TPA Oversight Specialist

Berkshire Hathaway GUARD Insurance Companies•Parsippany, NJ

1d•$85,000 - $130,000•Hybrid

About The Position

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. We are seeking an experienced TPA Oversight Specialist to oversee third-party administrators handling commercial auto, trucking, bodily injury, property damage, and PIP claims. 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.

Requirements

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
Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses.

Nice To Haves

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
Bachelor’s degree in business management or an equivalent combination of education and experience preferred.

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