[Hiring] Claims Quality Improvement Analyst @GM Financial

Role Description

The Claims Quality Improvement Analyst promotes quality claim management by facilitating file evaluation and performing detailed analyses of company data to quantify claims results. This position collaborates with operations leaders and the Continuous Improvement Manager to determine optimal file results and ensure claim files are in regulatory compliance and meet best practices. This position analyzes quantitative and qualitative business indicators, makes recommendations for continuous improvement, and makes technical decisions in accordance with delegated authority. This position may be called upon to investigate trends across claim metrics through focus audits and analysis.

• Develop and execute the vision of the General Motors Insurance quality improvement function within the claims department.
• Create and maintain file audit dashboards to educate Claims leadership on trends, performance, and opportunities for improvement.
• Develop and implement automated systematic claims handling quality file review and audit processes.
• Collaborate with claims leaders to develop and implement policies, standards, processes, controls, and related documentation of best practices, guidelines, and workflows.
• Develop and implement quality and compliance reviews of General Motors Insurance Company claims.
• Develop meaningful, updated audit forms calibrated to claims best practices and current regulatory requirements.
• Monitor, coordinate, track, measure, and report to internal stakeholders trends, issues, opportunities, and analysis on file quality data.
• Collaborate with Claims leadership and related internal stakeholders on training initiatives, job aids, guidelines.
• Bring a solid understanding of compliance issues and regulatory environment in all project development and implementation.
• Build and maintain key relationships with internal and external stakeholders.

Qualifications

• Auto and Casualty Claim handling experience.
• Claims Audit, Quality Improvement/Quality Assurance experience.
• Extensive knowledge of claims processes and procedures along with overall knowledge of the insurance industry.
• Possess an understanding of Guidewire ClaimCenter.
• Project management experience preferred.
• Database proficiency desired.
• Ongoing pursuit of analytical credentials.
• Excellent written and oral communication skills.
• Ability to analyze data to form general rules or conclusions.
• Ability to understand and communicate regulatory requirements and develop claims best practices.
• Ability to use relevant information and sound judgment to determine compliance with regulations or standards.
• Ability to work, coach, and mentor effectively in a team environment.
• Ability to establish and maintain effective working relationships with others.
• Analytical mindset and the ability to make data-driven decisions.
• Exceptional communication and interpersonal skills, with a focus on empathy and customer-centricity.
• Demonstrated ability to work collaboratively with cross-functional teams.
• Nimble and adaptable to a fast-paced and ever-changing environment.
• Strong problem-solving skills with a keen eye for detail.
• Self-motivated with a proactive approach to tackling challenges.

Requirements

• High School Diploma or equivalent required; Bachelor’s Degree in related field or equivalent work experience preferred.
• 3+ years of experience with auto and/or casualty claims handling required.
• 2+ years of experience in a claims compliance or claims quality role preferred.

Licenses and Certifications

• AINS, AIS, CPCU, SCLA, or AIC preferred.

Benefits

• Generous benefits package available on day one to include: 401K matching, bonding leave for new parents (12 weeks, 100% paid), tuition assistance, training, GM employee auto discount, community service pay, and nine company holidays.

Compensation

The base range for this role is: $90,000 - $110,000. This role is eligible to participate in a performance-based incentive plan. Full-time employees are eligible to participate in health benefits on day one of employment.

Company Description

Our team members define and shape our culture — an environment that welcomes innovative ideas, fosters integrity, and creates a sense of community and belonging. Here we do more than work — we thrive.