TPA Claims Performance & Compliance Lead
$99k - $135kCoaction Specialty Insurance Group
Coaction Specialty Insurance Group is seeking a TPA Manager in Morristown, NJ. The candidate will manage relationships with third-party administrators, ensuring efficient claims processing and compliance with regulations. The role includes monitoring TPA performance, conducting audits, and implementing process improvements. Ideal candidates will exhibit strong problem-solving skills and project management experience. A hybrid work schedule is offered, with a salary range of $99,000 to $135,000 plus benefits. #J-18808-Ljbffr
$99k - $135k
...Coaction Specialty Management Company, Inc. is seeking a TPA Manager in Morristown, New Jersey. The role involves... ...with third-party administrators, ensuring compliance with regulations, and overseeing the claims management process. The ideal candidate will have experience...ClaimsWork at office$99k - $135k
...At Coaction, the TPA Manager plays a critical role in ensuring that our outsourced claim administration operates efficiently, cost‑effectively, and in compliance with all relevant regulations. The manager oversees the performance of our panel of third‑party administrators...ClaimsContract workWork at office$99k - $135k
...and team players with a high-performance mindset and a diverse skillset... ...our clients.The Co/Action TPA Manager plays a critical role... ...ensuring that our outsourced claim administration operates efficiently... ..., cost-effectively, and in compliance with all relevant regulations...ClaimsContract workWork at office- ...Hippo Insurance is hiring a Claims Manager – Partner Programs in Morristown, NJ. This role involves overseeing claims performance, managing Third-Party Administrators, and ensuring compliance with regulations. Suitable candidates should have 5–8 years of claims handling...ClaimsFlexible hours
- .... This role serves as the primary contact for Third Party Administrators (TPAs) and ensures smooth plan administration, accurate compliance support, and strong relationships with partners. The ideal candidate has hands-on experience with Form 5500 filings, enjoys problem...SuggestedFull time
- ...Manager, Contract & Rebate Operations to oversee contract administration and rebate processing. The role involves validating claims, ensuring compliance with government pricing, and effective communication with external providers. The ideal candidate will have a Bachelor's...ClaimsContract work
$120k - $150k
...is seeking a Manager, Contract & Rebate Operations, responsible for managing contract administration, validating rebate claims, and ensuring compliance with regulatory standards. The position requires expertise in analyzing and processing rebates related to Managed Care...ClaimsContract work- ...related policies, procedures and agreements Investigate employee claims and manage employment-related arbitration and litigation and... ...federal and state agencies Advise on compensation and benefits compliance and governance matters Manage and supervise outside counsel, oversee...ClaimsWorldwide
$90k - $140k
LE003 Coaction Specialty Management Company, Inc. seeks an experienced claims handler in Morristown, New Jersey, responsible for investigating and resolving complex claims, ensuring compliance with best practices. The ideal candidate will have 5-7 years of experience, with...Claims$133.5k - $192.83k
...Sanofi is looking for a QMS Performance & Continuous Improvement Lead – Digital & Data in Morristown, NJ. This role focuses on managing process improvement... ...leveraging data analytics to enhance performance and compliance. Candidates should have a Bachelor's degree and...- ...Zurich 56 Company Ltd is looking for a TPA Service Specialist to manage oversight of Third Party Administrators for travel claims. The hybrid work model allows flexibility while... ...resolving service issues and ensuring compliance with company policies. The ideal candidate...ClaimsWork at office
- The CFA Institute is seeking an experienced claims professional in Morristown, New Jersey. This role involves investigating and resolving claims while ensuring compliance with internal standards and regulations. Ideal candidates will have a Bachelor's Degree, significant...Claims
$100k
...handle their own caseload (est. 40+), and lead with confidence. No micromanaging here.... ...orientation, etc.) Retaliation / whistleblower claims Wage and hour (FLSA/overtime)... ...negotiations, employee handbook creation and compliance reviews and other contract-based services...ClaimsHourly payContract workWork at office$65k - $70k
...databases. Provide support in the analysis of various segments of the business for claim trends & profitability. Assist the Pricing Actuary with various data requests and pricing analyses. Perform other duties as assigned. Qualifications Advanced knowledge of Microsoft Excel...ClaimsWork experience placement$65k - $70k
...databases. Provide support in the analysis of various segments of the business for claim trends and profitability. Assist the Pricing Actuary with various data requests and pricing analyses. Perform other duties as assigned. Qualifications Advanced knowledge of Microsoft...ClaimsFull timeWork experience placement$32 - $40 per hour
...Company Overview: Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global...ClaimsWork at officeLocal area- ...counseling roles. Duties Litigate employment claims involving discrimination, harassment, and retaliation. Advise employers on compliance issues, including terminations and wage... ..., defense‑side roles. Strong academic performance in law school. Excellent interpersonal, writing...ClaimsFull timeTemporary workWork at office
$120k - $150k
...Lead Technical Recruiter / Global Technical Recruiter / Technical Recruiting Expert (US... ...program renewals Manage property and casualty claims program including third party... ...insurance-related financial reporting and compliance Bachelor’s Degree in Accounting CPA is a...ClaimsFull time$145.6k - $270.4k
# Associate Director, Business Performance - NeuroscienceREQ-10077613May 08, 2026USA### SummaryLocation... ..., NS (Neuroscience) Business Performance Lead, the AD, Business Performance is crucial... ...competitive metrics such as Rx, share, claims, etc* Works toward a clear and consistent...ClaimsRemote work$65k - $75k
...documentation and execution · Work closely with the compliance team to assess regulatory risk and implement compliant business... ...collection processes, including drafting demand letters, filing bond claims and other recovery strategies. · Under supervision of...ClaimsContract work$100k - $134k
...line of business studies, retrocession submissions, and opportunities to improve processes. Frequent collaboration with underwriting, claims, legal, and finance departments would occur. Responsibilities Coordinate and maintain detail loss development triangles for all...ClaimsTemporary work$185.5k - $344.5k
...position. Job Description Key Responsibilities Architect and lead future‑ready measurement frameworks that define how... ...assessed across the enterprise. Translate complex, aggregated performance signals (e.g., claims, prescribing, payer, CRM insights) into clear, strategic...ClaimsRemote workVisa sponsorshipRelocation package$145k - $240k
...strategies, etc., to drive shareholder value. Lead technical tax research, calculation, and... ...reporting, finance, legal, HR, and tax compliance teams to ensure that planning initiatives... ...to ensure timely and accurate claims. Support the development and implementation...ClaimsTemporary workH1bWork at officeMonday to Friday- ...administration, employee data management, compliance, reporting, record keeping, and employee... ...staffing changes and employee requests. Performs day-to-day functions of benefit... ...and local laws and regulations. Handles claims by completing required forms, maintains...ClaimsFull timeLocal area
- ...creation, development, and communication of Risk Adjustment targets, performance and ongoing reporting; providing specialized analytics and... ...with Medicare/Medicaid or similar healthcare clinical/claims data strongly preferred. An ideal candidate has experience working...ClaimsWork experience placement
$140k - $190k
...IT Director, Claims Solutions At Coaction, we're... ...team players with a high-performance mindset and a diverse skillset... ...Claims Operations, Compliance, Finance, and external... ...Claims leadership Lead, mentor, and manage IT... ...enterprise platforms and TPA systems Establish...Claims$100k - $120k
...Key Responsibilities Lead and oversee RS&C post-entry operations... ...(PSC), protests, 1520(d) claims, and duty recovery programs.... ...understanding. Monitor operational performance, analyze trends, and... ...actions to improve efficiency and compliance. Manage complex escalations,...ClaimsFull timeRelocation package- ...particularly in the areas of labeling, claims, and formulation, and requires a strong... ...the Head of Regulatory Affairs include leading the U.S. regulatory strategy, owning end... ...in regulatory strategy, submissions, and compliance. Strong leadership skills and the ability...Claims
- ...Hancock Claims Consultants is looking for a RoofField Inspector to join our network of independent contractors. In this role, you will assess damage on steep and high roofs, perform underwriting property inspections, and utilize technology to evaluate property damage....ClaimsFor contractors
$70k - $110k
...directly to pricing strategy, reserving insights, and business performance. This position offers hands on exposure to real world actuarial... ...emerging trends. Analyze segments of the business to identify claim trends, profitability drivers, and opportunities for...ClaimsFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to TPA Claims Performance & Compliance Lead. Be the first to apply!
- medical claims auditor Convent Station, NJ
- senior performance engineer Convent Station, NJ
- senior performance tester Convent Station, NJ
- IT performance management Convent Station, NJ
- performance engineer Convent Station, NJ
- performance nutrition Convent Station, NJ
- acting performance Convent Station, NJ
- lead performance test engineer Convent Station, NJ
- performance testing Convent Station, NJ
- vendor compliance Convent Station, NJ


