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TPA Insurance/Claims
Updated March 2026

Third-Party Administrator (TPA)

Definition

A company hired by self-insured employers or insurance carriers to handle the administrative functions of workers' compensation claims management, including claims processing, benefit payments, utilization review, and coordination of medical-legal evaluations.

Related Terms

Frequently Asked Questions

What is a Third-Party Administrator (TPA)?

A company hired by self-insured employers or insurance carriers to handle the administrative functions of workers' compensation claims management, including claims processing, benefit payments, utilization review, and coordination of medical-legal evaluations.

How does third-party administrator affect a workers' compensation claim?

Third-Party Administrator plays an important role in determining the outcome of a workers' compensation claim in California. Understanding this concept helps injured workers, attorneys, and physicians navigate the claims process more effectively.