Claims Quality Improvement Analyst - General Motors Insurance

GM Financial

$88K — $116K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of auto claims handling experience
  • Strong background in claims audit and quality improvement
  • Extensive knowledge of insurance processes and procedures
  • Understanding of Guidewire ClaimCenter
  • Possesses analytical mindset with excellent communication skills
  • Experience in project management is preferred
  • Proficiency with databases is desired

Responsibilities

  • Lead the development of audit programs and compliance processes
  • Create dashboards to track performance trends and improvement opportunities
  • Implement systematic claims handling quality reviews and audits
  • Collaborate with leadership on policies and best practices
  • Monitor and report on file quality data and audit results
  • Develop training initiatives to enhance claims handling quality
  • Build relationships with internal and external stakeholders

Benefits

  • 401K matching from day one
  • 12 weeks of fully paid bonding leave for new parents
  • Tuition assistance for ongoing education
  • Generous GM employee auto discount
  • Paid community service time off
  • Nine company holidays observed annually
Full Job Description
Job Description

Responsibilities

About the role:

This role leads the Claims Quality Improvement function by developing audit programs, quality reviews, and compliance processes that drive best-in-class claims handling and regulatory adherence. The position partners closely with Claims leadership to analyze performance trends, identify improvement opportunities, and implement training, policies, and quality initiatives that enhance operational excellence and customer outcomes

In this role you will:
  • Develop and execute the vision of the General Motors Insurance quality improvement function within the claims department, continuously improving, and enhancing this function in accordance with claims best practices and regulatory requirements
  • 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 to ensure a center of excellence within Claim Quality Improvement
  • Develop and implement quality and compliance reviews of General Motors Insurance Company claims to ensure quality and appropriate service results, to drive best in class claims handling
  • Develop meaningful, updated audit forms calibrated to claims best practices and current regulatory requirements, analyze audit results, reporting on the results, and developing post-audit management action plans to drive continuous improvement
  • 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 to continuously improve claims handling quality and execution in support of team and individual professional growth and development
  • Bring a solid understanding of compliance issues and regulatory environment in all project development and implementation.
  • Build and maintain key relationships with internal stakeholders (e.g., Peers, Operations, Learning & Development, various executive management leaders) and external stakeholders (e.g., auditors and vendors)


Qualifications

What makes you an ideal candidate?
  • Auto Claim handling experience
  • Auto appraisal experience
  • Claims Audit, Quality Improvement/Quality Assurance experience
  • Must have extensive knowledge of claims processes and procedures along with overall knowledge of insurance industry
  • Possess an understanding of Guidewire ClaimCenter
  • Project management experience preferred
  • Database proficiency desired
  • The preferred candidate has an ongoing pursuit of analytical credentials
  • Excellent written and oral communication skills needed
  • 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 whether processes or decisions comply 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


Work Experience & Education
  • 3+ years of experience with auto claims handling required
  • 2+ years of experience in a claims compliance or claims quality role preferred
  • High School Diploma or equivalent required; Bachelor's Degree in related field or equivalent work experience preferred


Licenses and Certifications
  • AINS, AIS, CPCU, SCLA, or AIC preferred


Additional Knowledge and Skills

Working effectively within an AI enabled environment:
  • Ability to use AI tools (e.g., Microsoft Copilot) to support daily work
  • Skills in evaluating AI outputs for accuracy, compliance, and bias
  • Experience integrating AI into workflows to improve efficiency or insights
  • Familiarity with AI assisted research, summarization, and content generation
  • Understanding of responsible AI use, including ethics and data protection


What We Offer: 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: Competitive pay and bonus eligibility.

NOTE: We are unable to consider candidates who require visa sponsorship for this position

This position is not open to agency submissions

The base range for this role is: $88,000 - $116,000
At GM Financial, we strive for transparency in all aspects of our business, including pay equity. This is the GM Financial pay range for this role and job level. The exact salary and compensation will vary based on factors like knowledge, skills, experience, and education.
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.

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