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Tpa Coordinator Jobs (NOW HIRING)

BC&L INC

TPA Services Manager

Austin, TX

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 ...

VUMI Group

Director of TPA Relations

Miami, FL · On-site

Oversee end-to-end TPA performance, including international claims adjudication, pre-authorizations, case management coordination, and provider payments. * Monitor service delivery against KPIs and ...

Personify Health

Account Manager, TPA

$65K - $85K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators-they're operational lifelines who keep complex client relationships running smoothly through proactive ...

Personify Health

Account Manager, TPA

Tempe, AZ · On-site

$65K - $85K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators-they're operational lifelines who keep complex client relationships running smoothly through proactive ...

Personify Health

Account Manager, TPA

Tempe, AZ · On-site

$65K - $85K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators-they're operational lifelines who keep complex client relationships running smoothly through proactive ...

Personify Health

Account Manager, TPA

Tempe, AZ · On-site

$65K - $85K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators--they're operational lifelines who keep complex client relationships running smoothly through ...

Personify Health

Account Manager, TPA

Tempe, AZ · On-site +1

$65K - $85K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators-they're operational lifelines who keep complex client relationships running smoothly through proactive ...

Personify Health

Account Manager, TPA

$65K - $85K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators-they're operational lifelines who keep complex client relationships running smoothly through proactive ...

Personify Health

$65K - $85K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Why This Role Matters Account Managers in TPA environments aren't just relationship coordinators-they're operational lifelines who keep complex client relationships running smoothly through proactive ...

Royal Restoration Inc.

Project Coordinator

Lorton, VA · On-site

$42K - $62K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

We are seeking an experienced Project Coordinator with strong TPA/SLA workflow experience to support and help our project coordination . This role is ideal for someone who is organized, proactive ...

TEK Systems

Project Coordinator

Hanover, MD · On-site

Assesses the need for, and coordinates post-incident drug/BAT testing process. * Maintains ... Partners with TPA to adjudicate claims in a cost-effective manner. Possesses independent settlement ...

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Tpa Coordinator information

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How much do tpa coordinator jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for tpa coordinator in the United States is $23.32, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $25.96 per hour, depending on experience, location, and employer.

What is a TPA coordinator?

TPA Coordinators, or Third Party Administrator Coordinators, are professionals who serve as a liaison between insurance companies, employers, and third-party administrators. They are responsible for coordinating claims processing, ensuring compliance with regulations, and facilitating communication among all parties. TPA Coordinators handle documentation, resolve queries, and help ensure that insurance claims are processed efficiently and accurately. Their role is crucial in streamlining the administrative aspects of employee benefit programs, especially in health insurance and workers' compensation.

What are the key skills and qualifications needed to thrive as a TPA coordinator?

To thrive as a TPA Coordinator, you need a solid understanding of insurance processes, claims management, and healthcare administration, often supported by a degree in healthcare or business administration. Familiarity with claims processing software, insurance databases, and regulatory compliance systems is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills in this role. These capabilities are important to ensure accurate claims handling, regulatory adherence, and smooth coordination between clients, providers, and insurers.

What are the main challenges faced by a TPA coordinator when managing multiple client accounts simultaneously?

One of the primary challenges for a TPA Coordinator is balancing the needs and expectations of multiple clients while ensuring compliance with regulatory requirements. Coordinators must manage time-sensitive documentation, resolve discrepancies quickly, and maintain clear communication between clients, insurance carriers, and internal teams. Effective prioritization and strong organizational skills are essential to handle a high volume of requests and prevent errors. Building strong relationships with clients and stakeholders also helps in navigating complex cases and ensuring smooth plan administration.

What is the difference between Tpa Coordinator vs Claims Processor?

AspectTpa CoordinatorClaims Processor
Required CredentialsHigh school diploma or equivalent; certifications like CPC or CPC-A beneficialHigh school diploma; certifications like CPC or similar advantageous
Work EnvironmentOffice setting, healthcare or insurance companiesOffice setting, insurance companies, healthcare providers
Employer & Industry UsageUsed in third-party administrator firms, insurance companiesCommon in insurance companies, healthcare providers
Job FocusOverseeing claims processing, coordinating between partiesProcessing individual claims, data entry, verifying information

The main difference is that a Tpa Coordinator manages and oversees the claims process and coordinates between different parties, while a Claims Processor handles the day-to-day processing and data entry of claims. Both roles require similar certifications and work in insurance or healthcare settings, but the Tpa Coordinator has a broader supervisory and coordination responsibility.

More about Tpa Coordinator jobs

What cities are hiring for Tpa Coordinator jobs?

Cities with the most Tpa Coordinator 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 Coordinator jobs?

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Tpa Coordinator jobs near you
Infographic showing various Tpa Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $48,503 per year, or $23.3 per hour.

TPA Services Manager

BC&L INC

Austin, TX

Full-time

Re-posted 9 days ago

Job description

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 ensures that operational workflows run efficiently, service standards are met, and staff are supported in delivering accurate and timely results. The Manager works closely with the Director of TPA Services to implement departmental goals and serves as a key point of escalation for team leads and staff.

Key responsibilities may include:

  • Claims Processing
    • Supervise day-to-day claims intake, adjudication, and payment workflows to ensure accuracy and timely turnaround.
    • Monitor claims inventory and production queues; identify and resolve backlogs or processing errors.
    • Conduct routine audits and quality checks; report error trends and support corrective action plans.
    • Assist staff with complex or escalated claims questions; coordinate with plan documents and benefit summaries.
    • Ensure claims operations remain compliant with ERISA, HIPAA, and applicable plan requirements.
  • Member Services & Call Center
    • Oversee daily call center operations including staff scheduling, queue monitoring, and real-time performance tracking.
    • Coach and support member services representatives to maintain call quality, accuracy, and professionalism.
    • Handle escalated member inquiries, complaints, and grievances in a timely and empathetic manner.
    • Track and report on call center KPIs (first-call resolution, handle time, member satisfaction) and flag areas for improvement.
  • Special Projects
    • Manage assigned operational projects such as process improvement initiatives, system upgrades, or client onboarding support.
    • Develop project task lists, coordinate team participation, and track progress against defined timelines.
    • Communicate project status updates to the Director and relevant stakeholders.
    • Document new or revised workflows and ensure staff are trained on updated procedures.
  • Team Leadership & Administration
    • Directly supervise TPA operations staff; conduct performance check-ins, provide feedback, and support professional development.
    • Assist with onboarding and training of new team members across all functional areas.
    • Foster a collaborative, accountable team environment focused on quality and member service.
    • Prepare operational reports and dashboards for leadership review on a regular cadence.

Required

  • Bachelor’s degree in Business, Healthcare Administration, Insurance, or a related field; or equivalent work experience.
  • 3–5 years of experience in TPA operations, health insurance claims, or managed care administration.
  • 1–2 years of supervisory or team lead experience.
  • Working knowledge of claims processing, member services operations, and stop loss concepts.
  • Familiarity with ERISA, HIPAA, and self-funded health plan administration basics.
  • Strong organizational skills and ability to manage multiple priorities in a deadline-driven environment.
  • Proficient in Microsoft Office and claims management or benefits administration systems.

Preferred

  • Professional certification such as CEBS, AHM, or equivalent.
  • Experience with self-funded employer group administration.
  • Experience with TPA platforms (e.g., DialPad, ElDorado, or similar).

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