ABOUT HUB INTERNATIONAL:
HUB International Limited (“HUB”) is one of the largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over 21,000 employees in 600+ offices throughout North America, HUB has grown substantially, in part due to our industry leading success in Mergers and Acquisitions.
WHAT WE OFFER YOU:
At HUB we believe in investing in the future of our employees. Our entrepreneurial culture fosters an environment of open feedback and improvement that empowers our people to make the best decisions for our customers and organization. We offer:
Competitive salaries and benefits offerings
Medical/dental/vision insurance and voluntary insurance options
Health Savings Account funding
401k matching program
Company paid Life and Short-Term Disability Plans
Supplemental Life and Long-Term Disability Options
Comprehensive Wellness Program
Generous PTO Package - Vacation, Holiday, Sick, and Personal Time Off
Great work/life balance because that’s important for all of us!
Focus on creating a meaningful environment through employee engagement events.
The ability to be a part of a motivated, winning team with the opportunity to learn from colleagues who are amongst the top talent in the industry!
Growth potential - HUB is constantly growing and so can your career!
A rewarding career that helps local businesses in the community
Strong community support and involvement through HUB Gives
POSITION SUMMARY:
The TPA Operations Specialist is a critical operational role within our Healthcare Third-Party Administrator (TPA) organization. This position is responsible for the accurate and timely execution of client claims funding activities, including weekly check register duties and multi-line claims invoicing across medical, prescription, and dental benefits. In addition, the Specialist supports a broad range of TPA duties, This role requires a detail-oriented professional who thrives in a fast-paced, deadline-driven healthcare environment.
PRIMARY RESPONSIBILITIES:
Claims Funding & Financial Operations
Ensure that accurate funding transmittals for medical, prescription (Rx), and dental claims are sent to clients on established funding cycles. This would include detailed check registers and claim reports as requested by a client.
Benefit Plan Configuration & Adjudication System Administration
Build and configure benefit plan structures within the claims adjudication platform, including coverage tiers, deductibles, copays, coinsurance, and out-of-pocket limits.
General & Administrative Duties
SECONDARY / BACKUP RESPONSIBILITIES:
The following duties are performed as assigned by the Director of Technology and Director of Claims Operations on an as-needed or backup basis, providing operational continuity and cross-functional support:
Client Eligibility Management
SFTP & Secure File Operations
Back up and assist - Perform scheduled and ad-hoc SFTP file transfers, including eligibility feeds, claims data, remittance files, and reporting outputs.
Associate’s degree in Business Administration, Finance, Health Information Management, or a related field required.
Knowledge, Skills & Abilities
Strong understanding of self-funded health plan structures, including medical, Rx, and dental benefit lines.
Proficiency with Microsoft Office Suite, particularly Excel (pivot tables, VLOOKUP, data validation).
PREFERRED QUALIFICATIONS:
Department Account Management & Service
Required Experience: 2-5 years of relevant experience
Required Travel: Negligible
Required Education: Associate degree (2-year degree)
HUB International Limited is an equal opportunity employer that does not discriminate on the basis of race/ethnicity, national origin, religion, age, color, sex, sexual orientation, gender identity, disability or veteran's status, or any other characteristic protected by local, state or federal laws, rules or regulations.
E-Verify Program
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