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Tpa Customer Service Representative Jobs (NOW HIRING)

McLaren

Customer Service Representative

Flint, MI · On-site

$15.50 - $21.25/hr

We are looking for a Customer Service Representative, to join in leading the organization forward ... One (1) year experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions.

Tempo Service

Customer Service Representative

Irving, TX · On-site

$15.25 - $21/hr

Customer Service Representative Tempo Service Company Profile - Tempo Air has proudly served the cooling and heating needs of the Dallas-Fort Worth residential community since 1966. Tempo, Inc ...

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How much do tpa customer service representative jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for tpa customer service representative in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What is a TPA Customer Service Representative?

A TPA (Third Party Administrator) Customer Service Representative is a professional who assists clients, participants, and providers with questions or issues related to insurance plans, claims processing, and benefits administration. They typically work for companies that manage employee benefits or health plans on behalf of other organizations. Their responsibilities include answering inquiries, resolving problems, and ensuring that customers understand their coverage and claims status. These representatives play a key role in providing accurate information and delivering quality service to ensure client satisfaction.

What are the key skills and qualifications needed to thrive as a TPA Customer Service Representative?

To excel as a TPA Customer Service Representative, you need strong knowledge of insurance processes, claims handling, and typically a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, claims management systems, and proficiency in Microsoft Office are often required. Excellent communication, problem-solving abilities, and patience distinguish top performers in this role. These skills ensure efficient resolution of client inquiries, accurate claims processing, and a positive customer experience.

How does a TPA Customer Service Representative typically collaborate with other departments to resolve client issues?

As a TPA Customer Service Representative, collaboration with other departments such as claims processing, underwriting, and compliance is a routine part of the job. When a client inquiry or issue arises that requires additional expertise or approval, representatives coordinate with these teams to gather accurate information and ensure a timely resolution. Effective communication skills and strong organizational abilities are essential, as you often serve as the liaison between the client and internal teams. This cross-functional teamwork helps provide clients with comprehensive and efficient service, and also offers valuable insight into different facets of the organization.

What cities are hiring for Tpa Customer Service Representative jobs?

Cities with the most Tpa Customer Service Representative job openings:

What states have the most Tpa Customer Service Representative jobs?

States with the most job openings for Tpa Customer Service Representative jobs include:

What are popular job titles related to Tpa Customer Service Representative jobs?

For Tpa Customer Service Representative jobs, the most frequently searched job titles are:

Infographic showing various Tpa Customer Service Representative job openings in the United States as of June 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 82% Physical, 6% Hybrid, and 12% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Customer Service Representative

Flint, MI • On-site

McLaren Health Care Corporation
Health Care and Social Assistance • 1 - 5K employees
Learn more about McLaren Health Care Corporationexternal

$15.50 - $21.25/hr

Full-time

Posted 14 days ago

McLaren Health Care rating

6.7

Company rating: 6.7 out of 10

Based on 221 frontline employees who took The Breakroom Quiz

536th of 898 rated healthcare providers

Job description

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Customer Service Representative, to join in leading the organization forward.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org
Position Summary:
This position will be responsible for daily member telephone calls which will include directing members to the proper services needed, educating members, problem solving, and creating linkages to the Medical Management Department for authorization of services. Also may be responsible for assisting providers with eligibility, benefit, and resolution of claims issues.
Qualifications:
Required:
  • High School Diploma or equivalent certification.
  • One (1) year experience in a customer service related role with direct contact with customers via telephone, email, chat and/or face-to-face.

Preferred:
  • One (1) year experience in a physician health care office environment or high-volume call center.
  • One (1) year experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions.

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