Sr. TPA Oversight Claims Specialist - Commercial Liability

King's Insurance Staffing; Rhode Island; On-site; USD 100,000 - 130,000; Full time

Benefits offered by this job

Comprehensive Health Benefits

401(k) Plan with Employer Matching

Generous PTO Plan

Annual Bonus

Job summary

An established industry player is looking for a skilled Commercial Auto Liability Claims Consultant to join their New England operations. This pivotal role involves overseeing the performance of third-party administrators and ensuring compliance and efficiency in handling moderate to complex claims. With a focus on accuracy and service excellence, you will guide claims handling, escalate significant matters, and support junior staff. The company offers a competitive salary, comprehensive health benefits, and a supportive work environment. If you have a passion for claims management and a strong background in the insurance field, this is a fantastic opportunity to make an impact.

Qualifications

• 5-10+ years of experience in handling Commercial Auto claims.
• Must possess an active adjuster's license and strong negotiation skills.

Responsibilities

• Oversee a portfolio of Commercial Auto, Bodily Injury, and Property claims.
• Audit TPA processes to ensure compliance and cost-effectiveness.

Skills

Commercial Auto Claims Handling

Coverage Analysis

Negotiation Skills

Analytical Skills

Communication Skills

Education

Active Adjuster's License

5-10+ Years of Experience

Job description

King's Insurance Staffing provided pay range

This range is provided by King's Insurance Staffing. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$100,000.00/yr - $130,000.00/yr

Additional compensation types

Annual Bonus and Sign-on bonus

Our client is seeking to add a Commercial Auto Liability - Home Office Claims Consultant to their New England operations. This position involves overseeing claim handling performance of third-party administrators (TPAs), ensuring accuracy, compliance, and efficiency at all levels. Primarily overseeing moderate to complex (including litigation) Commercial Auto, Bodily Injury, and Property losses throughout the New England region.

Key Responsibilities:

• Actively oversee and provide direction on a portfolio of Commercial Auto, Bodily Injury, and Property claims while providing clear guidance and appropriate authority to third-party claims administrators on coverage analysis, reserves, settlements, and service-related decisions.
• Assist in recognizing major claims requiring higher authority or specialized handling and contribute to related reporting, including preparation of Large Loss Summaries.
• Quickly identify and escalate significant claims, including potential litigation matters, to internal management and legal teams for timely coordination and response.
• Review, evaluate, and provide authorization for reserves, settlement negotiations, and denial recommendations submitted by third-party administrators.
• Routinely audit TPA processes and performance to confirm compliance with established protocols, highlighting areas for improvement and ensuring cost-effective vendor utilization.
• Ensure TPAs adhere strictly to company-established policies and procedures and consistently achieve predefined service-level agreements.
• Provide support and training to junior claims staff and other stakeholders as necessary to strengthen overall claim management capabilities.

Qualifications:

• 5 - 10+ years of experience handling and/or overseeing Commercial Auto claims.
• Well versed in coverage analysis, risk transfer, policy interpretation, setting reserves, and negotiating settlements.
• Must have claims experience with an Insurance Carrier and/or TPA.
• Strong background in property casualty claims, with highly regarded litigation experience.
• Must possess an active adjuster’s license.
• Proficiency in interpreting lease agreements and related documents.
• Excellent analytical and problem-solving skills.
• Strong communication and interpersonal skills, capable of interacting with diverse stakeholders.

Salary and Benefits:

• Base salary range: $100,000 to $130,000, dependent on experience, plus annual bonus.
• Comprehensive health benefits (Medical, Dental, Vision, and Life) available from the first day of employment.
• Employer matching 401(k) plan.
• Generous PTO plan.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Other and Quality Assurance

Industries

Insurance and Insurance Carriers