
Compliance & TPA Manager
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Overview
Job Description
- Health insurance
- Opportunity for advancement
- Paid time off
- Parental leave
- Training & development
- Vision insurance
- 401(k)
- 401(k) matching
- Bonus based on performance
- Competitive salary
- Dental insurance
- Our Vision: To provide extraordinary care while serving people in their time of need.
- Our Mission: To provide opportunities for Great People to deliver Best in Class Results.
- Our Values: Deliver what you promise. Be Direct with Respect for the individual. Have pride in what you do. Practice continuous improvement. Do what it takes to win.
- Lead all aspects of current TPA relationships and program performance, evaluate future partnerships, and serve as the primary contact for TPA- and carrier-related matters.
- Ensure compliance with contractual obligations, service-level agreements, company standards, documentation requirements, and operational expectations.
- Monitor scorecards, key metrics, customer experience measures, and program trends; identify risks, deficiencies, and opportunities for improvement.
- Conduct recurring compliance and quality audits, provide actionable reports to leadership, and track corrective actions through completion.
- Manage TPA and file escalations while protecting and strengthening the organization’s standing within TPA networks.
- Lead implementation and onboarding for new TPA partnerships and translate program changes into effective operating practices.
- Develop and deliver compliance- and TPA-related training; identify performance gaps and partner with leaders on development plans.
- Collaborate with Mitigation, Reconstruction, Estimating, Project Management, Coordination, and Administration teams to remove barriers and improve execution.
- Recommend and implement improvements to systems, workflows, documentation quality, cycle times, customer communication, profitability, and operational efficiency.
- Additional responsibilities as required by executive leadership
- Three to five years of experience in restoration, construction, insurance, property claims, customer service, operations, project management, compliance, or process improvement.
- Three to five years of experience working with third-party administrators or insurance-related programs.
- Familiarity with RMS, Xactimate, Symbility, Luxor, Contractor Connection, Alacrity, Sedgwick, or comparable platforms.
- Experience developing KPIs, managing scorecards, conducting audits, supporting quality assurance, and developing or facilitating training.
- Strong organizational and project management skills, with the ability to manage multiple priorities and follow through consistently.
- Excellent written and verbal communication, analytical thinking, problem-solving, decision-making, and attention to detail.
- Ability to interpret data and performance trends, influence others, lead difficult conversations, and translate findings into action.
- Proficiency with Microsoft Office Suite and business reporting tools.
- Expected schedule is approximately 40–50 hours per week.
- This is a 100% on-site position based in Winston-Salem or Lenoir; the working environment is primarily office-based.
- Relocation assistance is not available. Candidates must currently reside within a reasonable commuting distance, and any relocation expenses are the candidate’s responsibility.
- The role requires the ability to sit at a desk and work on a computer for most of the workday and occasionally lift up to 20 pounds.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Since 1966, Paul Davis has been an industry leader in the areas of property damage mitigation, reconstruction and remodeling. With more than 370 offices in our franchise network, the company serves residential, institutional, and commercial customers and clients across the United States and Canada.
We have built our heritage one project at a time, establishing a reputation for performance, integrity and responsibility among customers and carriers alike. Whether property damage is caused by water, fire, smoke, storms or other disasters, we deliver on our promise to deliver excellence, expertise and a customer experience that is second to none. At Paul Davis, our passion for quality drives everything we do.
Our Vision:
To Provide Extraordinary Care While Serving People In Their Time Of Need.
Our Values:
Deliver What You Promise
Respect The Individual
Have Pride In What You Do
Practice Continuous Improvement
Our Mission:
To provide opportunities for great people to deliver Best in Class results
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
