Claims Quality Improvement Analyst

Role Overview

• Drive excellence in claims handling through data analysis, file audits, and quality reviews
• Partner with claims leadership to identify trends, ensure regulatory compliance, and implement best practices
• Focus on developing dashboards, audit processes, and improvement plans that enhance claim outcomes, service quality, and continuous improvement across the organization

Requirements

• 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
• High School Diploma or equivalent required
• Bachelor’s Degree in related field or equivalent work experience preferred
• Auto and Casualty Claim handling 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

Tech Stack

• Guidewire

Benefits

• 401K matching
• Bonding leave for new parents (12 weeks, 100% paid)
• Tuition assistance
• Training
• GM employee auto discount
• Community service pay
• Nine company holidays