TPA & Compliance Manager – Drive Partnerships & Quality

Socket.dev; Granite Falls (NC); On-site; USD 50,000 - 60,000; Full time

Benefits offered by this job

Health insurance

Opportunity for advancement

Paid time off

Parental leave

Training & development

Vision insurance

401(k)

401(k) matching

Bonus based on performance

Competitive salary

Dental insurance

Job summary

Paul Davis Triad-West is seeking a highly organized, analytical, and proactive Compliance & TPA Manager to lead the performance, compliance, implementation, training, and continuous improvement of our third‑party administrator programs.

This role serves as the organization’s primary subject matter expert on contractual requirements, service‑level agreements, scorecards, customer experience measures, and documentation standards.

Qualifications

• Three to five years of experience in restoration, construction, insurance, property claims, customer service, operations, project management, compliance, or process improvement.
• Three to five years of experience working with third‑party administrators or insurance‑related programs.
• Familiarity with RMS, Xactimate, Symbility, Luxor, Contractor Connection, Alacrity, Sedgwick, or comparable platforms.
• Experience developing KPIs, managing scorecards, conducting audits, supporting quality assurance, and developing or facilitating training.
• Strong organizational and project management skills, with the ability to manage multiple priorities and follow through consistently.
• Excellent written and verbal communication, analytical thinking, problem‑solving, decision‑making, and attention to detail.
• Ability to interpret data and performance trends, influence others, lead difficult conversations, and translate findings into action.
• Proficiency with Microsoft Office Suite and business reporting tools.

Responsibilities

• Lead all aspects of current TPA relationships and program performance, evaluate future partnerships, and serve as the primary contact for TPA- and carrier‑related matters.
• Ensure compliance with contractual obligations, service‑level agreements, company standards, documentation requirements, and operational expectations.
• Monitor scorecards, key metrics, customer experience measures, and program trends; identify risks, deficiencies, and opportunities for improvement.
• Conduct recurring compliance and quality audits, provide actionable reports to leadership, and track corrective actions through completion.
• Manage TPA and file escalations while protecting and strengthening the organization’s standing within TPA networks.
• Lead implementation and onboarding for new TPA partnerships and translate program changes into effective operating practices.
• Develop and deliver compliance- and TPA‑related training; identify performance gaps and partner with leaders on development plans.
• Collaborate with Mitigation, Reconstruction, Estimating, Project Management, Coordination, and Administration teams to remove barriers and improve execution.
• Recommend and implement improvements to systems, workflows, documentation quality, cycle times, customer communication, profitability, and operational efficiency.
• Additional responsibilities as required by executive leadership

Skills

Project management

Data interpretation

Communication

Attention to detail

Auditing

Training delivery

KPIs / scorecards

MS Office

Education

Experience in restoration/construction/insurance

Tools

RMS

Xactimate

Symbility

Luxor

Contractor Connection

Alacrity

Sedgwick

Job description

Paul Davis Triad-West is seeking a highly organized, analytical, and proactive Compliance & TPA Manager to lead the performance, compliance, implementation, training, and continuous improvement of our third‑party administrator programs.

This role serves as the organization’s primary subject matter expert on contractual requirements, service‑level agreements, scorecards, customer experience measures, and documentation standards.