Vice President, Claims TPA Manager

Do you have the right skills and experience for this role Read on to find out, and make your application.

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations.

Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose : One Ascot.

Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way.

The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach.

These platforms work as one, deploying our capital creatively through our unique Fusion Model : Client Centric, Risk Centric, Technology Centric.

Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world-class service both pre- and post-claims.

Ascot exists to solve for our clients’ brightest tomorrow, through agility, collaboration, resilience, and discipline.

JOB SUMMARY :

Reporting to the Senior Vice President of Claims Operations & Strategy , the Vice President, Claims TPA Manager will oversee Third-Party Administrators (TPAs) managing commercial casualty, auto, property, inland and ocean marine, and E&O claims.

The ideal candidate will possess extensive experience in claims management, TPA contract negotiation, and compliance. This role involves providing strategic direction for Ascot’s programs and captives, collaborating with both internal and external partners on TPA management and claims operations.

The successful candidate will play a key role in launching new programs, including TPA selection and onboarding, and will serve as the primary liaison for data exchange between Ascot and the TPA.

RESPONSIBILITIES :

• Lead the negotiation of services, contracts and service level agreements for all TPAs utilized by Ascot in the U.S.
• Oversee the performance of TPAs to ensure adherence to service level agreements and claim handling guidelines.
• Conduct regular audits of TPA operations to ensure compliance with company standards and regulatory requirements.
• Review and approve authority levels for claims settlements, ensuring they are in line with company policies.
• Lead stewardship meetings to discuss performance metrics, areas for improvement, and strategic planning.
• Collaborate with internal teams, including underwriting and actuarial, to align claims handling procedures with company objectives.
• Develop and implement best practices for claims handling and management across all TPAs.
• Serve as the primary point of contact for TPAs, fostering strong relationships and effective communication.
• Analyze claims data to identify trends, areas of risk, and opportunities for cost savings.
• Provide expert guidance on complex claims and support TPAs in the resolution of high-exposure cases.
• Manage key relationships with senior leaders at the TPAs to ensure claims are being handled in line with service level agreements and quality expectations.
• Report out TPA results to senior leadership and external auditors as needed.

MINIMUM REQUIREMENTS :

• Bachelor's degree in Business Administration, Finance, or a related field. A Juris Doctor or advanced degree in a related field is preferred.
• Minimum of 10 years of claims handling experience, TPA Management background working directly for a TPA or managing a carrier / program / TPA relationship is a plus.
• Proven track record of effectively managing TPAs and improving claims handling processes.
• Claims operations experience with the ability to drive process, best practices, and operational strategy from both an operational and technical perspective.
• Strong critical thinking skills, with the ability to influence others when needed.
• Excellent organizational, desk management and prioritization skills with the ability to work independently and as part of a team.
• Must be positive, self-motivated, and possess strong interpersonal, communication and presentation skills.
• Solution oriented team player with a strong relationship management skill set working with both internal and external stakeholders and customers.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to travel as needed.

This position may be filled at a different level, depending on experience

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