Customer Service Ops Admin - TPA

Mashantucket Pequot Tribal Nation; Mashantucket (CT); On-site; USD 55,000 - 75,000; Full time

Job summary

Mashantucket Pequot Tribal Nation is seeking a TPA Customer Operations Administrator to manage billing operations for commercial customers, including premium payments, claim funding, and Stop Loss reimbursements within the VBA claims system.

The role requires an Associate’s degree in Accounting, Finance, or Business Administration and 2+ years in billing or TPA-related financial operations, with experience in TPA systems being a plus.

Qualifications

• Associate’s degree required in Accounting, Finance, or Business Administration.
• 2+ years in billing, insurance financial operations, or third-party administration (TPA).
• Experience with TPA processing systems is a plus.

Responsibilities

• Input commercial premium payments and administrative fees into the VBA claims system promptly.
• Log commercial customer claim deposit amounts accurately to ensure continuous coverage.
• Track and record Stop Loss reimbursements directly linked to customer claims.
• Maintain and update detailed customer fund balance reports.
• Review and audit monthly commercial premium and fee billings to ensure total accuracy.
• Distribute claim funding requests and monthly premium invoices to clients on schedule.
• Provide timely internal support regarding customer billings, fund balances, and related inquiries.

Skills

Billing experience

TPA operations

Data entry

Financial reporting

Education

Associate’s degree in Accounting, Finance, or Business Administration

Tools

VBA claims system

Job description

The TPA Customer Operations Administrator manages the operations for commercial customers’ claims and operating accounts. This role ensures accurate tracking and data entry of premium payments, claim funding, and Stop Loss reimbursements within the VBA claims system. Oversee customer fund balances, audit Commercial customer invoices, and serve as a vital operations liaison for internal teams and commercial customers. Associate’s degree in Accounting, Finance, or Business Administration required. 2+ years in billing, insurance financial operations, or third-party administration (TPA). Experience with TPA processing systems is a plus.

• Input commercial premium payments and administrative fees into the VBA claims system promptly.
• Log commercial customer claim deposit amounts accurately to ensure continuous coverage.
• Track and record Stop Loss reimbursements directly linked to customer claims.
• Maintain and update detailed customer fund balance reports.
• Review and audit monthly commercial premium and fee billings to ensure total accuracy.
• Distribute claim funding requests and monthly premium invoices to clients on schedule.
• Provide timely internal support regarding customer billings, fund balances, and related inquiries.