TPA Manager - Compre Group
Manchester, NH CT 03101
About the Job
Description
TPA Manager
United States – East Coast Preferred
Remote / Hybrid (within commuting distance to NH office)
Full-Time
We are a fast-growing global reinsurance speciality company servicing the insurance markets of Lloyd’s, Europe and North America.
Due to growth our Head of Claims Operations is looking for an experienced TPA Manager to ensure that our service providers are managed as an extension of our team, consistently maintaining high standards of performance.
United States – East Coast Preferred
Remote / Hybrid (within commuting distance to NH office)
Full-Time
We are a fast-growing global reinsurance speciality company servicing the insurance markets of Lloyd’s, Europe and North America.
Due to growth our Head of Claims Operations is looking for an experienced TPA Manager to ensure that our service providers are managed as an extension of our team, consistently maintaining high standards of performance.
Responsibilities
• Management of TPA relationship & performance management oversight.
• Undertaking the onboarding process for any new TPAs that Compre acquires that attach to a legacy portfolio. This will include undertaking a due diligence process and updating existing contracts where required to ensure we have the sufficient oversight.
• Ensuring the delivery of contractual obligations and performance standards by these providers, through regular interaction and supervision.
• Working with TPA’s to ensure compliance with Compre’s best practice claims handling processes and procedures.
• Management of the TPA Audit Framework, to include audit scheduling, scoping and ensuring subsequent action plans are issued and adhered to by the TPAs following the Audit.
• Working with internal stakeholders on any TPA fee negotiations, preparing a full analytical review and rationale for any price increase.
• Providing insight and knowledge to the US Claims Management team in the procurement of TPA services for new and existing deals.
• Assist in the design and optimization of the TPA operating model, using knowledge and experience to drive continuous improvement.
• Assisting in the design and implementation of commercial contracts with third parties, providing consistency and alignment with our overall objectives and required outcomes.
• To oversee delegated authorities, ensuring that correct and relevant license levels are provided to TPAs and that these are adhered to.
• Oversight of TPA bordereau processes, including review of performance metrics.
• Undertaking the onboarding process for any new TPAs that Compre acquires that attach to a legacy portfolio. This will include undertaking a due diligence process and updating existing contracts where required to ensure we have the sufficient oversight.
• Ensuring the delivery of contractual obligations and performance standards by these providers, through regular interaction and supervision.
• Working with TPA’s to ensure compliance with Compre’s best practice claims handling processes and procedures.
• Management of the TPA Audit Framework, to include audit scheduling, scoping and ensuring subsequent action plans are issued and adhered to by the TPAs following the Audit.
• Working with internal stakeholders on any TPA fee negotiations, preparing a full analytical review and rationale for any price increase.
• Providing insight and knowledge to the US Claims Management team in the procurement of TPA services for new and existing deals.
• Assist in the design and optimization of the TPA operating model, using knowledge and experience to drive continuous improvement.
• Assisting in the design and implementation of commercial contracts with third parties, providing consistency and alignment with our overall objectives and required outcomes.
• To oversee delegated authorities, ensuring that correct and relevant license levels are provided to TPAs and that these are adhered to.
• Oversight of TPA bordereau processes, including review of performance metrics.
Skills Knowledge and Expertise
• Minimum of 5+ years’ experience in a similar role.
• Four-year college degree required or equivalent work experience.
• Proven track record of effective management of outsourced service providers in a Claims environment for US claims.
• Exceptional level of experience in implementing and managing commercial contracts with external service providers.
• Outcome focused showing an attention to detail and ability to challenge and supervise TPA’s when required, to ensure high standards of services are maintained.
• Analytical skills, with a strong problem-solving approach.
Required Skills
• 5-7 yeas of TPA experience preferred.
• Experience managing and coordinating internal and external audits.
• Excellent relationship management skills, with the ability to effectively manage a wide range of stakeholder relationships.
• Good level of computer skills including intermediate/advanced MS Excel, Word, and PowerPoint skills.
• Great planning and organizational skills, with the ability to manage own time alongside the demands of managing multiple service providers.
• Outcome focused showing an attention to detail and ability to challenge and supervise TPA’s when required, to ensure high standards of services are maintained.
• Excellent presentation and communication skills.
Organizational
• Embodiment of Compre’s Values and demonstration of Compre’s Commitment.
• Ability to develop good working relationships with both internal and external stakeholders.
• Consistently acts as a role model to other members of the team.
• Coordination and collaboration with colleagues in other departments within Compre
• Progressive and a flexible, open-minded approach to change.
• Upholds confidentiality in relevant situations in respect to policy and role.
Interested? Click through to find the full role profile from our careers page and make an application.
Shortlisted candidates will be invited to an interview.
If your application is successful, we will conduct relevant employment checks prior to you beginning employment with us. These will include verifying your recent employment, right to work in the relevant location and a standard criminal record check.
Please note: We may close a vacancy early if the required quality or number of applications has been received.
No agencies please.
About Compre Group
Compre is a global speciality reinsurance company that offers capital and liability solutions to its clients, providing them with the certainty they need on their portfolios. We are known for being trusted partners to the market and for having a team of experts who collaborate and maintain discipline in underwriting, ensuring a differentiated client experience.
As an ambitious business, we are focused on building depth, breadth, and diversity in the talent across our business to be future-ready. Our clients' needs evolve as the market changes, which is why we continuously invest in areas such as data and technology. This way, we can serve current and future clients' needs with scalable and new technology, delivered by our growing agile Data and Technology team.
• Our values are what make us stand out. We value each other, empower and hold ourselves accountable, are authentic, collaborative and inclusive, and continuously strive for progress and innovation.
• Four-year college degree required or equivalent work experience.
• Proven track record of effective management of outsourced service providers in a Claims environment for US claims.
• Exceptional level of experience in implementing and managing commercial contracts with external service providers.
• Outcome focused showing an attention to detail and ability to challenge and supervise TPA’s when required, to ensure high standards of services are maintained.
• Analytical skills, with a strong problem-solving approach.
Required Skills
• 5-7 yeas of TPA experience preferred.
• Experience managing and coordinating internal and external audits.
• Excellent relationship management skills, with the ability to effectively manage a wide range of stakeholder relationships.
• Good level of computer skills including intermediate/advanced MS Excel, Word, and PowerPoint skills.
• Great planning and organizational skills, with the ability to manage own time alongside the demands of managing multiple service providers.
• Outcome focused showing an attention to detail and ability to challenge and supervise TPA’s when required, to ensure high standards of services are maintained.
• Excellent presentation and communication skills.
Organizational
• Embodiment of Compre’s Values and demonstration of Compre’s Commitment.
• Ability to develop good working relationships with both internal and external stakeholders.
• Consistently acts as a role model to other members of the team.
• Coordination and collaboration with colleagues in other departments within Compre
• Progressive and a flexible, open-minded approach to change.
• Upholds confidentiality in relevant situations in respect to policy and role.
Interested? Click through to find the full role profile from our careers page and make an application.
Shortlisted candidates will be invited to an interview.
If your application is successful, we will conduct relevant employment checks prior to you beginning employment with us. These will include verifying your recent employment, right to work in the relevant location and a standard criminal record check.
Please note: We may close a vacancy early if the required quality or number of applications has been received.
No agencies please.
About Compre Group
Compre is a global speciality reinsurance company that offers capital and liability solutions to its clients, providing them with the certainty they need on their portfolios. We are known for being trusted partners to the market and for having a team of experts who collaborate and maintain discipline in underwriting, ensuring a differentiated client experience.
As an ambitious business, we are focused on building depth, breadth, and diversity in the talent across our business to be future-ready. Our clients' needs evolve as the market changes, which is why we continuously invest in areas such as data and technology. This way, we can serve current and future clients' needs with scalable and new technology, delivered by our growing agile Data and Technology team.
• Our values are what make us stand out. We value each other, empower and hold ourselves accountable, are authentic, collaborative and inclusive, and continuously strive for progress and innovation.
Benefits
At Compre, we offer a range of benefits and team engagement events and provide a supportive environment for learning and growth. We are intent upon building a great business, and over the last few years, we have expanded our markets across Europe, Lloyd's, and North America. Our team is based in Bermuda, Finland, Germany, Malta, UK and the US.
To keep our globally dispersed team connected, we have various employee resource groups, including Wellbeing, DEI, COMMS and Engagement.
We invest in our people and offer learning and development opportunities for leaders and employees to build confidence and grow their skill sets. We value teamwork, authenticity, and innovation, and provide a space for these behaviours to bloom at Compre.
Make an impact in a collaborative environment with some of the best talent in the industry, while enjoying:
• Flex First
o Empowering employees to thrive in any location. Our innovative Flex First approach enables employees to perform to their full potential, regardless of their location, while fostering a sense of community through regular events and collaboration.
• Benefits
o Competitive salary and bonus eligible
o Medical, EAP, dental, & vision insurance for individuals and families
o Excellent HSA plan with Compre funding Life Insurance
o 401k with Company Match
o Company Off-Site Meetings
o Remote Worker Expenses
o Health and Wellbeing Programs
o Employee Referral Program
• Personal Development
o Advancing your professional development through ongoing learning opportunities.
• Time Off
o Generous vacation and holiday schedule with STD & LTD coverage
To keep our globally dispersed team connected, we have various employee resource groups, including Wellbeing, DEI, COMMS and Engagement.
We invest in our people and offer learning and development opportunities for leaders and employees to build confidence and grow their skill sets. We value teamwork, authenticity, and innovation, and provide a space for these behaviours to bloom at Compre.
Make an impact in a collaborative environment with some of the best talent in the industry, while enjoying:
• Flex First
o Empowering employees to thrive in any location. Our innovative Flex First approach enables employees to perform to their full potential, regardless of their location, while fostering a sense of community through regular events and collaboration.
• Benefits
o Competitive salary and bonus eligible
o Medical, EAP, dental, & vision insurance for individuals and families
o Excellent HSA plan with Compre funding Life Insurance
o 401k with Company Match
o Company Off-Site Meetings
o Remote Worker Expenses
o Health and Wellbeing Programs
o Employee Referral Program
• Personal Development
o Advancing your professional development through ongoing learning opportunities.
• Time Off
o Generous vacation and holiday schedule with STD & LTD coverage
Source : Compre Group