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What is a third party administrator?
Third party administrators (TPA) help self-insured (or self-funded) groups manage their health insurance program by processing claims and administering other services. Being self-insured means the company assumes the financial risk of providing healthcare benefits to their employees while the TPA manages the day-to-day processes.
The services — and benefits — of using a TPA include:
- Expertise in designing your health plan
- Claims administration
- Case management services
- Employee communication support
- Customer service
- Reinsurance (excess loss) coverage