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Remote Tpa Insurance Jobs (NOW HIRING)

Navtech, Inc.

Claims Analytics Manager

Remote (PA) Duration : Long term Contract As a member of our TPA Operations team, the Manager, TPA ... Background in TPA, Insurance and Claims is strongly preferred * Experience with data modeling ...

SISCO

TPA Sales Executive (Fully Remote)

Dubuque, IA · Remote

Knowledge of ERISA, Affordable Care Act, Insured Ancillary/Voluntary coverages, Affinity Programs ... TPA operations and related cost control point solutions * Prefer CEBS, Self-Funded Specialist ...

Mercor

Health Insurance Expert - Compliance

New York, NY · Remote

$1.1K - $1.4K/wk

Remote Role Responsibilities * Review and evaluate AI-generated outputs related to plan benefit ... TPA, PBM, or managed care organization. * Background in claims processing, medical underwriting ...

FAVARH

Plan Manager-TPA

Phoenix, AZ · On-site +1

$56K - $70K/yr

This position allows remote work from home but will require travel to our Voya office as business ... Health, dental, vision and life insurance plans * 401(k) Savings plan - with generous company ...

Capstone Search Group

Be Seen First

Vice President, Workers Compensation Claims - Remote (10211)

Chicago, IL · Remote

$150K - $190K/yr

About the Role 100% remote, work-from-home insurance job opening for an accomplished leader to ... Minimum 10-12 years of related insurance industry experience; TPA experience is required.

New

OneDigital

Self-Funded Analyst - Remote

$90K - $100K/yr

Working knowledge of group insurance underwriting across self-funded, stop loss, and fully insured plans (Required) * Demonstrated knowledge of TPA (ASO) pricing, marketing and networks (required)

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Remote Tpa Insurance information

What are the main challenges faced by professionals working remotely in TPA insurance roles, and how can they be addressed?

Professionals in remote TPA (Third Party Administrator) insurance roles often face challenges such as maintaining clear communication with clients, managing sensitive data securely, and staying updated on regulatory changes. To address these, it’s important to utilize secure collaboration tools, establish regular virtual meetings, and participate in ongoing training. Building strong digital workflows and maintaining responsiveness help ensure high service quality and effective teamwork, even when working from different locations.

What is the difference between Remote Tpa Insurance vs Remote Claims Adjuster?

AspectRemote Tpa InsuranceRemote Claims Adjuster
CredentialsInsurance licenses, TPA certificationsAdjuster licenses, insurance knowledge
Work EnvironmentHome-based, insurance company or TPA firmHome-based, insurance carriers or third-party administrators
Industry UsageUsed by TPAs managing claims for insurersHandles claims processing and settlement
Job FocusManaging claims processes, compliance, client communicationEvaluating damages, settling claims, investigations

Remote Tpa Insurance and Remote Claims Adjuster roles both involve claims management but differ in focus. TPA professionals oversee claims processes for insurers, often working within third-party administration firms, while claims adjusters evaluate damages and settle claims directly. Both roles require insurance knowledge and licenses, but their daily tasks and employer types vary.

What is a Remote TPA Insurance job?

A Remote TPA (Third Party Administrator) Insurance job involves managing insurance claims, policies, and administrative tasks for insurance companies from a remote location. TPAs act as intermediaries between insurance companies and policyholders, handling claims processing, customer service, and compliance tasks. Working remotely means these professionals use digital tools and communication platforms to perform their duties outside of a traditional office setting. Remote TPA Insurance jobs require strong organizational, communication, and technical skills, as well as a good understanding of insurance processes and regulations.

What are the key skills and qualifications needed to thrive as a Remote TPA Insurance professional, and why are they important?

To thrive as a Remote TPA (Third Party Administrator) Insurance professional, you need strong knowledge of insurance policies, claims processing, and regulatory compliance, typically supported by a relevant degree or insurance certifications. Familiarity with claims management systems, insurance software like Guidewire, and secure communication platforms is essential. Excellent attention to detail, organizational skills, and clear communication set top performers apart, especially in a remote environment. These skills ensure accurate claims handling, regulatory adherence, and efficient client service, which are crucial for client satisfaction and organizational success.
More about Remote Tpa Insurance jobs
What cities are hiring for Remote Tpa Insurance jobs? Cities with the most Remote Tpa Insurance job openings:
What states have the most Remote Tpa Insurance jobs? States with the most job openings for Remote Tpa Insurance jobs include:
What job categories do people searching Remote Tpa Insurance jobs look for? The top searched job categories for Remote Tpa Insurance jobs are:
Remote Tpa Insurance jobs near you
Infographic showing various Remote Tpa Insurance job openings in the United States as of July 2026, with employment types broken down into 86% Full Time, 9% Part Time, and 5% Contract. Highlights an 5% In-person, and 95% Remote job distribution.
Claims Analytics Manager

Claims Analytics Manager

Navtech, Inc.

Remote

Full-time

Re-posted 18 days ago

Job description

I have an opportunity for "Claims Analytics Manager - REMOTE" and I am looking for a candidate who can join Immediately if you are interested, reply to me with your updated resume or if you could refer someone I would really appreciate it.
Position : Claims Analytics Manager
Location : Remote (PA)
Duration : Long term Contract
As a member of our TPA Operations team, the Manager, TPA Business Analytics will lead a team of Analytics and Metrics Specialists who are responsible for the data analysis and reporting of PMA Management Corp. The Assistant Manager will have responsibility for setting the strategy for the team, developing new analytic capabilities for the organization and will partner with members of Operations, Sales, Service, and Claims Leadership to define and advance these objectives.
Responsibilities
  • Design, plan and manage the execution of business metrics and analytics transformation initiatives
  • Drive reporting functionality and business insights from data analysis. Provide actionable recommendations based on analysis of the data that will result in operational improvement and efficiency
  • Define and manage project scope, timelines and deliverables and identify the interdependencies across projects and functions
  • Evaluate broker portals and digital sales platforms to improve outcomes related to lead generation and new business development
  • Develop staff to respond to current and anticipated needs of the department as well as determining career development goals of individuals on the team
  • Provide business and technical expertise for the analytics process, tools and applications for PMAMC. Serve as the champion to advanced analytics and ensure the coordination of data and analytics into the decision making process.
  • Partner with other PMA leaders from other functions to contribute to large-scale strategic projects as well as ongoing operational activities from a data perspective
  • Analyze the business KPIs and metrices that help to drive effective decision making of the claims, sales and service functions
  • Oversee the production and distribution of weekly, monthly and ad hoc senior management reports and presentations
  • Engage in continuous learning of the TPA business environment so as to improve organizational outcomes
  • Support Actuarial department to develop profitability analysis by line of business and for core and enhanced services
  • Ensure the highest level of customer services across the strategic initiative and business insight teams. Promote ongoing spirit of collaboration, teamwork and engagement with all areas
  • Identifies and recommends opportunities to increase effectiveness and efficiency with focus on driving the standardization, optimization, automation of analytics strategy
  • Oversee the design, implementation and best practices of Sharepoint sites and applications
  • Promote effective communication among and between work groups and between management and employees.
  • Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

Requirements
  • BS in Mathematics, Economics, Business, Computer Science, Information Management or Statistics or equivalent professional experience, typically defined as 5+ years, in the insurance industry is required
  • MBA or other advanced degree is preferred
  • Experience with analytics in the commercial casualty insurance industry required.
  • Experience with analytics in the workers compensation insurance industry strongly preferred
  • Background in TPA, Insurance and Claims is strongly preferred
  • Experience with data modeling strongly preferred
  • Demonstrated experience managing, leading, coaching and developing a team of analytics professionals is preferred
  • Excellent customer service and collaboration skills gained through previous work experience
  • Advanced knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
  • Excellent Excel and MS Access skills required; knowledge of HTML, SQL, VBA preferred
  • Proficiency with Power BI strongly preferred
  • Knowledge of Sharepoint 365/Sharepoint Online platform functionality preferred
  • Solid understanding of communication and collaboration technologies
  • Experience with data visualization tools
  • Exceptional project management skills
  • Ability to challenge status quo and work under ambiguous circumstances
  • Ability to work in a matrixed environment and to work and collaborate with others considering the needs of all affected groups
  • Ability to build/leverage relationships across functions and the organization to achieve business results
  • Strong execution ability and sense of urgency
  • Excellent verbal and written communication skills.
  • Ability to travel for business purposes; approximately 15%

Regards
Alex . K
NAVTECH INC
1600 Golf Road. Suite 1200, Rolling Meadows, IL 60008
Ph: (224) 348-1340 || Email: alex@navtechusa.com || www.navtechusa.com
E-Verified Company
Navtech logo

About Navtech

Sourced by ZipRecruiter

Industry

Civil engineering construction

Company size

11 - 50 Employees

Headquarters location

New Bloomfield, PA, US

Year founded

1996

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