Counsel-TPA Operations

PMA Companies•Blue Bell, PA

About The Position

The Counsel - TPA Operations is a hands-on attorney responsible for recurring business-facing legal and regulatory work for the Lodestar TPA. The position performs substantive legal work, manages paralegal or contract-administration resources, and improves existing processes. Although aligned within Claim Operations, the position supports the Lodestar TPA enterprise. Counsel enables business-led contracting through templates, approved language, guardrails and exception criteria; business leaders retain ownership of customer relationships, commercial negotiations and operating commitments. Counsel coordinates with shared-service and specialty legal resources when needed.

Requirements

Juris Doctor (J.D.) degree from an accredited law school.
Active bar membership in good standing in at least one U.S. jurisdiction and ability to obtain and maintain required in-house registration or limited licensure.
Minimum 5 years of relevant legal experience.
Substantial experience with commercial agreements, practical legal and regulatory advice, and independent legal analysis.
Experience managing or effectively using paralegal or contract-administration resources.

Nice To Haves

5–8 years of relevant legal experience preferred.
Experience in TPA operations, insurance, claims administration or another regulated environment, including licensing or regulatory examinations.
Experience developing contract templates, playbooks, approval guardrails and exception-based legal review.
Strong commercial judgment, drafting and negotiation skills, and ability to translate risk into practical business advice.
Ability to operate independently, manage priorities, determine when legal involvement adds value and work effectively across the business.

Responsibilities

Provide independent, practical legal advice; distinguish legal or regulatory requirements from commercial considerations; communicate material risk, options and recommended action while preserving business ownership of commercial and operating decisions.
Create and maintain standard customer agreements, amendments, renewals, exhibits, clauses and negotiation guidance.
Enable business leaders to negotiate routine terms within approved templates and guardrails; review, draft and negotiate defined exceptions and material deviations.
Review vendor agreements, RFPs, proposals and due-diligence responses for material legal or regulatory issues, and identify matters requiring specialized review or escalation.
Advise on contract interpretation, obligations, remedies and material commitments, and standardize responses to recurring legal questions.
Manage legal intake, review, approval, execution, recordkeeping and matter tracking while maintaining business continuity.
Improve legal processes through standards, exception criteria, templates, playbooks, controls and escalation protocols; report on workload, exceptions, significant risks and service levels.
Manage and prioritize paralegal or contract-administration resources, delegating execution while retaining legal accountability and quality standards.
Own the TPA regulatory licensing function, including renewals, registrations, appointments and related filings, with administrative support from the paralegal.
Interpret regulatory requirements, advise leadership on material developments, and lead or coordinate inquiries, examinations and remediation.
Coordinate with Claim Operations on compliance, adjuster licensing and related responsibilities to ensure clear accountability and escalation.
Own or coordinate routine commercial and contract disputes, interpretation issues and early resolution efforts.
Engage shared-service or specialty legal resources for litigation, E&O, high-risk disputes, privacy and cybersecurity, employment, governance, novel matters or matters outside delegated authority; serve as TPA coordinating attorney when appropriate.
Determine applicable legal and regulatory requirements, provide independent analysis and recommend appropriate action.