Claims Third Party Agency (TPA) Liaison - Workers' Compensation - Remote

Overview

The Workers’ Compensation Claims TPA Liaison provides direct oversight of Third-Party Administrator (TPA) claim administration and facilitates communication between the TPA, policyholders, legal, and other internal departments.

In Short

• Direct management of TPA handled claims
• Provide strategic direction to TPA adjuster/defense counsel
• Monitor TPA’s compliance with claim handling procedures
• Contact policyholders during the investigation phase
• Consult legal to clarify coverage questions
• Resolve routine and complex TPA claim questions
• Participate in conference calls with TPA and defense counsel
• Perform TPA audits to evaluate quality of work
• Assist Claims Manager with day-to-day TPA operations
• Handle escalated TPA issues and projects

Requirements

• Active adjuster license
• 3-5 years experience adjusting workers’ compensation claims
• Technical understanding of claims investigation techniques
• Large loss injury litigation experience
• Self-motivated with the ability to work independently
• Excellent verbal and written communication skills
• Strong analytical, organizational, and time management skills
• Proficiency with MS Word, Excel and internet applications
• Highly attentive to details
• Strong negotiation skills

Benefits

• Medical, vision, disability, and life insurance
• Enhanced dental plan
• Generous PTO plan
• Paid company holidays and floating holidays
• Paid parental leave
• 401(k) with company match and immediate vesting
• Education Assistance Program with tuition reimbursement
• Service Recognition Program
• Wellness Initiatives
• Employee discount and rewards program