Quality Assurance Director

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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.

Position Overview

We are seeking an experienced Quality Assurance professional to join the Reinsurance Claims this role you will be responsible for driving technical excellence and ensuring consistency in claim handling across our Treaty and Facultative portfolios. The ideal candidate will have deep expertise claim best practices and audit protocols. You will act as a safeguard for the organizations balance sheet by identifying leakage ensuring regulatory compliance and fostering a culture of continuous improvement.

Key Responsibilities

Audit and Compliance

• Oversee technical audits of reinsurance claim files to ensure compliance with company Best Practices claim handling guidelines and regulatory requirements.

• Conduct Secondary reviews of technical audits conducted by supervisors.

• Monitor claim files for leakage proactive litigation management and appropriate subrogation/salvage recovery efforts.

Quality Assurance Reviews

• Plan and administer Quality Assurance Reviews of the Everest Re Claim offices to verify adherence to reporting guidelines and settlement authority.

• Provide detailed audit reports outlining findings risks and recommendations for remediation to internal stakeholders.

Process Improvement and Training

• Analyze audit data to identify systemic trends training gaps or operational inefficiencies within the claims department.

• Collaborate with Claims Leadership to develop and update claim handling guidelines and standard operating procedures (SOPs).

• Design and deliver technical training sessions for the claims staff based on audit findings and emerging industry trends.

Reporting and Analytics

• Prepare quarterly Quality Assurance reports for senior management highlighting quality scores compliance metrics and improvement areas.

• Assist in the preparation of internal and external audit responses (e.g. from corporate internal audit or external regulators).

Qualifications

• Experience: Minimum of 710 years of experience in the insurance/reinsurance industry with significant focus on Reinsurance Claims handling or Claims Audit.

• Education: Bachelors degree required.

• Skills:

  • Exceptional analytical and problem-solving skills with an ability to synthesize complex data into actionable insights.

  • Strong written and verbal communication skills capable of delivering constructive feedback to peers and senior management.

  • Proficiency in Microsoft Office Suite (Excel PowerPoint Word) and familiarity with modern claims administration systems.

Competencies

• Detail-Oriented: A meticulous approach to reviewing files and data.

• Objective: Ability to remain impartial and fact-based during reviews.

• Collaborative: Willingness to work across departments (Underwriting Actuarial Legal) to achieve organizational goals.

• Integrity: Unwavering commitment to ethical standards and regulatory compliance.

The base salary range for this position is $100000 - $165000 annually. The offered rate of compensation will be based on individual education experience qualifications and work location. All offers include access to a variety of benefits to employees including health insurance coverage an employee wellness program life and disability insurance 401k match retirement savings plan paid holidays and paid time off (PTO).

What if I dont meet every requirement At Everest we are dedicated to building an inclusive and authentic workplace. So if you are excited about this role but your past experience doesnt align perfectly with every element in the job description we still encourage you to apply. You may be just the right candidate for this or other roles. Please let us know if you need any accommodations throughout the application or interview process.

Our Culture

At Everest our purpose is to provide the world with protection. We help clients and businesses thrive fuel global economies and create sustainable value for our colleagues shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. Clickhereto learn more about our culture.

• Our Valuesare the guiding principles that inform our decisions actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Inclusion and Belonging.
• Our Colleague Behaviorsdefine how we operate and interact with each other no matter our location level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together.

All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues and the global communities we serve.

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Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion or creed sex (including pregnancy) sexual orientation gender identity or expression national origin or ancestry citizenship genetics physical or mental disability age marital status civil union status family or parental status veteran status or any other characteristic protected by law. As part of this commitment Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process to perform essential job functions and/or to receive other benefits and privileges of employment please contact Everest Benefits at

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