Claims Tpa Oversight Lead

Everest Re Group

London, United Kingdom
Technical oversight frameworks
File reviews and root-cause analysis
Monitor reserving accuracy
As the Claims TPA Oversight Lead, you will act as a key conduit between the Everest Claims team and the Claims Vendor Management function, overseeing the performance and technical quality of TPAs managing claims across multiple classes of business

Job Summary

  • As the Claims TPA Oversight Lead, you will act as a key conduit between the Everest Claims team and the Claims Vendor Management function, overseeing the performance and technical quality of TPAs managing claims across multiple classes of business.
  • You will support high technical standards, operational consistency, and continuous improvement across our International TPA and Coverholder panel, ensuring regulatory expectations and Delegated Authority guidelines are met.
  • Everest is a global leader in risk management, rooted in a rich, 50+ year heritage of enabling businesses to survive and thrive, and economies to function and flourish.

Matching Summary

As the Claims TPA Oversight Lead, you will act as a key conduit between the Everest Claims team and the Claims Vendor Management function, overseeing the performance and technical quality of TPAs managing claims across multiple classes of business.

Skills & Requirements

Must-have

  • Technical oversight frameworks
  • File reviews and root-cause analysis
  • Monitor reserving accuracy
  • TPA performance reviews
  • Claims MI analysis
  • Stakeholder collaboration

Nice-to-have

  • Process improvement experience
  • Customer-focused with fair outcomes
  • Work effectively in a matrixed environment
  • Strategic, solutions-oriented thinking

Key Requirements

  • Strong claims experience
  • Experience in technical oversight
  • Dip CII / ACII preferred
  • Degree or equivalent experience

Work Rights

Not specified

Tailored Resume

Cover Letter