Head of Claims Third-Party Administrators (Continental Europe & Latin America)

Everest Insurance (Ireland) Spain; Madrid; Presencial; EUR 70.000 - 90.000; Jornada completa

Descripción de la vacante

A leading insurance company in Madrid is seeking a Head of Claims to oversee third-party administrators across Continental Europe and Latin America. The ideal candidate will manage TPA relationships, ensuring alignment with the company's standards and performance metrics. Candidates should have experience in risk management and excellent communication skills. This is a full-time, on-site position offering diverse responsibilities in a dynamic environment.

Formación

• Experience in vendor management and risk management.
• Strong strategic and leadership skills.
• Excellent communication and stakeholder management.

Responsabilidades

• Oversee governance and management of all A&H and P&C TPAs.
• Ensure seamless day-to-day operations of TPA relationships.
• Establish a robust performance management framework.

Descripción del empleo

Overview

About Everest :

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. We are underwriters of risk, growth, progress and opportunity. We are a global team focused on disciplined capital allocation and long-term value creation for all stakeholders, who care deeply about our impact on communities and the wider world.

Purpose

Everest is seeking an experienced and strategic leader to join our team in Madrid as Head of Claims – Third-Party Administrators (TPA) for Continental Europe and Latin America. This pivotal role will oversee the governance, selection, and management of all A&H and P&C TPAs servicing our markets across these regions.

The successful candidate will be responsible for the full lifecycle of TPA relationships, including onboarding, due diligence (for both new and existing partners), and ownership of all commercial aspects. You will act as the key point of contact for internal stakeholders, ensuring seamless day-to-day operations and swift resolution of any issues.

A core part of this role will be to establish and maintain a robust performance management framework, driving transparency and ensuring all TPAs consistently meet Everest’s high standards.

Scope

All Claims Vendors that hold a delegation of authority. This includes Third-Party Administrators (TPA) and any other third-party providers to whom Everest delegates a claims handling authority.

Key Accountabilities

• Responsible for the development, implementation, due diligence, risk management, and performance of all Continental European & Latin American Claims Third-Party Administrators, to meet business goals and objectives.


• Contribute towards the long-term strategy of Claims TPAs.


• Managing vendor relationships, performing root cause analysis and resolutions, developing, and monitoring vendor improvement plans.


• Establishes a strong network and foster collaboration with customers, vendors, key stakeholders, and team members. (See Key stakeholder section below).


• Risk Management of all Claims TPAs and other Vendors within scope of this role.


• Focus on owning, facilitating, and resolving any issue linked with a Claims TPA.


• To continuously seek Process Improvement / Efficiencies in the utilization of Claims TPAs.


• Responsible for the management of contracts including the management of cost, service schedules, and performance parameters. Developing contract service specifications, work statements, and terms & conditions, working closely with Everest Legal.


• Present reports to the Claims LOB management team highlighting any trends or issues.


• Develop and own the profile of all Claims TPAs and maintain a central overview of their services, pricing and strengths and weaknesses accessible for all internal stakeholders.


• Maintain an accurate record of all TPA arrangements, documents, and contracts in the Global Claims Vendor Management SharePoint site.


• Ensure the Global Claims Database is up to date and accurate at all times.

Key Stakeholder Relationships

• Underwriters & Client Services - Regular meetings with the various underwriting divisions to support all TPA initiatives and provide expert insights to achieve practical decisions on choosing the right TPA and managing all TPA issues.


• Claims - Regular meetings with claims leaders for liaison over service, customer satisfaction and the auditing of TPAs (QA Team).


• Legal - Work with Associate General Counsel on contracts on legal issues.


• Claims QA - Liaise with Global Claims QA Lead to agree annual audit regime for TPAs.


• Brokers – Liaise with Brokers to manage concerns over TPA performance, but also to promote our TPA Service proposition in securing new business.


• Third Party Administrators – Regular meetings with all TPA