Claims Quality Improvement Analyst

This is a fully remote position, open to applicants in Texas.

📋 Description

• Lead and implement the vision for the General Motors Insurance quality enhancement function within the claims department, ensuring continuous improvement and alignment with claims best practices and regulatory standards.

• Design and manage file audit dashboards to inform Claims leadership about trends, performance metrics, and areas for enhancement.

• Establish and execute automated systematic processes for quality file reviews and audits related to claim handling.

• Work alongside claims leaders to create and enforce policies, standards, processes, controls, and associated documentation that reflect best practices, guidelines, and workflows, establishing a center of excellence in Claim Quality Improvement.

• Conduct quality and compliance reviews for General Motors Insurance Company claims to guarantee the delivery of high-quality service and superior claims handling.

• Formulate effective and updated audit forms aligned with claims best practices and current regulatory standards, analyze audit findings, report outcomes, and create post-audit management action plans for ongoing improvement.

• Oversee, coordinate, and report to internal stakeholders on trends, issues, opportunities, and analyses related to file quality data.

• Partner with Claims leadership and other internal stakeholders on training initiatives, job aids, and guidelines to enhance claims handling quality and execution, supporting both team and individual professional development.

• Maintain a strong grasp of compliance issues and the regulatory landscape throughout all project development and execution.

• Cultivate and sustain key relationships with internal stakeholders (e.g., Peers, Operations, Learning & Development, various executive management leaders) and external stakeholders (e.g., auditors and vendors).

⛳️ Requirements

• Minimum of 3 years of experience in auto claims handling is required.

• At least 2 years of experience in a claims compliance or quality role is preferred.

• High School Diploma or equivalent is required; a Bachelor’s Degree in a related field or equivalent work experience is preferred.

• Extensive knowledge of claims processes and procedures, along with a comprehensive understanding of the insurance industry, is essential.

• Familiarity with Guidewire ClaimCenter is necessary.

• Project management experience is preferred.

• Proficiency in database management is desired.

• The ideal candidate will actively pursue analytical credentials.

• Strong written and verbal communication skills are required.

• Capability to analyze data to draw general conclusions or rules.

• Ability to interpret and communicate regulatory requirements and develop claims best practices.

• Skill in using relevant information and sound judgment to assess compliance with regulations or standards.

• Capacity to effectively work, coach, and mentor within a team environment.

• Ability to establish and nurture effective working relationships with colleagues and stakeholders.

• An analytical mindset with the capacity to make data-driven decisions.

• Outstanding communication and interpersonal skills, emphasizing empathy and a customer-centric approach.

• Proven ability to collaborate effectively with cross-functional teams.

• Adaptable and agile in a dynamic and fast-paced environment.

• Strong problem-solving skills with attention to detail.

• Self-driven with a proactive attitude towards addressing challenges.

🏝️ Benefits

• Comprehensive benefits package available from day one, which includes: 401K matching.

• Paid bonding leave for new parents (12 weeks at 100% pay).

• Tuition assistance.

• Training opportunities.

• GM employee auto discounts.

• Community service pay.

• Nine company holidays.