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Insurance Tpa Jobs in Texas (NOW HIRING)

BC&L INC

TPA Services Manager

Austin, TX

Bachelor's degree in Business, Healthcare Administration, Insurance, or a related field; or equivalent work experience. * 3-5 years of experience in TPA operations, health insurance claims, or ...

Incline P&C Group

Vice President, Claims

Austin, TX · On-site

Experience: 10+ years of claims management or claims leadership experience within insurance, MGA, or TPA environments. Demonstrated experience overseeing multi-line claims portfolios and complex ...

Incline P&C Group

Vice President, Claims

Austin, TX · On-site

$180 - $240/hr

Experience: 10+ years of claims management or claims leadership experience within insurance, MGA, or TPA environments. Demonstrated experience overseeing multi-line claims portfolios and complex ...

Archgroup

Claims Data Quality Analyst

Dallas, TX · Hybrid

$75K - $95K/yr

Produce ad-hoc reporting for TPA, Business, IT teams, and external partner. Experience & Required Skills * At least two (2) years of work experience at an insurance company and/or insurance claims ...

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Insurance Tpa information

See Texas salary details

$26.1K

$58K

$97.8K

How much do insurance tpa jobs pay per year?

As of Aug 10, 2026, the average yearly pay for insurance tpa in Texas is $58,026.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $77,800.00 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 the most commonly searched types of Insurance Tpa jobs in Texas? The most popular types of Insurance Tpa jobs in Texas are:
What are popular job titles related to Insurance Tpa jobs in Texas? For Insurance Tpa jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Insurance Tpa jobs in Texas look for? The top searched job categories for Insurance Tpa jobs in Texas are:
What cities in Texas are hiring for Insurance Tpa jobs? Cities in Texas with the most Insurance Tpa job openings:
Insurance Tpa jobs near you
Infographic showing various Insurance Tpa job openings in Texas as of August 2026, with employment types broken down into 100% Full Time. Highlights an 85% In-person, 4% Hybrid, and 11% Remote job distribution, with an average salary of $58,026 per year, or $27.9 per hour.

TPA Services Manager

BC&L INC

Austin, TX

Full-time

Re-posted 10 hours ago

Job description

The TPA Services Manager is responsible for the daily supervision and coordination of core TPA operations, including claims processing, member services and assigned special projects. This role ensures that operational workflows run efficiently, service standards are met, and staff are supported in delivering accurate and timely results. The Manager works closely with the Director of TPA Services to implement departmental goals and serves as a key point of escalation for team leads and staff.

Key responsibilities may include:

  • Claims Processing
    • Supervise day-to-day claims intake, adjudication, and payment workflows to ensure accuracy and timely turnaround.
    • Monitor claims inventory and production queues; identify and resolve backlogs or processing errors.
    • Conduct routine audits and quality checks; report error trends and support corrective action plans.
    • Assist staff with complex or escalated claims questions; coordinate with plan documents and benefit summaries.
    • Ensure claims operations remain compliant with ERISA, HIPAA, and applicable plan requirements.
  • Member Services & Call Center
    • Oversee daily call center operations including staff scheduling, queue monitoring, and real-time performance tracking.
    • Coach and support member services representatives to maintain call quality, accuracy, and professionalism.
    • Handle escalated member inquiries, complaints, and grievances in a timely and empathetic manner.
    • Track and report on call center KPIs (first-call resolution, handle time, member satisfaction) and flag areas for improvement.
  • Special Projects
    • Manage assigned operational projects such as process improvement initiatives, system upgrades, or client onboarding support.
    • Develop project task lists, coordinate team participation, and track progress against defined timelines.
    • Communicate project status updates to the Director and relevant stakeholders.
    • Document new or revised workflows and ensure staff are trained on updated procedures.
  • Team Leadership & Administration
    • Directly supervise TPA operations staff; conduct performance check-ins, provide feedback, and support professional development.
    • Assist with onboarding and training of new team members across all functional areas.
    • Foster a collaborative, accountable team environment focused on quality and member service.
    • Prepare operational reports and dashboards for leadership review on a regular cadence.

Required

  • Bachelor’s degree in Business, Healthcare Administration, Insurance, or a related field; or equivalent work experience.
  • 3–5 years of experience in TPA operations, health insurance claims, or managed care administration.
  • 1–2 years of supervisory or team lead experience.
  • Working knowledge of claims processing, member services operations, and stop loss concepts.
  • Familiarity with ERISA, HIPAA, and self-funded health plan administration basics.
  • Strong organizational skills and ability to manage multiple priorities in a deadline-driven environment.
  • Proficient in Microsoft Office and claims management or benefits administration systems.

Preferred

  • Professional certification such as CEBS, AHM, or equivalent.
  • Experience with self-funded employer group administration.
  • Experience with TPA platforms (e.g., DialPad, ElDorado, or similar).

Apply