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Tpl Claims Representative Jobs (NOW HIRING)

True North Recovery, Inc.

Billing Specialist

Wasilla, AK · On-site

$22 - $25/hr

Correct any billing errors made by service providers on notes associated to TPL claims. * Processes ... No representative of True North Recovery Inc. has authority to enter into any agreement contrary to ...

True North Recovery, Inc.

Billing Specialist

Wasilla, AK

$18.50 - $25/hr

Correct any billing errors made by service providers on notes associated to TPL claims. * Processes ... No representative of True North Recovery Inc.has authority to enter into any agreement contrary to ...

True North Recovery Inc

Billing Specialist

Wasilla, AK · On-site

Correct any billing errors made by service providers on notes associated to TPL claims. * Processes ... No representative of True North Recovery Inc.has authority to enter into any agreement contrary to ...

Performant

OR · On-site

... claims, eligibility validation practices, Coordination of Benefits and Third-Party Liability (COB/TPL), or Medicare Secondary Payer (MSP), plus strong data analysis and technical skills to support ...

HEALTH ADVOCATES

Medical Biller I

Chatsworth, CA

$21 - $27.25/hr

... Claims, Analyst, TPL, Negotiation, Negotiator, Lien, Follow up, Follow-up, Commercial, Private, Insurance, Eligibility Representative, Hospital, Insurance, Healthcare, UBO4, HMO, PPO, POS, Managed ...

Health Advocates

Medical Biller I

Chatsworth, CA · On-site

$21 - $27.25/hr

... Claims, Analyst, TPL, Negotiation, Negotiator, Lien, Follow up, Follow-up, Commercial, Private, Insurance, Eligibility Representative, Hospital, Insurance, Healthcare, UBO4, HMO, PPO, POS, Managed ...

HEALTH ADVOCATES

Insurance Collector I

Chatsworth, CA · On-site

$24 - $31.25/hr

... Claims, Analyst, TPL, Negotiation, Negotiator, Lien, Follow up, Follow-up, Commercial, Private, Insurance, Eligibility Representative, Hospital, Insurance, Healthcare, UBO4, HMO, PPO, POS, Managed ...

HEALTH ADVOCATES

Medical Biller I

Chatsworth, CA · On-site

$21 - $27.25/hr

... Claims, Analyst, TPL, Negotiation, Negotiator, Lien, Follow up, Follow-up, Commercial, Private, Insurance, Eligibility Representative, Hospital, Insurance, Healthcare, UBO4, HMO, PPO, POS, Managed ...

Performant

Healthcare Reclamation Analyst

$20 - $26/hr

Deployed by over 75 health plans, including many of the top 20, and representing more than 170 ... Leverage your knowledge and expertise in COB/TPL/MSP to review documentation and eligibility ...

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All JobsTpl Claims Representative Jobs

Tpl Claims Representative information

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$6

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$40

How much do tpl claims representative jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for tpl claims representative in the United States is $24.56, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $28.85 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a TPL Claims Representative, and why are they important?

To thrive as a TPL Claims Representative, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies and liability laws, often supported by a relevant degree or insurance certifications. Familiarity with claims management systems, case management software, and industry-standard documentation tools is typically required. Excellent negotiation, customer service, and communication skills help in efficiently resolving claims and managing client interactions. These skills ensure accurate claim assessment, effective resolution, and high client satisfaction within a complex regulatory environment.

What is the difference between Tpl Claims Representative vs Property Claims Adjuster?

AspectTpl Claims RepresentativeProperty Claims Adjuster
Required CredentialsHigh school diploma or equivalent; licensing may be requiredHigh school diploma or equivalent; licensing often required
Work EnvironmentOffice setting, customer service interactions, claims processingField work, inspecting property damage, assessing claims
Employer & IndustryInsurance companies, claims departmentsInsurance companies, independent adjusting firms
Common Search & ComparisonYesYes

The main difference between a Tpl Claims Representative and a Property Claims Adjuster lies in their work environment and responsibilities. Tpl Claims Representatives typically work in office settings handling customer interactions and claims processing, while Property Claims Adjusters often conduct field inspections to assess damage. Both roles require similar credentials and are employed within insurance companies, making them common points of comparison for job seekers in the insurance industry.

What are TPL Claims Representatives?

TPL Claims Representatives are professionals who handle Third Party Liability (TPL) insurance claims. They investigate, process, and resolve claims where a third party may be responsible for damages or injuries, ensuring compliance with legal and company guidelines. Their duties often include communicating with claimants, insurance companies, and legal representatives, as well as evaluating evidence and negotiating settlements. TPL Claims Representatives play a crucial role in protecting their company’s financial interests while providing fair service to all parties involved.

What are some typical challenges faced by a TPL Claims Representative, and how can they be managed effectively?

TPL (Third Party Liability) Claims Representatives often handle complex cases involving multiple parties, liability investigations, and negotiation with claimants, legal representatives, and insurers. One common challenge is managing high caseloads while ensuring timely and thorough investigations. Effective organization, strong communication skills, and staying current with legal and industry updates are crucial for success. Building collaborative relationships with teammates and leveraging support from supervisors also help in managing workload and resolving challenging cases.
What states have the most Tpl Claims Representative jobs? States with the most job openings for Tpl Claims Representative jobs include:
TPL Claims Representative (Bilingual/Spanish preferred)

TPL Claims Representative (Bilingual/Spanish preferred)

Elevate Patient Financial Solutions

Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Elevate Patient Financial Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

Job description

Elevate Patient Financial Solutions is seeking detail-oriented and proactive professionals to join our team as a Third Party Liability (TPL) Representative. This full-time opportunity offers a consistent schedule of Monday-Friday 8AM-5PM (remote). If you're passionate about making a meaningful impact and growing your career in a purpose-driven environment, this is your opportunity to shine!
TPL Representatives are healthcare heroes in a different way - by resolving TPL claims for patients and the hospitals who care for them
In this role, you will be responsible to responsible for investigating, facilitating, and coordinating benefits for accident claims from auto, home, or other liability insurance policies.
Essential Duties and Responsibilities
  • Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement.
  • Review and research accident claims to investigate possible leads.
  • Bill no-fault and third-party liability carriers when appropriate.
  • Request documentation from insurance representatives when no no-fault insurance exists.
  • Review and research insurance claims to determine possible payment sources.
  • Contact various sources including insurance professionals, patients, and other parties to verify relevant data.
  • Coordinate with payors to ensure appropriate filing guidelines are met for reimbursement.
  • Request appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition.
  • Maintain and update payors on denied claims.
  • Ensure that appropriate billing guidelines and standards are met based on payor and/or state.
  • Make written or verbal appeals to payers on denied claims.
  • Obtain claim status and gathering supporting documentation to submit appeals.
  • Evaluate liability cases according to a multitude of factors, including accident type, patient involvement, patient degree of fault, and available insurance coverage.
  • Make accurate determination of the correct course of action to resolve liability cases based on the above data.
  • Pursue first party payers for reimbursement of hospital claims.
  • Assess state No-Fault laws to determine the availability and extent of first party coverage, and inform uncooperative patients about the proper coordination of available insurance benefits.
  • Appeal underpayments made for any reason other than exhaustion of benefits.
  • Resolve bodily injury liability claims by asserting and enforcing liens against the liable insurance company.
  • Ensure timely and equitable disbursement of settlement funds.
  • Regular and timely attendance.
  • Other duties as assigned.
Qualifications and Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.
  • High School Diploma or GED is preferred except where required by the client
  • 1-2 years working knowledge of computer functions including the internet and computer software such as Microsoft Office Suite and the ability to learn in-house computer applications.
  • 1-3 years of related experience in the field or in a related area
  • Ability to communicate effectively verbally and in writing
  • Thorough knowledge of the third-party claims adjudication process
  • Thorough knowledge of state lien statutes, CMS secondary payer rules, and state No-Fault laws
  • Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria.
Benefits:
ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
  • Medical, Dental amp; Vision Insurance
  • 401K (100% match for the first 3% amp; 50% match for the next 2%)
  • 15 days of PTO
  • 7 paid Holidays
  • 2 Floating holidays
  • 1 Elevate Day (floating holiday)
  • Pet Insurance
  • Employee referral bonus program
  • Teamwork: We believe in teamwork and having fun together
  • Career Growth: Gain great experience to promote to higher roles
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
ElevatePFS is an Equal Opportunity Employer

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