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Tpa Jobs (NOW HIRING)

The Co/Action TPA Manager plays a critical role in ensuring that our outsourced claim administration operates efficiently, cost-effectively, and in compliance with all relevant regulations. Effective ...

The Co/Action TPA Manager plays a critical role in ensuring that our outsourced claim administration operates efficiently, cost-effectively, and in compliance with all relevant regulations. Effective ...

The TPA Services Manager is responsible for the daily supervision and coordination of core TPA operations, including claims processing, member services and assigned special projects. This role ...

Join us as a Claims TPA Governance Analyst to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims ...

OR ยท On-site

Reliant is seeking a National Director of TPA Growth to drive enterprise-level new logo acquisition across the TPA market. This role is centered on selling high-impact, complex solutions - most ...

Join us as a Claims TPA Governance Analyst to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims ...

Key Responsibilities TPA & Delegated Vendor Oversight * Own the daytoday operational relationship with the ThirdParty Administrator, ensuring performance meets contractual obligations, service levels ...

TPA Business Analyst

Austin, TX ยท Hybrid

$74K - $111K/yr

TPA Business Analyst HeadQuarters CGS - Austin, TX 78717 Overview Salary Range $74,250.00 - $111,375.00 Salary/year Position Type Full Time Description TPA BUSINESS ANALYST (Full Time, Salary, Exempt ...

TPA Management Specialist

Alpharetta, GA ยท Hybrid

$100K - $120K/yr

Address and resolve TPA performance issues in coordination with internal partners (Stat Reporting, Finance, Claims Finance, DQ, Claims IT, Underwriting, Claims, Legal) * Collaborate with internal ...

TPA BUSINESS ANALYST (Full Time, Salary, Exempt) Continental General - Austin, Texas Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, a culture ...

TPA Management Specialist

New York, NY ยท Hybrid

$100K - $120K/yr

Address and resolve TPA performance issues in coordination with internal partners (Stat Reporting, Finance, Claims Finance, DQ, Claims IT, Underwriting, Claims, Legal) * Collaborate with internal ...

TPA Management Specialist

Chicago, IL ยท Hybrid

$100K - $120K/yr

Address and resolve TPA performance issues in coordination with internal partners (Stat Reporting, Finance, Claims Finance, DQ, Claims IT, Underwriting, Claims, Legal) * Collaborate with internal ...

TPA Management Specialist

Chicago, IL ยท On-site +1

$100K - $120K/yr

Address and resolve TPA performance issues in coordination with internal partners (Stat Reporting, Finance, Claims Finance, DQ, Claims IT, Underwriting, Claims, Legal) * Collaborate with internal ...

TPA Management Specialist

Morristown, NJ ยท Hybrid

$100K - $120K/yr

Address and resolve TPA performance issues in coordination with internal partners (Stat Reporting, Finance, Claims Finance, DQ, Claims IT, Underwriting, Claims, Legal) * Collaborate with internal ...

TPA Management Specialist

Alpharetta, GA ยท Hybrid

$100K - $120K/yr

Address and resolve TPA performance issues in coordination with internal partners (Stat Reporting, Finance, Claims Finance, DQ, Claims IT, Underwriting, Claims, Legal) * Collaborate with internal ...

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Tpa information

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How much do tpa jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for tpa in the United States is $52.96, according to ZipRecruiter salary data. Most workers in this role earn between $43.75 and $58.17 per hour, depending on experience, location, and employer.

What are TPAs (Third Party Administrators)?

TPAs, or Third Party Administrators, are organizations that handle administrative services for insurance companies, self-insured companies, or employee benefit plans. They process claims, manage employee benefits, coordinate between insurance providers and clients, and ensure compliance with regulations. TPAs are commonly used in health insurance, retirement plans, and workers' compensation programs to streamline operations and reduce costs for their clients.

What is the difference between Tpa vs Claims Adjuster?

AspectTpaClaims Adjuster
CredentialsTypically requires insurance-related certifications or licensesOften requires state licensing and insurance adjuster certifications
Work EnvironmentWorks within insurance companies or third-party administration firmsWorks for insurance companies, independent firms, or public adjusting firms
Employer & Industry UsageCommonly employed by insurance carriers and third-party administratorsEmployed by insurance companies, public adjusting firms, or independent agencies
Primary RoleManages insurance claims processing and customer serviceEvaluates and settles insurance claims, assesses damages

While both Tpa and Claims Adjuster roles involve handling insurance claims, Tpas primarily focus on claims processing and customer service within third-party administration firms, whereas Claims Adjusters evaluate damages and settle claims, often working directly for insurance companies or independent firms.

What are typical challenges faced by a Third Party Administrator (TPA) when managing multiple client accounts, and how can they be addressed?

TPAs often manage a diverse portfolio of clients, each with unique plan designs, compliance requirements, and service expectations. A common challenge is staying organized and ensuring timely, accurate processing of claims and plan administration tasks across all accounts. Effective TPAs rely on robust management systems, clear communication protocols, and ongoing professional development to balance these responsibilities. Building strong relationships with clients and maintaining up-to-date knowledge of regulatory changes also help mitigate risks and enhance service quality.

What are the key skills and qualifications needed to thrive as a TPA (Third Party Administrator), and why are they important?

To thrive as a TPA (Third Party Administrator), you need a solid understanding of insurance processes, regulatory compliance, and claims management, often backed by a relevant degree or industry certification. Familiarity with claims processing software, regulatory databases, and secure data management systems is typically required. Exceptional organizational skills, attention to detail, and strong communication abilities make you stand out in this role. These skills ensure accurate and timely claims handling, regulatory adherence, and effective service to both clients and insurers.
More about Tpa jobs
What cities are hiring for Tpa jobs? Cities with the most Tpa job openings:
What are the most commonly searched types of Tpa jobs? The most popular types of Tpa jobs are:
What states have the most Tpa jobs? States with the most job openings for Tpa jobs include:
Infographic showing various Tpa job openings in the United States as of May 2026, with employment types broken down into 2% Locum Tenens, 87% Full Time, 8% Part Time, and 3% Contract. Highlights an 77% Physical, 9% Hybrid, and 14% Remote job distribution, with an average salary of $110,156 per year, or $53 per hour.

Auto TPA Manager

CoAction

Morristown, NJ โ€ข On-site

Full-time

Medical, Dental, Retirement, PTO

Posted 6 days ago


Job description

At Coaction, we're a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients.
The Co/Action TPA Manager plays a critical role in ensuring that our outsourced claim administration operates efficiently, cost-effectively, and in compliance with all relevant regulations. Effective claim oversight requires strong technical expertise, project management, communication, and problem-solving skills, as well as a deep understanding of the specific services being outsourced.
The Co/Action TPA Manager is responsible for overseeing the performance of our panel of third-party administrators. Each TPA manager has responsibility for one or more TPA's. Oversight includes day-to-day claims management, review of claims for reserve and settlement authority above TPA delegated authority, assurance of regulatory compliance, compliance with our service agreements and claim handling guidelines, meeting of our performance standards, delivering quality services and providing exceptional customer experience. Primary responsibilities of the TPA Manager include the following:
1.TPA Management and Relationship Building
  • Develop and maintain relationships with assigned third-party administrators (TPAs) to ensure smooth collaboration and service delivery.
  • Serve as the primary point of contact between Co/Action and the TPAs.
  • Work with AVP of TPA Management and Legal to negotiate new contracts, and amendments for renewals and service level agreements (SLAs) with TPAs to establish clear expectations and performance metrics.
  • Monitor TPA compliance with contract terms, regulations, and internal policies.

2.Performance Monitoring and Reporting
  • Track and evaluate TPA performance against established metrics, such as claims processing time (durations), customer service response times, and cost control.
  • Analyze reports generated by TPAs, such as loss runs, financial data, and service level performance.
  • Identify and address any performance gaps or service issues and work with the TPA to implement corrective actions.
  • Regularly report on TPA performance to AVP, highlighting key issues, trends, and improvements.
3.Risk Management and Compliance
  • Ensure that TPAs are following all relevant legal, regulatory, and industry standards, such as Medicare Reporting.
  • Conduct regular claim audits of TPA activities and documentation to ensure that they are adhering to best practices, contractual obligations and regulatory requirements.
  • Monitor the security and privacy of sensitive data handled by TPAs, ensuring they meet required standards for data protection.

4.Process Improvement and Efficiency
  • Collaborate with TPAs to identify process improvements that can enhance efficiency, reduce Co/Action costs, or improve service delivery.
  • Support the implementation of any new technologies, systems, or processes that improve the effectiveness of TPA operations.
  • Drive continuous improvement initiatives.

5.Claims Oversight
  • Oversee the TPA claims management process, ensuring that claims are processed accurately, timely, and in accordance with guidelines.
  • Work with TPAs to resolve disputes or escalated issues related to claims, response times or staffing.

6.Training and Support
  • Provide and/or support training to TPA employees on Co/Action processes, policies, and expectations (i.e., Subrogation and Recovery, SIU and Fraud, Medicare).
  • Offer ongoing support to TPAs as they handle day-to-day claim handling, troubleshooting any issues that arise and offering guidance as needed.
  • Stay updated on industry trends and educate TPAs on any new regulations, technologies, or best practices.

7.Budget and Cost Management
  • On a monthly basis review service fee and loss fund invoices from TPAs, ensuring that services rendered are in line with the terms of the contract and budget.
  • Identify opportunities for cost savings and raise these opportunities for possible renegotiation of terms to maximize the value of third-party services.

8.Escalation and Issue Resolution
  • Resolve complex issues that may arise between Co/Action and assigned TPAs, including conflicts or discrepancies in service delivery.
  • Implement effective strategies for escalation and issue resolution, ensuring timely resolution of problems.

9.Reporting and Documentation
  • Prepare detailed reports for senior management on TPA performance, issues, and any required actions or decisions.
  • Ensure that all documentation related to TPA contracts, performance reviews, audits, and other oversight activities is organized, accurate, and up to date.

10.Strategic Planning and Innovation
  • Provide strategic input into the organization's broader outsourcing strategy, helping identify potential new TPAs or services to improve quality.
  • Stay informed about industry trends and new technologies that may improve
  • Co/Action's third-party administration strategy or service delivery.

**This is not a fully remote position. Applicants must sit in our Morristown, NJ office on our hybrid work schedule.**
Salary range specific to for this role : 99,000-$135,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance. The offered rate of compensation will be based on individual education, experience, and qualifications. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement.
Equal Opportunity Employer
Coaction is an Equal Employment Opportunity employer. Coaction's policy is not to discriminate against any applicant or employee based on race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, and genetic information, or any other basis protected by applicable law. Coaction also prohibits harassment of applicants or employees based on any of these protected categories.
If your application is selected, you will receive an email directly from the Coaction Recruiting Team at coaction@myworkday.com asking you to contact a member of the Coaction Recruiting Team. Any other method of contact may be fraudulent.