$65K - $85K/yr
Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators ... Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates
$65K - $85K/yr
Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators ... Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates
$65K - $85K/yr
Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators ... Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates
$65K - $85K/yr
Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators ... Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates
$65K - $85K/yr
Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators ... Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates
OR · On-site
$16 - $21.75/hr
... insurance, benefits administration, or TPA operations * Experience in a self-funded health plan or TPA environment preferred * Knowledge of ERISA, COBRA, HIPAA, and ACA requirements preferred
$107K - $140K/yr
Coordinate responses to audits, legal requests, insurance complaints, Department of Labor matters ... TPA environment * 5+ years of leadership or supervisory experience in claims management Technical ...
$107K - $140K/yr
Coordinate responses to audits, legal requests, insurance complaints, Department of Labor matters ... TPA environment * 5+ years of leadership or supervisory experience in claims management Technical ...
$107K - $140K/yr
Coordinate responses to audits, legal requests, insurance complaints, Department of Labor matters ... TPA environment * 5+ years of leadership or supervisory experience in claims management Technical ...
$107K - $140K/yr
Coordinate responses to audits, legal requests, insurance complaints, Department of Labor matters ... TPA environment * 5+ years of leadership or supervisory experience in claims management Technical ...
Thorough knowledge of the insurance industry and the organization's products, policies and procedures. * Ability to effectively recruit, lead, coach, develop and retain talented claim professional ...
Thorough knowledge of the insurance industry and the organization's products, policies and procedures. * Ability to effectively recruit, lead, coach, develop and retain talented claim professional ...
Salem, OR · On-site
$90K - $120K/yr
You've spent 5+ years in restoration or insurance repair and at least 3 running a branch, division, or team of your own * You know Xactimate, you know what a TPA scorecard is, and you've fought ...
Quick apply
Salem, OR · On-site
$90K - $120K/yr
You've spent 5+ years in restoration or insurance repair and at least 3 running a branch, division, or team of your own * You know Xactimate, you know what a TPA scorecard is, and you've fought ...
$108K - $135K/yr
... versions of TPA and Carrier software are introduced * Performs unit testing of assigned ... Insurance industry experience preferred Benefits * Medical and Dental coverage available for ...
$108K - $135K/yr
... versions of TPA and Carrier software are introduced * Performs unit testing of assigned ... Insurance industry experience preferred Benefits * Medical and Dental coverage available for ...
Salem, OR · On-site
$90K - $120K/yr
You've spent 5+ years in restoration or insurance repair and at least 3 running a branch, division, or team of your own * You know Xactimate, you know what a TPA scorecard is, and you've fought ...
Salem, OR · On-site
$90K - $120K/yr
You've spent 5+ years in restoration or insurance repair and at least 3 running a branch, division, or team of your own * You know Xactimate, you know what a TPA scorecard is, and you've fought ...
OR · On-site
Experience with Third Party Administrator (TPA) or self-funded claims administration preferred * At least 2+ years of experience in insurance claims processing required * Experience reviewing and ...
Bachelor's degree or equivalent related experience * 5-8 years of client management, account management, or similar experience within the TPA, insurance, or employee benefits industry * Proven ...
$16 - $20.25/hr
Prior exposure to healthcare, benefits, insurance, or TPA environments is a plus * Experience supporting account management, sales, or client services functions is a plus
... post tPA or thrombectomy or more frequent monitoring than can be provided on the floor. Care of ... Benefits: • Health, Vision, Dental, Life Insurance • 401k with company match • Tuition ...
... post tPA or thrombectomy or more frequent monitoring than can be provided on the floor. Care of ... Benefits: • Health, Vision, Dental, Life Insurance • 401k with company match • Tuition ...
Bend, OR · On-site
$2.1K - $2.9K/wk
Experience with neurological conditions including CVA, TBI, intracranial bleeds, and post-TPA care ... life insurance beginning day one of your assignment, generous 401(k) match, substantial housing ...
Bend, OR · On-site
$2.1K - $2.9K/wk
Experience with neurological conditions including CVA, TBI, intracranial bleeds, and post-TPA care ... life insurance beginning day one of your assignment, generous 401(k) match, substantial housing ...
Springfield, OR · On-site
$24.75 - $33.50/hr
Convert student health insurance rates to daily rates for system entry; validate accuracy with ... Monitor pending payment accounts; maintain tracking tools such as SharePoint and assist with TPA ...
Springfield, OR · On-site
$24.75 - $33.50/hr
Convert student health insurance rates to daily rates for system entry; validate accuracy with ... Monitor pending payment accounts; maintain tracking tools such as SharePoint and assist with TPA ...
$24.75 - $33.50/hr
Convert student health insurance rates to daily rates for system entry; validate accuracy with ... Monitor pending payment accounts; maintain tracking tools such as SharePoint and assist with TPA ...
$24.75 - $33.50/hr
Convert student health insurance rates to daily rates for system entry; validate accuracy with ... Monitor pending payment accounts; maintain tracking tools such as SharePoint and assist with TPA ...
Tualatin, OR · On-site
Validate scopes of work with insurance adjusters, consultants, TPA's and property owners/managers to ensure project alignment before work is started. * Ensure all projects adhere to proper building ...
Tualatin, OR · On-site
Validate scopes of work with insurance adjusters, consultants, TPA's and property owners/managers to ensure project alignment before work is started. * Ensure all projects adhere to proper building ...
$98K - $152K/yr
Experience within a TPA, managed care company, PBM, or network management environment strongly ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
$98K - $152K/yr
Experience within a TPA, managed care company, PBM, or network management environment strongly ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
$24.75 - $33.50/hr
Convert student health insurance rates to daily rates for system entry; validate accuracy with ... Monitor pending payment accounts; maintain tracking tools such as SharePoint and assist with TPA ...
$24.75 - $33.50/hr
Convert student health insurance rates to daily rates for system entry; validate accuracy with ... Monitor pending payment accounts; maintain tracking tools such as SharePoint and assist with TPA ...
Tualatin, OR · On-site
$87K - $100K/yr
Our extensive benefits include medical, dental, vision, life insurance, flexible spending accounts ... Works with TPA and auditors to conduct annual 401(k) plan testing and audit. * Oversees the ...
Tualatin, OR · On-site
$87K - $100K/yr
Our extensive benefits include medical, dental, vision, life insurance, flexible spending accounts ... Works with TPA and auditors to conduct annual 401(k) plan testing and audit. * Oversees the ...
$29.6K - $37K
7% of jobs
$37K - $44.4K
5% of jobs
$48.5K is the 25th percentile. Wages below this are outliers.
$44.4K - $51.8K
22% of jobs
The median wage is $58.3K / yr.
$51.8K - $59.2K
17% of jobs
$59.2K - $66.6K
15% of jobs
$72.8K is the 75th percentile. Wages above this are outliers.
$66.6K - $74K
10% of jobs
$74K - $81.4K
2% of jobs
$81.4K - $88.8K
1% of jobs
$88.8K - $96.2K
11% of jobs
$96.2K - $103.6K
7% of jobs
$103.6K - $111K
2% of jobs
$29.6K
$65.9K
$111K
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.

$65K - $85K/yr
Full-time
Medical, Dental, Retirement, PTO
Posted 24 days ago
Who We Are
Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we're shaping a healthier, more engaged future.
ResponsibilitiesReady to Build Lasting Relationships That Drive TPA Client Success?Why This Role Matters
Account Managers in TPA environments aren't just relationship coordinators-they're operational lifelines who keep complex client relationships running smoothly through proactive service and quick problem resolution. As our Account Manager, you'll serve as the primary day-to-day contact for assigned self-funded group clients, handling inquiries, coordinating internal teams, and ensuring service commitments are met consistently. You'll partner closely with Strategic Account Executives to support strategic planning and QBR execution while owning the operational details that determine whether clients feel supported or frustrated. Your ability to monitor service levels, prepare reports, and resolve issues before they escalate directly impacts client satisfaction and retention.
What You'll Actually Do
Serve as primary client contact: Act as the main point of contact for assigned clients, responding promptly to inquiries and providing creative solutions that meet client needs.
Monitor service delivery: Track and manage service levels to ensure timely issue resolution, compliance, and adherence to contractual commitments.
Prepare client reporting: Develop and deliver standard and custom client reports covering claims, utilization, and other key metrics for client review.
Coordinate internal resources: Partner with cross-functional teams across claims, eligibility, and compliance to meet client needs and deliver seamless service.
Support strategic initiatives: Assist with renewals, plan changes, and strategic initiatives while supporting delivery of QBRs and renewal processes.
Maintain documentation: Keep accurate client records, communication logs, and CRM system entries to ensure continuity and accountability.
Escalate appropriately: Identify and escalate complex issues to Strategic Account Executive or Director when client needs exceed standard resolution pathways.
Support client onboarding: Assist with new client onboarding and internal system setup to ensure smooth transitions.
Stay regulatory-informed: Maintain knowledge of regulatory issues affecting benefit plans and proactively update clients when requirements change.
Develop product expertise: Build thorough knowledge of Personify Health benefit-related products through ongoing training and product updates.
QualificationsWhat You Bring to Our Team
Education & Experience:
Technical Skills:
Benefits
The Highlights:
Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks.
Compensation: This position offers a base salary range of $65,000-$85,000, depending on location, skills, and experience. You're eligible for our full benefits package starting day one.
Our Commitment: Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive-because diversity is core to who we are and critical to our work in health and wellbeing.
Stay Safe: Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to talent@personifyhealth.com. View all legitimate openings at personifyhealth.com/careers.
Employment Type: FULL_TIME