Jumpstart Your Career with BeniComp!
BeniComp is a next-generation Third Party Administrator (TPA) and insurtech company dedicated to transforming healthcare through prevention, transparency, and innovation. With a legacy of service and a future-focused mission, we provide self-funded health plans to employers nationwide, with a strong emphasis on data-driven health outcomes, cost containment, and customer service excellence.
Who We Are
At BeniComp, we don’t settle for the status quo! We build and execute groundbreaking solutions to revolutionize the healthcare industry. Our culture thrives on energy, innovation, and collaboration, and we want like-minded individuals who are excited to jump in, figure things out, and make an impact.
What You’ll Do
The Senior Claims Manager is a high-impact leadership role responsible for overseeing the day-to-day and strategic operations of the medical claims department. This role ensures that all claims are adjudicated accurately, timely, and in compliance with ERISA, DOL, and plan document guidelines. The Senior Claims Manager plays a key role in managing vendor and partner relationships, implementing process improvements, and providing mentorship to a growing team.
-
Lead the claims adjudication function for self-funded ERISA plans, including complex claims, appeals, COB, and stop-loss coordination
-
Ensure claims are processed within TAT and accuracy standards, aligned with plan documents, internal SOPs, and federal regulations
-
Oversee a team of claims processors, auditors, and appeal specialists, including performance management, training, and development
-
Collaborate with compliance, client services, IT, and medical management teams to resolve escalated issues and improve workflows
-
Maintain working knowledge of industry best practices, claim system functionalities, and regulatory updates affecting claims
-
Drive process optimization and automation initiatives, including vendor management, repricing tools, and EDI enhancements
-
Represent the claims department during client onboarding, renewal strategy discussions, audits, and executive reporting
-
Partner with the VP of Claims & Compliance to ensure operational scalability, risk mitigation, and team alignment with company goals
Qualifications
-
7+ years of progressive experience in medical claims administration within the self-funded, ERISA health plan space
-
3+ years in a leadership or management role overseeing claims teams and/or complex claims adjudication
-
Deep knowledge of ERISA, HIPAA, ACA, COB, subrogation, coordination of benefits, and stop-loss policies
-
Experience working with claim administration software, EDI 837/835 files, and medical management integrations
-
Strong analytical and problem-solving skills with a hands-on leadership approach
-
Exceptional communication and collaboration abilities, especially cross-functionally
-
High integrity, operational excellence mindset, and a passion for improving the healthcare experience
Preferred Experience
-
Prior experience working with national PPO networks and cost containment vendors
-
Exposure to modern TPA technologies or healthcare platforms
-
Familiarity with population health initiatives and value-based reimbursement models
Why Join BeniComp?
-
Mission-driven company focused on making healthcare more affordable and proactive
-
Opportunity to lead within a fast-growing, innovative organization
-
Collaborative, purpose-filled culture with a high-performing team
-
Competitive compensation, benefits, and career advancement opportunities
Salary: Will be discussed during the interview process -- based on experience level.
Career Level: Experienced
Experience Preferred: 7+ years
Education Preferred: BA or BS previously obtained
Job Type: Full Time, In-Office at our downtown Tampa, FL location or Fort Wayne, IN location
Apply today and let’s build the future together!
About BeniComp
BeniComp originated in Ft. Wayne, IN in 1962 by Don Short as Short Associates, Inc. Years later his son, Doug Short, built out the health division and began innovating. In 2014 BeniComp opened an office in Tampa dedicated to innovation and development in order to stay on the cutting edge of health technology and digital communication strategies.
We work with forward-thinking employer groups who have tremendous influence in the lives of tens, hundreds, or thousands of people who work for them. We want them to know we are on their side.
Our operations support the movement from reactive, conventional medicine practices to proactive, functional medicine strategies that empower people to take control of their health and reverse the chronic conditions that are socially and financially affecting the nation.
“The future of health is a health solution” - Doug Short, President & CEO
Our Vision
A future where people enjoy happier, healthier lifestyles.
Our Mission
To reduce chronic disease and healthcare spending in America by empowering people with data, prevention, and technology.