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Open nowFirst seen 4 days ago

Counsel-TPA Operations

PMA Companies8 open roles

Where
Blue Bell, PA, USA
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Your applicationOpen nowCounsel-TPA OperationsPMA Companies · Blue Bell, PA, USA

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The clock on this job

Early applications get read.

13.8% of postings close within 7 days. Measured by our own scanner across the market. PMA Companies postings stay open a median of 9 days.

Share of postings closed within
  1. 2.2%1 day
  2. 4.7%3 days
  3. 13.8%7 days
  4. 22.3%14 days
  5. 37.8%30 days
  6. 59.0%60 days
This job: first seen 4 days ago

PMA Companies median: 9 days open

The posting

POSITION SUMMARY

The Counsel - TPA Operations is a hands-on attorney responsible for recurring business-facing legal and regulatory work for the Lodestar TPA. The position performs substantive legal work, manages paralegal or contract-administration resources, and improves existing processes.

Although aligned within Claim Operations, the position supports the Lodestar TPA enterprise. Counsel enables business-led contracting through templates, approved language, guardrails and exception criteria; business leaders retain ownership of customer relationships, commercial negotiations and operating commitments. Counsel coordinates with shared-service and specialty legal resources when needed.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Legal Advice and Business Partnership

  • Provide independent, practical legal advice and distinguish legal or regulatory requirements from commercial considerations.
  • Communicate material risk, options and recommended action while preserving business ownership of commercial and operating decisions.

Contracts, RFPs and Business Support

  • Create and maintain standard customer agreements, amendments, renewals, exhibits, clauses and negotiation guidance.
  • Enable business leaders to negotiate routine terms within approved templates and guardrails; review, draft and negotiate defined exceptions and material deviations.
  • Review vendor agreements, RFPs, proposals and due-diligence responses for material legal or regulatory issues and identify matters requiring specialized review or escalation.
  • Advise on contract interpretation, obligations, remedies and material commitments, and standardize responses to recurring legal questions.

Legal Operations and Resource Management

  • Assume responsibility for legal intake, review, approval, execution, recordkeeping and matter tracking while maintaining business continuity.
  • Improve processes through standards, exception criteria, templates, playbooks, controls and escalation protocols; report on workload, exceptions, significant risks and service levels.
  • Manage and prioritize paralegal or contract-administration resources, delegating execution while retaining legal accountability and quality standards.

Regulatory, Licensing and Examinations

  • Own the TPA regulatory licensing function, including renewals, registrations, appointments and related filings, with administrative support from the paralegal.
  • Interpret regulatory requirements, advise leadership on material developments, and lead or coordinate inquiries, examinations and remediation.
  • Coordinate with Claim Operations on compliance, adjuster licensing and related responsibilities to ensure clear accountability and escalation.

Commercial Disputes and Specialty Legal Support

  • Own or coordinate routine commercial and contract disputes, interpretation issues and early resolution efforts.
  • Engage shared-service or specialty legal resources for litigation, E&O, high-risk disputes, privacy and cybersecurity, employment, governance, novel matters or matters outside delegated authority; serve as TPA coordinating attorney when appropriate.

Decision Authority and Governance

  • Determine applicable legal and regulatory requirements, provide independent analysis and recommend appropriate action.
  • Business leaders retain decision authority for commercial and operating matters within delegated authority and remain accountable for business commitments.
  • Routine agreements within approved templates and guardrails do not require substantive legal approval; defined exceptions and material deviations do.

#LI-Hybrid

REQUIRED QUALIFICATIONS

  • Juris Doctor (J.D.) degree from an accredited law school.
  • Active PA and or NJ bar membership in good standing and ability to obtain and maintain required in-house registration or limited licensure.
  • Minimum 5 years of relevant legal experience; 5-8 years preferred.
  • Substantial experience with commercial agreements, practical legal and regulatory advice, and independent legal analysis.
  • Experience managing or effectively using paralegal or contract-administration resources.

PREFERRED QUALIFICATIONS AND COMPETENCIES

  • Experience in TPA operations, insurance, claims administration or another regulated environment, including licensing or regulatory examinations.
  • Experience developing contract templates, playbooks, approval guardrails and exception-based legal review.
  • Strong commercial judgment, drafting and negotiation skills, and ability to translate risk into practical business advice.
  • Ability to operate independently, manage priorities, determine when legal involvement adds value and work effectively across the business.
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