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Insurance Tpa information

See Ohio salary details

$26.6K

$59.2K

$99.8K

How much do insurance tpa jobs pay per year?

As of Aug 6, 2026, the average yearly pay for insurance tpa in Ohio is $59,212.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,800.00 and $79,400.00 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 are popular job titles related to Insurance Tpa jobs in Ohio? For Insurance Tpa jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Insurance Tpa jobs in Ohio look for? The top searched job categories for Insurance Tpa jobs in Ohio are:
What cities in Ohio are hiring for Insurance Tpa jobs? Cities in Ohio with the most Insurance Tpa job openings:
Insurance Tpa jobs near you
Infographic showing various Insurance Tpa job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 68% Full Time, 27% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $59,212 per year, or $28.5 per hour.

Senior Cobra Benefits Admin - TPA

Medical Mutual of Ohio

Cleveland, OH • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Medical Mutual of Ohio rating

8.6

Company rating: 8.6 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

88th of 301 rated insurance

Job description

Medical Mutual employees must submit their applications through MySource.
Note: This is a remote position however, candidates must reside in the Cleveland/Brooklyn, Ohio area.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Job Summary:
Under limited supervision, administers routine to complex Flexible Spending Accounts (FSA) claims, Health Reimbursement Accounts (HRA) claims, and/or continuation of health coverage (Cobra) enrollments, adjustments, and related processes. Responds to written or phone inquiries regarding benefits, coverage, State and Federal guidelines, Internal Revenue Service (IRS) guidelines, and/or submission status.
Responsibilities:
  • Processes FSA, HRA, and/or COBRA claims, adjustments, and payments and handles inbound/outbound phone calls.
  • Responds to written inquiries.
  • Coordinates check runs, enrollment transactions, electronic files, contributions, and works with banking processes.
  • Research and updates department documentation regarding State and Federal Statutes, IRS changes, and The Department of Labor (DOL) updates. Prepares and updates Standard Operating Procedures (SOPs).
  • Orients, trains, and assists more junior level team members.
  • Initiates, provides input, and leads implementation efforts for process improvement.
  • Assists in auditing of case and benefit plan builds or other special projects.
  • Enhances knowledge of departmental processes and industry standards.
  • Performs other duties as assigned.

Qualifications:
Education and Experience:
  • Associate Degree in Business or Healthcare Administration or equivalent combination of education/training and experience.
  • 3 years of experience as a Specialty Benefits Administrator-TPA or equivalent experience in health/specialty benefits claims processing and/or customer service, membership, or billing, preferably in third party administration.

Technical Skills and Knowledge:
  • Intermediate Microsoft Office (especially Excel) and medical claims processing systems skills.
  • Strong knowledge of health insurance products and medical terminology.
  • Strong math skills.
  • Strong knowledge of continuation of health coverage (COBRA) and IRS regulations.
  • Ability to interpret various types of claims reimbursement and enrollment forms.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.

Excellent Benefits and Compensation:
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:
  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:
Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
#LI-SC1 #LI-REMOTE
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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