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Insurance Tpa Jobs in Pennsylvania (NOW HIRING)

Minimum 7 years Insurance Claims experience * Minimum 7 years TPA knowledge * Strong communication skills, both verbal and written * Demonstrated ability to effectively prioritize multiple ...

Minimum 7 years Insurance Claims experience * Minimum 7 years TPA knowledge * Strong communication skills, both verbal and written * Demonstrated ability to effectively prioritize multiple ...

Experience managing claims in an unbundled insurance model. * Experience with NY Labor Law desired ... TPA and clients to produce desired outcomes, as well as with other internal and external ...

New

Work closely with claims, TPA, and accounting on overall insurance reserves. Responsible for monthly reporting to senior management on claims costs and trends. Identify costs/ benefits of insurable ...

Work closely with claims, TPA, and accounting on overall insurance reserves. Responsible for monthly reporting to senior management on claims costs and trends. Identify costs/ benefits of insurable ...

Work closely with claims, TPA, and accounting on overall insurance reserves. Responsible for monthly reporting to senior management on claims costs and trends. Identify costs/ benefits of insurable ...

Claim Account Manager, NAC

Philadelphia, PA · Hybrid

$111.10K - $150K/yr

... insured business * Attend mediations and trials. * Granting reserve and settlement authority on cases above the TPA's authority * Making coverage determinations and writing Reservation of Rights and ...

Claim Account Manager, NAC

Philadelphia, PA · Hybrid

$111.10K - $150K/yr

... insured business * Attend mediations and trials. * Granting reserve and settlement authority on cases above the TPA's authority * Making coverage determinations and writing Reservation of Rights and ...

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Showing results 1-20

Insurance Tpa information

See Pennsylvania salary details

$28.1K

$62.4K

$105.3K

How much do insurance tpa jobs pay per year?

As of May 28, 2026, the average yearly pay for insurance tpa in Pennsylvania is $62,432.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,100.00 and $83,700.00 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.
Infographic showing various Insurance Tpa job openings in Pennsylvania as of May 2026, with employment types broken down into 100% Full Time. Highlights an 99% Physical, and 1% Hybrid job distribution, with an average salary of $62,432 per year, or $30 per hour.

TPA Management Specialist

Archgroup

Philadelphia, PA • Hybrid

$100K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago


Job description

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility.

Responsibilities

  • Independently manage assigned Third Party Administrator (TPA) relationships
  • Address and resolve TPA performance issues in coordination with internal partners (Stat Reporting, Finance, Claims Finance, DQ, Claims IT, Underwriting, Claims, Legal)
  • Collaborate with internal partners to identify and address process gaps or potential efficiencies
  • Manage day to day issues and inquiries from our TPAs and internal partners
  • Complete comprehensive due diligence reviews of potential new TPAs
  • Complete multi-step onboarding process of new TPAs
  • Participate in projects as requested
  • Complete annual TPA reviews, PWC testing and other key initiatives for assigned TPAs
  • Mentor and train new team members
  • Other duties as assigned

Experience & Required Skills

  • Minimum 7 years Insurance Claims experience
  • Minimum 7 years TPA knowledge
  • Strong communication skills, both verbal and written
  • Demonstrated ability to effectively prioritize multiple responsibilities
  • Detail and results-oriented
  • Team oriented
  • Demonstrated ability to problem solve

Education

  • Bachelor's degree

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For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$100,000 - $120,000/year

  • Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

  • Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you.If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.

14400 Arch Insurance Group Inc.