TPA Claims Representative (Property)

Polikov Recruitment Solutions; Atlanta (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

Polikov Recruitment Solutions seeks a TPA Claims Examiner for our client, a leading specialty insurer, in Atlanta. The role oversees TPAs handling Commercial Property claims and serves as a liaison between the carrier and external partners.

You will work to ensure claims are processed efficiently, with audits and timely reporting, while expanding your leadership and relationship-management skills. Potential career growth within the organization is possible.

Qualifications

• Bachelor’s degree or equivalent relevant professional experience.
• 3+ years of Commercial Property Claims experience.
• Strong communication, organizational and relationship-management skills.

Responsibilities

• Manage relationships with Third-Party Administrators (TPAs).
• Provide oversight of Commercial Property claims handled by TPAs.
• Assist TPAs with diary management and timely claim resolution.
• Conduct annual audits of TPA firms.
• Prepare and review monthly TPA reports.
• Provide guidance on losses exceeding TPA settlement authority.
• Help ensure consistent claim handling standards and service expectations.

Skills

Communication skills

Organizational skills

Relationship management

Education

Bachelor's degree

Job description

Our client is an A+ rated specialty insurance carrier with a strong presence in the Excess & Surplus Commercial Property market.

Known throughout the industry as an exceptional company to work for, the organization has built an outstanding reputation for its culture, stability and commitment to treating employees and business partners with integrity. They are also recognized for providing responsive, dependable and high-quality service.

Position Summary

We are currently recruiting for a TPA Claims Examiner to provide oversight of Third-Party Administrators handling Commercial Property claims.

This individual will work closely with TPAs to ensure claims are handled appropriately, efficiently and within established guidelines while serving as an important liaison between the carrier and its external claims partners.

Key Responsibilities

• Manage and maintain relationships with Third-Party Administrators
• Provide oversight of Commercial Property claims handled by TPAs
• Assist TPAs with diary management and timely claim resolution
• Conduct annual audits of TPA firms
• Prepare and review monthly TPA reports as needed
• Provide guidance and oversight on losses exceeding TPA settlement authority
• Help ensure consistent claim handling standards and service expectations

Qualifications

• Bachelor’s degree or equivalent relevant professional experience
• 3+ years of Commercial Property Claims experience
• Strong communication, organizational and relationship-management skills

Why Consider This Opportunity?

This is an excellent opportunity to join one of the most highly regarded specialty insurance organizations in the industry.

In addition to joining a company known for taking care of its employees, this position offers the opportunity to broaden your claims experience beyond traditional claim handling. You will gain exposure to TPA management, claim oversight, auditing and complex Commercial Property losses while developing valuable leadership and relationship-management skills.

For someone who performs well in the role, there is also potential career advancement into a

Claims Specialist position within the organization.

Keywords: TPA, Third Party Administrator, Claims, Claims Examiner, Property Claims, Commercial Property, E&S, Excess & Surplus, Excess and Surplus, Property Adjuster, Claims Adjuster, Claims Specialist, Habitational, Condominiums, Apartments, Public Buildings, Commercial Property Claims