Claims Quality Improvement Analyst - General Motors Insurance

GM Financial•Fort Worth, TX

2d•$90,000 - $110,000•Remote

About The Position

The Claims Quality Improvement Analyst promotes quality claim management by facilitating file evaluations and analyzing company data to quantify claims results. The role collaborates with operations leaders and the Continuous Improvement Manager to determine optimal file results, ensure claim files comply with regulations, and meet best practices. It analyzes quantitative and qualitative business indicators, recommends continuous improvements, makes technical decisions within delegated authority, and may investigate trends through focused audits and analysis. The analyst develops and executes the vision for the quality improvement function within the claims department, builds dashboards and automated file review processes, and develops policies, standards, controls, workflows, and documentation in collaboration with claims leaders. The role conducts quality and compliance reviews, maintains audit forms aligned with current best practices and regulatory requirements, analyzes and reports audit results, and develops post-audit management action plans. It tracks and reports trends and opportunities in file quality data, supports training and professional development initiatives, and maintains relationships with internal and external stakeholders. The work is 100% remote.

Requirements

High school diploma or equivalent.
At least 3 years of experience with auto and/or casualty claims handling.
Auto and casualty claim-handling experience.
Claims processes and procedures knowledge, along with overall knowledge of the insurance industry.
Understanding of Guidewire ClaimCenter.
Excellent written and oral communication skills.
Ability to analyze data and 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.
Analytical mindset and ability to make data-driven decisions.
Strong communication and interpersonal skills, with empathy and customer-centricity.
Demonstrated ability to collaborate with cross-functional teams.
Adaptability in a fast-paced and changing environment.
Strong problem-solving skills and attention to detail.
Self-motivation and a proactive approach to challenges.
Ability to use AI tools such as Microsoft Copilot to support daily work.
Ability to evaluate AI outputs for accuracy, compliance, and bias.
Understanding of responsible AI use, including ethics and data protection.

Nice To Haves

Bachelor’s degree in a related field or equivalent work experience.
At least 2 years of experience in a claims compliance or claims quality role.
Project management experience.
Database proficiency.
Ongoing pursuit of analytical credentials.
Experience integrating AI into workflows to improve efficiency or insights.
Familiarity with AI-assisted research, summarization, and content generation.
AINS, AIS, CPCU, SCLA, or AIC certification.

Responsibilities

Develop and execute the vision for the General Motors Insurance claims quality improvement function, continuously improving it in accordance with claims best practices and regulatory requirements.
Create and maintain file audit dashboards to educate Claims leadership on trends, performance, and improvement opportunities.
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, documentation, guidelines, and workflows that support a center of excellence in Claim Quality Improvement.
Develop and implement quality and compliance reviews of General Motors Insurance Company claims to ensure quality service results and best-in-class claims handling.
Develop and update audit forms aligned with claims best practices and current regulatory requirements; analyze and report audit results; and develop post-audit management action plans.
Monitor, coordinate, track, measure, and report file-quality trends, issues, opportunities, and analysis to internal stakeholders.
Collaborate with Claims leadership and internal stakeholders on training initiatives, job aids, and guidelines to improve claims-handling quality and support professional growth.
Apply an understanding of compliance issues and the regulatory environment to project development and implementation.
Build and maintain relationships with internal stakeholders, including peers, Operations, Learning & Development, and executive management, as well as external auditors and vendors.