TPA Management Specialist

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.

Responsibilities

• Independently manage assigned Third Party Administrator (TPA) relationships

• 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 partners to identify and address process gaps or potential efficiencies

• Manage day to day issues and inquiries from our TPAs and internal partners

• Complete comprehensive due diligence reviews of potential new TPAs

• Complete multi-step onboarding process of new TPAs

• Participate in projects as requested

• Complete annual TPA reviews, PWC testing and other key initiatives for assigned TPAs

• Mentor and train new team members

• Other duties as assigned

Key Competencies

• Strong communication skills, both verbal and written

• Ability to effectively prioritize multiple responsibilities

• Detail and results-oriented

• Team oriented

• Ability to problem solve

Required Education and Experience

• Bachelor’s degree

• Minimum 7 years Insurance Claims experience

• Minimum 7 years TPA knowledge

Preferred Technical Skills

• Competent with Excel, Word, PDF and PowerPoint

#LI-SW1

#LI-REMOTE

For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$79,900 - $135,800/year

• Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

Click here to learn more on available benefits.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn’t the right fit but you’re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch’s Talent Acquisition team.