MI · On-site
$80K - $90K/yr
Experience managing insurance program work and TPA processes * Proficiency with Microsoft Office, Xactimate, and platforms such as Dash, Encircle, Matterport, or similar * Strong verbal and written ...
Founded in 1946, Kapnick Insurance is an independent insurance advisory firm with Michigan roots ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
Founded in 1946, Kapnick Insurance is an independent insurance advisory firm with Michigan roots ... Join Kapnick as a TPA , where you'll play a key role in the timely and accurate administration of ...
The Employee Benefits Data Analyst plays a key role in supporting OVD Insurance clients by managing ... TPA * Strong Excel skills (ex. formula application and creation), with a willingness to build ...
New
The Employee Benefits Data Analyst plays a key role in supporting OVD Insurance clients by managing ... TPA * Strong Excel skills (ex. formula application and creation), with a willingness to build ...
New
Grand Rapids, MI · On-site
A primary expectation of this role is to partner effectively with the HAP/TPA sales teams, Large ... Minimum of five (5) years of successful health insurance sales experience in the health care market.
Grand Rapids, MI · On-site
A primary expectation of this role is to partner effectively with the HAP/TPA sales teams, Large ... Minimum of five (5) years of successful health insurance sales experience in the health care market.
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.
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.
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.
$40K - $55K/yr
Full-time
Medical, Retirement, PTO
Posted 20 days ago
