Judi Health
TPA Operations Associate
Charlotte, North Carolina, United States +5 · Full-time · Posted Oct 30, 2026
- Location
- Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States
Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States - Experience
- 2+ years of TPA / health plan experience in Claims Adjudication, Appeals, or other applicable department needs. The posting also lists 1+ years with Cigna Payer Solutions and 1+ years with Aetna Signature Administrators as a plus.
- Education
- Bachelor’s degree preferred or an equivalent combination of education and work experience.
About the job
Supports daily third-party administrator operations by handling correspondence and escalations, resolving operational issues, and helping improve processes, training, and client support.
What you'll do
- Handle incoming correspondence and support Customer Care and Claims teams, including redirecting escalations.
- Troubleshoot operational discrepancies and collaborate with internal teams on client go-lives and system enhancements.
- Help develop procedures and training materials, and recommend improvements to operational processes.
What they ask for
- 2+ years of TPA / health plan experience in Claims Adjudication, Appeals, or another applicable department.
- Ability to interpret multiple client plan designs and SPDs.
- Strong attention to detail and ability to shift priorities in a fast-paced, deadline-driven environment.
- Exceptional written and verbal communication skills.
Nice to have
- Bachelor’s degree preferred; enhanced knowledge of CPT, HCPCs, ICD-10, or CDT coding is a plus.
- Experience with Cigna Payer Solutions, Aetna Signature Administrators, Pharmacy, Dental, Vision, self-funded plans, Medicare/Government programs, or ERISA is preferred or a plus.
Pay
$27.31 — $34.13 USD (base salary); $25 — $31.25 USD (base salary); $22.69 — $28.37 USD (base salary)
Tools
CPT, HCPCs, ICD-10, CDT
Model-written summary · the original posting is authoritative