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Insurance Tpa Jobs in Virginia (NOW HIRING)

Project Coordinator

Lorton, VA · On-site

$42K - $62K/yr

... insurance carriers, TPAs, property managers, and homeowners to deliver fast, compliant, and high-quality restoration services. We are seeking an experienced Project Coordinator with strong TPA/SLA ...

Provide approval authority to TPA representatives for settlement of cases and approve increases in case reserves up to assigned authority levels. * Provide insurance underwriters with updates on high ...

The TPA is responsible for the coordination, facilitation, and implementation efforts of ... Medical, Dental, and Prescription Drug Insurance * Paid Holidays * Generous PTO * 403B Retirement ...

Restoration estimator

Lorton, VA · On-site

$70K - $85K/yr

Dental insurance * Free uniforms * Health insurance * Paid time off * Profit sharing * Vision ... Respond to adjuster and TPA revision requests * Work with project managers, coordinators, adjusters ...

RN - Critical Care

Ashburn, VA · On-site

$61K - $130K/yr

... Post neuro surgery, RRT, SICU, TPA admin, Transplant, or Vascular intervention. * Shift(s ... Health Insurance, Level 1 trauma center, Level 1 trauma center, Level 2 trauma center, Life ...

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Showing results 1-20

Insurance Tpa information

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 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, 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 are the most commonly searched types of Insurance Tpa jobs in Virginia? The most popular types of Insurance Tpa jobs in Virginia are:
What are popular job titles related to Insurance Tpa jobs in Virginia? For Insurance Tpa jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Insurance Tpa jobs in Virginia look for? The top searched job categories for Insurance Tpa jobs in Virginia are:
Infographic showing various Insurance Tpa job openings in Virginia as of July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 22% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Restoration Project Coordinator

Royal Restoration Inc.

Lorton, VA • On-site

$51K - $62K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 days ago


Job description

Benefits:
  • 401(k)
  • Bonus based on performance
  • Competitive salary
  • Dental insurance
  • Free uniforms
  • Health insurance
  • Paid time off
  • Profit sharing
  • Signing bonus
  • Training & development
  • Vision insurance

Job description:

Royal Restoration is a growing property damage restoration company specializing in emergency water mitigation, mold remediation, fire and smoke mitigation, contents services, and reconstruction.
We work closely with insurance carriers, third-party administrators (TPAs), property managers, and homeowners to deliver fast, compliant, and high-quality restoration services.
We are seeking an experienced Restoration Project Coordinator to coordinate projects across our Emergency Mitigation, Contents, and Reconstruction divisions. The ideal candidate will have strong restoration-industry experience, knowledge of insurance and TPA workflows, and the ability to manage multiple projects from intake through completion and invoicing.
Position Overview
The Restoration Project Coordinator is responsible for supporting and coordinating restoration projects throughout the entire job lifecycle.
This position handles emergency mitigation, mold remediation, fire and smoke mitigation, contents, and reconstruction projects. The coordinator will work closely with project managers, field teams, estimators, customers, adjusters, subcontractors, and TPA reviewers to keep projects organized, compliant, and moving forward.
This role is ideal for someone who understands restoration workflows, insurance documentation requirements, and the urgency of property damage claims.
Key Responsibilities
  • Coordinate water mitigation, mold remediation, fire and smoke mitigation, contents, and reconstruction projects
  • Manage new job intake, customer contact, work authorizations, contracts, and required insurance documentation
  • Coordinate emergency dispatches, inspections, crew schedules, equipment, subcontractors, and project milestones
  • Track projects from initial assignment through mitigation, contents handling, repairs, completion, and invoicing
  • Maintain compliance with TPA programs, including:
    • Contractor Connection
    • Alacrity
    • Sedgwick
  • Perform, review, and maintain MICA moisture mapping and drying documentation
  • Upload and manage photographs, moisture readings, drying logs, reports, estimates, invoices, and completion documents
  • Communicate regularly with customers, adjusters, TPA reviewers, property managers, subcontractors, and internal team members
  • Assist project managers and estimators with estimates, supplements, change orders, approval requests, and documentation
  • Coordinate contents pack-outs, inventories, cleaning, storage, and pack-backs
  • Track reconstruction schedules, material selections, permits, subcontractors, inspections, and customer approvals
  • Ensure projects meet TPA KPIs, carrier requirements, internal deadlines, and documentation standards
  • Monitor job statuses and follow up on outstanding approvals, documents, payments, and customer decisions
  • Maintain accurate notes, task lists, project updates, and internal reports
  • Help prevent project delays, documentation deficiencies, billing issues, and payment denials
  • Support project managers, estimators, accounting staff, and field teams throughout the project lifecycle
  • Provide professional and timely communication to customers and insurance representatives
Required Qualifications
  • Experience coordinating restoration, construction, or insurance-related projects
  • Experience with emergency mitigation, contents, and/or reconstruction workflows
  • Hands-on experience with TPA programs is strongly preferred, including:
    • Contractor Connection
    • Alacrity
    • Sedgwick
  • MICA moisture mapping software experience is strongly preferred
  • Understanding of water mitigation documentation, moisture mapping, drying standards, and job-site reporting
  • Understanding of reconstruction scheduling, change orders, material selections, and project documentation
  • Strong organizational and time-management skills
  • Excellent written and verbal communication skills
  • Ability to manage multiple active projects in a fast-paced environment
  • High attention to detail and strong follow-through
  • Ability to communicate professionally with customers, adjusters, reviewers, subcontractors, and field personnel
  • Comfortable using restoration estimating, documentation, and project-management software
Preferred Qualifications
  • Xactimate experience
  • Experience with Dash, MICA, XactAnalysis, or similar restoration software
  • Experience with large-loss or multi-unit restoration projects
  • Knowledge of insurance billing, invoicing, supplements, and payment processes
  • Experience coordinating contents pack-outs and pack-backs
  • Prior restoration, insurance, or construction office experience
  • Knowledge of TPA performance metrics, service-level requirements, and documentation standards
What We Offer
This position offers an engaging opportunity for a highly organized restoration professional who enjoys coordinating projects, solving problems, and helping customers recover from property damage.
The Restoration Project Coordinator plays an important role in ensuring that mitigation, contents, and reconstruction projects are completed efficiently, professionally, and in compliance with insurance and TPA requirements.
Job Type: Full-time
Benefits
  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Paid training
  • Vision insurance
Work Location: In person