TPA Management Specialist

Arch Insurance Group Inc. • Jersey City, NJ

19d • Hybrid

About The Position

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℠. Position Description: 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

Requirements

• Strong communication skills, both verbal and written
• Ability to effectively prioritize multiple responsibilities
• Detail and results-oriented
• Team oriented
• Ability to problem solve
• Bachelor’s degree
• Minimum 7 years Insurance Claims experience
• Minimum 7 years TPA knowledge

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

Benefits

• multiple medical plans plus dental, vision and prescription drug coverage
• a competitive 401k with generous matching
• PTO beginning at 20 days per year
• up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer
• basic Life and AD&D Insurance as well as Short and Long-Term Disability
• Paid Parental Leave of up to 10 weeks
• Student Loan Assistance and Tuition Reimbursement
• Backup Child and Elder Care

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level