Quality Assurance Director
About The Position
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 team. In 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 organization's balance sheet by identifying leakage, ensuring regulatory compliance, and fostering a culture of continuous improvement.
Requirements
- Minimum of 7–10 years of experience in the insurance/reinsurance industry, with significant focus on Reinsurance Claims handling or Claims Audit.
- Bachelor’s degree required.
- 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.
- 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.
Responsibilities
- 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.
- 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.
- 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.
- 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).
Benefits
- health insurance coverage
- an employee wellness program
- life and disability insurance
- 401k match
- retirement savings plan
- paid holidays
- paid time off (PTO)
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What This Job Offers
Job Type
Full-time
Career Level
Director
