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Tpl Claims Representative Jobs (NOW HIRING)

Eligibility Worker I

San Francisco, CA · On-site

$24.57 - $31.88/hr

... SSDI, TPL, etc.) within established guidelines. Responsibilities include telephone or bedside ... Representative, Medi-Cal Eligibility Enrollment Services, Social security claims, Federal ...

Eligibility Worker I

San Francisco, CA · On-site

$24.57 - $31.88/hr

... SSDI, TPL, etc.) within established guidelines. Responsibilities include telephone or bedside ... Representative, Medi-Cal Eligibility Enrollment Services, Social security claims, Federal ...

... SSDI, TPL, etc.) within established guidelines. Responsibilities include telephone or bedside ... Representative, Medi-Cal Eligibility Enrollment Services, Social security claims, Federal ...

Coordinator I

Sacramento, CA

$19.25 - $24.75/hr

... Eligibility Representative, TPL, Collections, Insurance, Administrative Assistant, Hospital ... claims, Clerical, receptionist, front office, Davis, Dixon, Woodland, Florin, Vacaville, Rio Linda ...

Coordinator I

Sacramento, CA · On-site

$19.25 - $24.75/hr

... Eligibility Representative, TPL, Collections, Insurance, Administrative Assistant, Hospital ... claims, Clerical, receptionist, front office, Davis, Dixon, Woodland, Florin, Vacaville, Rio Linda ...

Coordinator I

Sacramento, CA · On-site

$19.25 - $24.75/hr

... Eligibility Representative, TPL, Collections, Insurance, Administrative Assistant, Hospital ... claims, Clerical, receptionist, front office, Davis, Dixon, Woodland, Florin, Vacaville, Rio Linda ...

Patient Access Coordinator I

Hibbing, MN · On-site

$19 - $27.53/hr

Collect, data entry, register, and schedules workers compensation, TPL, Auto Accident claims by ... Work with our customer service reps to help patients with any balances. * Process disability ...

Patient Access Coordinator I

Hibbing, MN · On-site

$16.75 - $21.25/hr

Collect, data entry, register, and schedules workers compensation, TPL, Auto Accident claims by ... Work with our customer service reps to help patients with any balances. * Process disability ...

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Tpl Claims Representative information

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$6

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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:
Eligibility Worker I

Eligibility Worker I

Health Advocates

San Francisco, CA • On-site

$24.57 - $31.88/hr

Full-time

Medical, Retirement, PTO

Posted 8 days ago


Job description

Job Type
Full-time
Description
Health Advocates is seeking an Eligibility Worker I for a client hospital site in San Francisco, CA.
WE OFFER PAID TRAINING!!!
Job Summary
Eligibility Workers help qualify patients/claimants for governmental benefits (Medi-Cal, VOC, SSI/SSDI, TPL, etc.) within established guidelines. Responsibilities include telephone or bedside screening, completing applications, follow-up with patients and county workers for successful completion of cases, submitting applications to appropriate offices, and updating information in hospital computer database, work closely with hospital personnel, and perform other related duties as assigned.
Qualifications
• High School diploma or GED equivalent required
• 1-2 years' experience in customer service; healthcare environment, or any combo of experience, education, or training
• A desire to help others
• Bilingual English/Spanish is helpful (Speak, Read, and Write)
• Bilingual English/Cantonese is a plus
• Basic office skills and computer literacy required
• Excellent communication skills, both verbal and written
• Excellent organizational skills
• Ability to adapt and manage change in a fast-paced environment
• Type 30 wpm
Working Title: Case Manager I
Pay Rate: $24.57 - $31.88 per hour (Depending on Relevant Experience)
Position Type: Full-time; Non-exempt
Schedule: Monday - Friday from 8:00 am - 4:45 pm
Other: We conduct assessment testing and post offer background checks
Benefits
Health Advocates offers a comprehensive benefits package to meet the needs of today's employees. They include: Healthcare & Insurance Benefits, Retirement Benefits, Employee Discounts, Employee Assistance Program, Rideshare Incentives, Employee Referral Program, Vacation/Holiday/Sick Leave, and other time off.
About Us
Founded in 1990, Health Advocates is the largest privately funded public advocacy company in California providing Eligibility and Recovery services to California public health systems, private hospitals, clinics, health plans, government agencies, and individuals. We are dedicated to identifying medical coverage from third-party sources such as Medi-Cal, Social Security (SSI/SSDI), and other health insurance programs to minimize uncompensated care to the benefit of both our clients and the patients and applicants they serve. Our success is born from a very unique blend of resources, expertise, and an unwavering determination to identify coverage and recovery solutions on behalf of patients that simply have no ability to pay their increasing financial healthcare debts. Innovation and compassion are integral to Health Advocates' identity and these attributes have historically served our clients very well. We are proud of our past, excited about our future, and confident of our continued success.
This position requires access to confidential protected health information (PHI). Our employees are expected to protect the privacy of all PHI in accordance with Health Advocates' privacy policies and procedures and as required by state and federal law including but not limited to the HIPAA Security and Privacy Rule.
Health Advocates
21540 Plummer Street, Suite B
Chatsworth, CA 91311
(818) 995-9500 p
(818) 995-6872 f
Health Advocates is an equal opportunity employer. We believe all of our employees should be treated fairly, consistently, and with dignity and respect. Our goal is to maintain a satisfied and productive team of employees. The keys to reaching that goal are effective leadership, fair and competitive wages and benefits, dedication to the job, and close attention to employee relations matters.
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