Full Description

Title: Quality Assurance Director Company: Everest Global Services, Inc. Job Category: Claims Job Description: 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. 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 7–10 years of experience in the insurance/reinsurance industry, with significant focus on Reinsurance Claims handling or Claims Audit. Education: Bachelor’s 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 $100,000 - $165,000 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 don’t 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 doesn’t 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. Click here to learn more about our culture. 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. Inclusion and Belonging. Our Colleague Behaviors define 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. Type: Regular Time Type: Full time Primary Location: Warren, NJ Additional Locations: 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 . Everest U.S. Privacy Notice | Everest (everestglobal.com) Beware of recruitment fraud Please be cautious of phishing scams involving fake Everest job postings and individuals posting as Everest representatives making phony job offers. Always verify the identity of the recruiting professionals you work with. What you should know: At Everest, your privacy, security, and safety are of utmost importance to us. Everest will never ask for payment or any financial information as part of the hiring process. All job-related written communications from our internal recruitment team will come from official email addresses that end in our company domain. EVEREST is a leading international reinsurance and insurance group with an extensive distribution network that spans five continents. With roots dating back to 1973, Everest has developed a global footprint and deep client relationships that are largely unmatched by its peers. The Company’s principal business strategies seek to leverage its strengths to optimize returns over the underwriting cycle, thereby creating value for its shareholders and business partners.