... payer/TPA/PBM benefits. * Expertise in using SQL to join complex datasets, investigate ... Health, dental, and vision insurance. * 401(k) w/ 4% match. * Ample opportunity for career ...
New
... payer/TPA/PBM benefits. * Expertise in using SQL to join complex datasets, investigate ... Health, dental, and vision insurance. * 401(k) w/ 4% match. * Ample opportunity for career ...
New
Remote Tpa Insurance information
What is a remote TPA Insurance?
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?
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.
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?
| Aspect | Remote Tpa Insurance | Remote Claims Adjuster |
|---|---|---|
| Credentials | Insurance licenses, TPA certifications | Adjuster licenses, insurance knowledge |
| Work Environment | Home-based, insurance company or TPA firm | Home-based, insurance carriers or third-party administrators |
| Industry Usage | Used by TPAs managing claims for insurers | Handles claims processing and settlement |
| Job Focus | Managing claims processes, compliance, client communication | Evaluating 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 are popular job titles related to Remote Tpa Insurance jobs in Nevada?
For Remote Tpa Insurance jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Remote Tpa Insurance jobs in Nevada look for?
The top searched job categories for Remote Tpa Insurance jobs in Nevada are:
What cities in Nevada are hiring for Remote Tpa Insurance jobs?
Cities in Nevada with the most Remote Tpa Insurance job openings:
Healthcare Data and Analytics Specialist - Remote - USA
Las Vegas, NV • On-site, Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 3 days ago
New
Job description
About FullStack
FullStack is one of the fastest-growing software consultancy companies in the Americas. We deliver transformational digital solutions to top global companies and Silicon Valley startups. As an employee-first company, we focus on hiring the most talented software designers and developers by creating a positive, respectful, and supportive work environment where they can achieve their greatest potential.
We're most proud of:
The Position
We're looking to hire a Healthcare Data and Analytics Specialist to join our team. You'll work with our incredible clients in one of two ways:
What We Are Looking For
What We Offer
FullStack is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status.
Learn more about our Applicants Privacy Notice .
FullStack is one of the fastest-growing software consultancy companies in the Americas. We deliver transformational digital solutions to top global companies and Silicon Valley startups. As an employee-first company, we focus on hiring the most talented software designers and developers by creating a positive, respectful, and supportive work environment where they can achieve their greatest potential.
We're most proud of:
- Offering life-changing career opportunities to talented software professionals across the Americas.
- Building highly-skilled software development teams for hundreds of the world's greatest companies.
- Having delivered hundreds of successful custom software solutions, which have positively impacted the lives and careers of millions of users.
- Our 4.2-star rating on GlassDoor.
- Our client Net Promoter Score of 68, twice the industry average.
The Position
We're looking to hire a Healthcare Data and Analytics Specialist to join our team. You'll work with our incredible clients in one of two ways:
- Team Augmentation: You will integrate directly into our client's team and work alongside their existing designers and engineers daily.
- Design & Build: You will work on a FullStack product team to build and deliver a product to our clients.
What We Are Looking For
- 5+ years of professional software engineering, data analysis, or data operations experience.
- Advanced English is required.
- Successful completion of a four-year college degree is required.
- Deep experience in working with healthcare data, including medical claims, pharmacy claims, eligibility, enrollment, or payer/TPA/PBM benefits.
- Expertise in using SQL to join complex datasets, investigate discrepancies, and construct maintainable analytical logic.
- Solid background in healthcare data validation, reconciliation, data quality monitoring, and data operations workflows.
- Solid understanding of healthcare claims structures, terminology, utilization, and financial metrics (such as allowed and paid amounts).
- Track record of creating recurring analytical reporting, data dictionaries, and metric definitions for clients, employers, or executives.
- Demonstrated experience investigating data issues and tracing discrepancies through different stages of a data ecosystem.
- Comfortable working with relational databases (such as PostgreSQL) and familiar with file transmissions like SFTP, flat files, or APIs.
- Knowledgeable in HIPAA compliance, protected health information (PHI) regulations, and healthcare data security controls.
- Ability to work through new and difficult issues and contribute to libraries as needed.
- Ability to create and maintain continuous integration and delivery of applications.
- Forensic attention to detail.
- A positive mindset and a can-do attitude.
- Experience working on Agile/Scrum teams.
- Meaningful experience working on large, complex systems.
- Ability to take extreme ownership over your work. Every day is a challenge to ensure you are performing to the expectations you and your team have agreed upon.
- Ability to identify with the goals of FullStack's clients and dedicate yourself to delivering on the commitments you and your team make to them.
What We Offer
- Competitive Salary.
- Paid Time Off (vacation, sick leave. parental leave, and holidays).
- 100% remote work.
- The ability to work with leading startups and Fortune 500 companies.
- Health, dental, and vision insurance.
- 401(k) w/ 4% match.
- Ample opportunity for career advancement.
- Continuing education opportunities.
FullStack is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status.
Learn more about our Applicants Privacy Notice .
About FullStack Labs
Sourced by ZipRecruiter
FullStack Labs is the fastest-growing software consultancy in the Americas. We help organizations like Uber, GoDaddy, MGM, Siemens, Stanford University, and the State of California, build distributed software development teams, and deliver transformational digital solutions. As an employee-first company, we focus on hiring the most talented software designers and developers in the western hemisphere, by creating a positive, respectful, and supportive work environment where they can achieve their greatest potential.
Industry
It services
Company size
11 - 50 Employees
Headquarters location
Sacramento, CA, US
Year founded
2013