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Remote Tpa Insurance Jobs (NOW HIRING)

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 ...

CFS

Controller

Tampa, FL · Remote

$140K/yr

Remote (Nationwide - Eastern hours required) Salary: $140,000+ depending on experience Why This ... Ideal for someone with deep TPA, automotive warranty, VSC, or specialty insurance experience Key ...

APR

Employee Benefits Account Manager | Remote

Kansas, KS · Remote

$75K - $90K/yr

Job: Employee Benefits Account Manager | Remote Salary: $75,000 - $90,000 + Benefits Location ... Background in an insurance agency, TPA, medical practice, or carrier setting. * Experience managing ...

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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
Account Manager II - TPA (Remote)

Account Manager II - TPA (Remote)

CareFirst

Baltimore, MD • Remote

Other

Medical, Life, Retirement

Posted 13 days ago

CareFirst BlueCross BlueShield rating

7.4

Company rating: 7.4 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

206th of 263 rated insurance

Job description

Resp & Qualifications

CANDIDATES MUST LIVE IN THE MD, DC, NORTHEN VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS. 

ACTIVE HEALTH AND LIFE LICENSE IS REQUIRED.

PURPOSE: 
As a key member of our Account Management Team, the Account Manager II plays a pivotal role in driving client success and business growth. This position combines strategic consulting, relationship management, and marketing expertise to deliver exceptional value to our clients. Youll serve as a trusted advisor, promoting our suite of benefits and services, and leading initiatives that enhance client satisfaction, increase enrollment, and strengthen long-term partnerships. This position is working within a self-funded/third-party administration (TPA) environment.

ESSENTIAL FUNCTIONS:

  • Drive Growth & Engagement: Lead the charge in growing group enrollment by marketing directly to client associates. Plan and execute impactful communication and education strategies that resonate with diverse employee populations.
  • Be a Trusted Advisor: Build and maintain strong, consultative relationships with senior-level decision-makers. Provide expert guidance on benefit design, renewal strategies, and implementation planning.
  • Lead Client-Facing Initiatives:  Independently conduct on-site and virtual meetings with employers and employees across multiple locations. Travel in and out of the state to deliver high-touch service and ensure client satisfaction.
  • Solve Complex Challenges: Use your benefit expertise and business acumen to resolve escalated issues, assess risk, and collaborate with internal and external stakeholders to deliver timely, effective solutions.
  • Deliver Strategic Value: Partner with clients to develop and implement structured benefit programs, including open enrollment campaigns, wellness initiatives, and third-party integrations.
  • Ensure Compliance & Insight: Stay ahead of regulatory changes and industry trends. Educate clients on legal developments and ensure benefit programs remain compliant with federal and state laws.

QUALIFICATIONS:

Education Level: Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Upon Hire Required:

  • Current health and life license for the jurisdictions of Maryland, DC, and Virginia.

Experience: 3 years' experience in sales, sales support, implementation, benefit administration or Account Management.
Knowledge, Skills and Abilities (KSAs)

  • Exceptional communication and presentation skills.
  • Strong problem-solving and organizational abilities.
  • Proficiency in Microsoft Word and Excel; PowerPoint a plus.
  • Deep understanding of employee benefits and insurance regulations.
  • Ability to manage multiple priorities and deliver outstanding service under pressure.

Travel Requirements:

  • Approximately 10% travel year-round (local and national).
  • Up to 40% travel during Q4 to support peak enrollment season.

Salary Range: 52,000 - 84,500

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Account Management

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-KL1 

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