Medical TPA Generalist

Job Summary

A company is looking for a TPA Generalist to support the administration of self-funded health plans.

Key Responsibilities

• Manage eligibility and enrollment processes, ensuring accurate member records
• Administer COBRA compliance, including processing elections and tracking payments
• Oversee claims processing, ensuring accuracy and adherence to plan provisions

Required Qualifications

• 2-4+ years of experience in a medical TPA, health plan, or benefits administration
• Working knowledge of ERISA, HIPAA, ACA, and COBRA regulations
• Proficiency with benefits administration platforms and strong Excel skills
• Experience with plan builds and provider network management preferred
• Familiarity with EDI file handling and claims coding is a plus