TPA Specialist
About the role
Acrisure is a global fintech leader that empowers millions of ambitious businesses and individuals with tailored solutions to drive growth. With a focus on innovation and collaboration, Acrisure connects clients with a wide array of insurance, reinsurance, payroll, benefits, cybersecurity, and mortgage services across 20+ countries. Over the past decade, Acrisure has transformed from a small operation to a major player, growing its revenue from $38 million to nearly $5 billion and expanding its workforce to over 19,000 professionals.
Responsibilities
Manage daily transactions related to claims, contributions, and revenue for FSA, HRA, and HSA accounts.
Set up and maintain new and existing consumer-driven health plan clients.
Generate monthly invoices for administrative services clients.
Maintain and support the 1Cloud Consumer Accounts platform.
Provide exceptional customer service to individual and group clients.
Develop a working knowledge of consumer-driven health plans and related services.
Support the onboarding of new clients and transition of administrative services from external vendors.
Understand the structure and administration of FSA and HRA plans.
Review and adjudicate claims, including receipt verification and debit card claims review.
Ensure accuracy and compliance in claims processing.
Respond to client questions and provide claim-related support.
Learn and apply COBRA regulations and requirements.
Set up and maintain new and existing COBRA clients.
Generate daily COBRA notices and process monthly remittances.
Maintain the COBRApoint platform.
Support clients and internal staff with day-to-day platform navigation.
Manage the setup and maintenance of client accounts.
Learn and effectively utilize the Employee Navigator platform.
Support clients and internal staff with day-to-day platform navigation.
Establish and maintain carrier and platform integrations.
Support the preparation and distribution of compliance-related documents.
Learn and assist with Forms 1094, 1095, 5500, and 720.
Utilize compliance software to generate required documentation.
Stay informed of regulatory updates and changing compliance requirements.
Requirements
Strong communication, organization, and customer service skills.
An attention to detail with the ability to manage multiple priorities.
Proficiency in Microsoft Office (Word, Excel) and general computer skills.
An analytical mindset with the ability to work independently and solve problems.
Ability to handle confidential information with professionalism and discretion.
Willingness to learn benefits administration, insurance terminology, compliance requirements, and related technology platforms.
Commitment to continuous learning and professional growth.
Qualifications
A minimum of an Associate's degree or Bachelor's degree in Business, Finance, Human Resources, Healthcare Administration, Insurance, or a related field is preferred.
Equivalent combination of education, training, and relevant work experience will be considered.
Previous experience in employee benefits administration, insurance, banking, customer service, claims processing, healthcare administration, or a related field is highly preferred.
Experience working with benefits administration platforms, COBRA administration, or consumer-driven health plans is a plus.
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.
Benefits
Acrisure offers a comprehensive suite of benefits and perks designed to support every aspect of your life, including:
Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
Family Care: Paid maternity leave and paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings.