TPA Oversight Specialist
Overview
Good Things Start Here. Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.
This role serves as a key liaison between internal stakeholders and TPAs, ensuring claims are handled appropriately, regulatory requirements are met, and claim outcomes align with company expectations. This position is ideal for a seasoned claims professional who enjoys providing oversight, guidance, and technical expertise rather than managing a traditional claim inventory from inception to closure.
Good Things You Can Count On.
This role may be based out of one of the following locations: New York, NY; Parsippany, NJ; Conshohocken, PA; Wilkes‑Barre, PA; Alpharetta, GA; Rosemont, IL; Plano, TX; and Scottsdale, AZ.
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
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