TPA Oversight Lead – Commercial Auto Claims

Berkshire Hathaway GUARD Insurance Companies; Illinois; Hybrid; USD 85,000 - 130,000; Full time

Benefits offered by this job

Hybrid schedule

Competitive pay

Medical, dental & vision starting day

401(k)

Tuition reimbursement

Longevity bonuses

Job summary

Berkshire Hathaway GUARD Insurance Companies seeks an experienced TPA Oversight Specialist to supervise TPAs handling commercial auto, trucking, bodily injury, and PIP claims.

You will provide technical guidance, monitor activity, review coverage, and coordinate with internal teams to ensure compliant, well-supported claim decisions. This role offers hybrid work and a competitive benefits package.

Qualifications

• 10+ years of commercial auto claims adjusting experience.
• Strong background handling bodily injury and litigated claims.
• Experience managing complex commercial auto and trucking losses.
• Ability to review policy language and determine coverage applicability.
• Experience attending mediations, depositions, and trials.
• Knowledge of state-specific claim handling requirements, demand regulations, and response timelines.
• Strong understanding of medical and legal terminology.
• Excellent written communication, organizational, and analytical skills.
• Advanced proficiency with Microsoft Office applications.
• High School Diploma/GED required; Bachelor’s degree in business management or an equivalent combination of education and experience preferred.
• Licensing Requirement: active adjuster license or willingness to obtain and maintain all required state licenses.

Responsibilities

• Oversee commercial auto, trucking, bodily injury, property damage, and PIP claims handled by TPAs.
• Monitor claim activity, review files, and identify potential exposure or escalation concerns.
• Provide technical direction and guidance to TPAs regarding claim handling and litigation strategy.
• Maintain daily communication with TPAs regarding claim developments and workflow expectations.
• Review coverage issues and evaluate policy language to support claim decisions.
• Partner with internal departments and TPAs to ensure accurate data exchange and reporting.
• Conduct audits of TPA programs and claim files to ensure compliance with company standards.
• Monitor demand responses, litigation activity, trial preparation, and mediation outcomes.
• Maintain workflow tasks and documentation in a timely manner.
• Present claim information and recommendations to internal stakeholders as needed.

Skills

Commercial auto claims adjusting

Bodily injury claims

Litigation experience

Policy interpretation

Data reporting

Microsoft Office

Education

High School Diploma/GED

Bachelor’s degree in business management or equivalent

Job description

Berkshire Hathaway GUARD Insurance Companies seeks an experienced TPA Oversight Specialist to supervise TPAs handling commercial auto, trucking, bodily injury, and PIP claims.

You will provide technical guidance, monitor activity, review coverage, and coordinate with internal teams to ensure compliant, well-supported claim decisions. This role offers hybrid work and a competitive benefits package.