Claims TPA Vendor Lead

1 month ago


London, Greater London, United Kingdom Everest Advisors (UK), Ltd. Full time
Job Title:

Claims TPA Vendor Lead

Job Summary:

We are seeking a highly skilled Claims TPA Vendor Lead to join our team at Everest Advisors (UK), Ltd. The successful candidate will be responsible for managing the governance of all International Claims Third-Party Administrators (TPAs) and ensuring that they meet our minimum standards.

Key Responsibilities:
  1. Develop and implement a framework for performance managing all TPAs to provide improved transparency of their performance.
  2. Establish and maintain relationships with key stakeholders to ensure the smooth running of each TPA account.
  3. Conduct due diligence on new and existing TPAs to ensure they meet our commercial and operational requirements.
  4. Manage vendor relationships, perform root cause analysis, and develop and monitor vendor improvement plans.
  5. Establish a strong network and foster collaboration with customers, vendors, key stakeholders, and team members.
  6. Manage risk and compliance for all Claims TPAs and other vendors within scope.
  7. Focus on owning, facilitating, and resolving any issue linked with a Claims TPA.
  8. Continuously seek process improvements and efficiencies in the utilization of Claims TPAs.
  9. Manage contracts, including cost, service schedules, and performance parameters.
  10. Present reports to the Claims LOB management team highlighting any trends or issues.
  11. Develop and own the profile of all Claims TPAs and maintain a central overview of their services, pricing, and strengths and weaknesses.
  12. Maintain accurate records of all TPA arrangements, documents, and contracts in the Global Claims Vendor Management SharePoint site.
  13. Ensure the Global Claims Database is up to date and accurate at all times.
Requirements:
  1. Expert knowledge of the International TPA market.
  2. Awareness of contract and commercial law.
  3. Knowledge of supply chain and vendor management.
  4. A good knowledge of claims processes.
  5. Market, risk, and business awareness.
  6. Strong problem-solving skills and ability to prioritize multiple projects.
  7. Requires advanced customer service skills.
  8. Knowledge and computer literacy of business software is essential.
  9. Requires expertise in operating Microsoft Office programs.
  10. At least 10 years of experience in managing Claims TPAs.
  11. Claims qualification preferred.
  12. English language proficiency.
  13. Spanish language proficiency (preferred).
About Us:

At Everest Advisors (UK), Ltd., 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 we serve. We pride ourselves on having a unique and inclusive culture driven by a unified set of values and behaviors.

Our values are 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, Diversity, Equity, and Inclusion.

Our colleague behaviors define how we operate and interact with each other: Respect everyone, Pursue better, Lead by example, Own our outcomes, Win together.



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