TPA Oversight Specialist

We need to output HTML fragment with sections as per rules. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections that have real specific content. The posting includes Overview (which could be "About the role"?). It includes "Good Things You Can Count On." which includes hybrid schedule, predictable hours, competitive pay + generous PTO, medical/dental/vision, 401(k), tuition reimbursement & longevity bonuses. That's benefits and schedule and pay. There's also "Salary $85,000 - $130,000". So we need sections: About the role (overview), Responsibilities, Qualifications (maybe combine qualifications and preferred qualifications), Benefits, Pay, Schedule. Also maybe Skills? The posting mentions skills like "Excellent written communication, organizational, and analytical skills", "Advanced proficiency with Microsoft Office applications". Could be a Skills section. But we can also incorporate into Qualifications. The rule: Prefer a few substantive sections over many thin ones. We can combine skills into Qualifications. We'll include sections: About the role (overview), Responsibilities, Qualifications, Benefits, Pay, Schedule. Ensure we don't repeat job title. No metadata like Job ID. Remove boilerplate like EEO, etc. Also remove "Interview Integrity Notice" etc. Also remove "Why Join Us?" maybe could be part of About the role? It's more about why join; but we can incorporate into About the role or Benefits? It's not required. We can keep as part of About the role maybe. But we must preserve all substantive information; we can't discard "Why Join Us?" content. It's substantive. Could be placed under About the role or a separate section like "Why Join Us?" but we only have allowed headings list; we could put it under About the role as part of overview. Or we could create a section "Why Join Us?" but not in allowed headings; better to incorporate into About the role. We must not include sections with filler like "commensurate with experience". Not present. We need to use

• for any list of duties/requirements/benefits. So for Responsibilities we need a list. For Qualifications we need list. For Benefits we need list. For Pay we can just put a

  with salary range. For Schedule we can put a

  with hybrid schedule and predictable hours. Let's extract content. 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. Good Things You Can Count On. Hybrid schedule: 2 days remote / 3 in‑office Predictable hours (no nights, weekends, or holidays) Competitive pay + generous PTO Medical, dental & vision starting day one 401(k), tuition reimbursement & longevity bonuses" We can split: About the role: first paragraph about company and culture. Then Benefits etc separate sections. But we already have Benefits and Schedule sections. So About the role could be just the first two sentences about company and culture. However we need to preserve all substantive info; we can't lose the "Good Things You Can Count On" bullet points. Those will go to Benefits and Schedule sections. Thus About the role: "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." Now Responsibilities: list from "What You'll Do". We'll extract each bullet. Responsibilities list: - 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 Now Qualifications: includes "What We're Looking For" list plus "Preferred Qualifications". We'll combine. Required qualifications list: - 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: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including cost, training and compliance with ongoing continuing education requirements. Preferred qualifications list: - 3+ years handling litigated claims through verdict - Previous experience overseeing TPAs, independent adjusters, or external claim vendors - Carrier-side commercial auto claims experience - Experience with catastrophic, high-exposure, or trucking-related losses We could combine into one list but maybe separate required vs preferred? The rule: prefer few substantive sections over many thin ones. Could have one Qualifications section with both required and preferred, maybe using subheadings? But we cannot add extra headings beyond allowed list. Could just list all items, maybe mark preferred with "(Preferred)". But we must preserve all info; we can include both. We'll create a

  with items; for preferred we can add "(Preferred)" at end. Now Benefits: list from "Good Things You Can Count On": Medical, dental & vision starting day one; 401(k); tuition reimbursement; longevity bonuses. Also maybe "Competitive pay + generous PTO" but that's pay and PTO (which is benefit). We'll treat PTO as benefit as well. So Benefits list: - Medical, dental & vision starting day one - 401(k) - Tuition reimbursement - Longevity bonuses - Generous PTO Pay: Salary $85,000 - $130,000. Also note "In accordance with applicable pay transparency laws, this range represents a good‐faith estimate. Final compensation will be determined based on factors such as experience, credentials, geographic location, and other considerations permitted by law." We'll include that as prose

  . Schedule: Hybrid schedule: 2 days remote / 3 in‑office; Predictable hours (no nights, weekends, or holidays). We'll put as

  . We also have location list: "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." This is substantive; where to put? Could be part of About the role or maybe a separate section but not in allowed headings. Could incorporate into About the role as extra sentence. We'll add to About the role after company description. Thus About the role paragraph will include location list. Now ensure we don't repeat job title. No headings for Job ID. Now produce HTML fragment:

  About the role

  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 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, 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: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including cost, training and compliance with ongoing continuing education requirements.
  • 3+ years handling litigated claims through verdict (Preferred)
  • Previous experience overseeing TPAs, independent adjusters, or external claim vendors (Preferred)
  • Carrier-side commercial auto claims experience (Preferred)
  • Experience with catastrophic, high-exposure, or trucking-related losses (Preferred)

  Benefits

  • Medical, dental & vision starting day one
  • 401(k)
  • Tuition reimbursement
  • Longevity bonuses
  • Generous PTO

  Pay

  Salary $85,000 - $130,000. In accordance with applicable pay transparency laws, this range represents a good‐faith estimate. Final compensation will be determined based on factors such as experience, credentials, geographic location, and other considerations permitted by law.

  Schedule

  Hybrid schedule: 2 days remote / 3 in‑office. Predictable hours (no nights, weekends, or holidays).

  Check we didn't include any boilerplate like EEO, scam warning, etc. We removed "Why Join Us?" but we incorporated its content? Actually "Why Join Us?"