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Remote Tpa Insurance Jobs in Portland, OR (NOW HIRING)

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?

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.

Workers Compensation Claims Consultant

Alera Group

Portland, OR • On-site, Remote

$80K - $110K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 4 days ago


Alera Group rating

7.5

Company rating: 7.5 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

224th of 311 rated insurance


Job description

OVERVIEW

Alera Group is looking for a Workers Compensation Claims Consultant. We are seeking highly motivated colleagues who bring experience and enthusiasm to our team – joining us may be the perfect fit for you!  

Founded in 2017, Alera Group has grown to become the 14th largest broker of U.S. business. We are passionate about our clients’ success in Employee Benefits, Property & Casualty Insurance, and Financial Services. With offices nationwide, our collaborative approach allows us to deliver national strength with local service.


RESPONSIBILITIES

Primary Role:

The WC Claims Consultant’s role is to work effectively with our clients building solid relationships and retaining business. The WC Consultant works with all sales executives, internal staff in commercial lines departments, and externally with our clients, carriers and vendors. Service timeline focus is on larger valued or 360 Clients for onboarding new accounts and establishing claims services with their carrier/TPA/applicable vendors, providing claims oversight, employer training, and scheduling claim reviews and various presentations.

Duties also include providing claims service for all clients providing technical expertise and servicing as an advocate on client WC claim issues. WC Claims Consultants work independently with clients and their carrier/TPA consulting on large reserves, coverage issues, return to work issues, settlements, and other items that have a significant impact on retention and premiums. They may also present to prospects and clients at renewals, stewardship meetings and claim reviews.


QUALIFICATIONS
  • Contact with clients, carrier and TPA claims adjusters, internal customers, and vendors on regular basis to serve as advocate, liaison, mediator, resource & problem solver
  • Prepare, coordinate & present claim reviews, risk analysis, status spreadsheets and other claim meetings as requested
  • When coverage issues arise, will research potential solutions through a review of client’s policies and then advocate on client's behalf with carrier
  • Participate with or without sales executives in presentations to current clients, prospects, proposals, and RFP presentations
  • Documentation and diary maintenance on key claims in Sagitta and ImageRight
  • Function as back-up for other WC Claims Team members
  • Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities
  • Provide claims management training, “WC 101” to clients to educate them on the claims process.
  • Strong attention to detail, dependability, and ability to follow through on tasks.
  • Proficiency in Sagitta, ImageRight, claims functions, carrier websites, and MS Office (Word, Excel, Outlook, PowerPoint)
  • Excellent oral and written communication skills, including public speaking and presenting to groups.
  • Washington and/or Oregon Agent’s License with at least 5 years of experience in commercial, personal multiline, and workers' compensation claims
  • Expertise in complex loss analysis and commitment to continued insurance education (e.g., INS, AIC, SCLA, CPCU, CCM)

ADDITIONAL INFORMATION

· Minimum 5 years claims experience related to Workers’ Compensation

· Proficient in complex loss analysis

· Familiarity with and experience in WC claims litigation

· Continued pursuit of professional designations (e.g., INS, AIC, SCLA, CPCU, ARM)

**California and Oregon experience preferred**

Alera Group offers comprehensive benefits to our colleagues, including medical, dental, life and disability insurance, 401k, generous paid time off and much more. 

Salary range is $80K to $110K per year.

We are anequal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class. 

If you're a California resident, please read theCalifornia Consumer Privacy Actprior to applying. 

#LI-SE1 

#LI-Hybrid

#LI-Remote


Location Type
RemoteQualifications:
  • Contact with clients, carrier and TPA claims adjusters, internal customers, and vendors on regular basis to serve as advocate, liaison, mediator, resource & problem solver
  • Prepare, coordinate & present claim reviews, risk analysis, status spreadsheets and other claim meetings as requested
  • When coverage issues arise, will research potential solutions through a review of client’s policies and then advocate on client's behalf with carrier
  • Participate with or without sales executives in presentations to current clients, prospects, proposals, and RFP presentations
  • Documentation and diary maintenance on key claims in Sagitta and ImageRight
  • Function as back-up for other WC Claims Team members
  • Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities
  • Provide claims management training, “WC 101” to clients to educate them on the claims process.
  • Strong attention to detail, dependability, and ability to follow through on tasks.
  • Proficiency in Sagitta, ImageRight, claims functions, carrier websites, and MS Office (Word, Excel, Outlook, PowerPoint)
  • Excellent oral and written communication skills, including public speaking and presenting to groups.
  • Washington and/or Oregon Agent’s License with at least 5 years of experience in commercial, personal multiline, and workers' compensation claims
  • Expertise in complex loss analysis and commitment to continued insurance education (e.g., INS, AIC, SCLA, CPCU, CCM)
Education:UNAVAILABLEEmployment Type: FULL_TIME

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