TPA Coordinator

TPA Coordinator – Job Description

Position Overview:
The TPA (Third Party Administrator) Coordinator is responsible for managing and facilitating communication, documentation, and workflow between the organization, its clients, and external TPA partners. This role ensures that claims, compliance requirements, and administrative processes are handled efficiently, accurately, and within established timelines.

Key Responsibilities:

• Serve as the primary point of contact between the company and TPA partners.
• Coordinate submission, tracking, and follow-up of claims, reports, and required documentation.
• Review TPA reports for accuracy and escalate discrepancies when needed.
• Maintain updated records of claims, employee information, and plan details.
• Ensure timely processing of claims and communicate status updates to internal teams.
• Support compliance with regulatory requirements and company policies.
• Assist in onboarding new clients or employees into TPA systems.
• Prepare and distribute monthly, quarterly, or annual TPA-related reports.
• Resolve issues related to claims, billing, system access, and plan administration.
• Collaborate with HR, benefits teams, vendors, and finance to ensure smooth operations.

Qualifications:

• High school diploma required; associate or bachelor’s degree preferred.
• Experience in TPA, insurance, benefits administration, or HR is strongly preferred.
• Strong communication and customer service skills.
• Excellent attention to detail and organizational abilities.
• Proficiency with MS Office and familiarity with TPA or HRIS systems.
• Ability to manage multiple tasks and meet deadlines.

Skills & Competencies:

• Problem-solving and analytical skills
• Data accuracy and reporting proficiency
• Ability to work independently and with cross-functional teams
• Strong understanding of claims processes and benefits administration

Job Types: Full-time, Permanent

Pay: From ₹6,000.00 per month

Benefits:

• Provident Fund

Work Location: In person