Project Leader Insurance Optimization & Quality Assurance

AAA-The Auto Club Group•MI-HMMI Empl Work From Home, MI

10d•$85,000 - $100,000•Hybrid

About The Position

Provides guidance and direction to a project team of individuals responsible for the review of highly complex insurance product, underwriting and related practices that measure product performance, underwriting practices, quality controls and monitor the activities of underwriting vendors to ensure adherence to corporate standards for a particular line of business and ability to achieve optimal results from a profitability standpoint. Make recommendations to increase profitability. Ensures the timely and accurate completion of assigned individual and team tasks. Develops scope and identify next steps for assigned projects. Works with Management to develop reporting and analytics. Works with the team to identify opportunities to streamline workflow and processes utilizing GCP, Excel and their knowledge of how data flows. Collaborates with field management and the team to build and enhance dashboards. Must understand the data structure and data availability in order to advise on capabilities. Summarizes findings at an agent level and presents findings to management. Analyzes cost/benefit across Product features & Underwriting Practices to ensure or increase optimization of profitability. Participates in meetings with agents & managers to share results. Works in conjunction with Internal Audit on confidential and/or special projects and employee investigations. Conducts analyses to identify underlying trends and improvement opportunities and provides results and recommendations to management. Develops policies and procedures relative to the audit process as indicated. Reviews Underwriting reporting budget and analyzes cost-benefit. Builds trials to evaluates opportunities for new vendor solutions to assess cost/benefit and potential to increase optimization across Product & Underwriting. May collaborate directly with vendors. Performs special projects as requested and may provide guidance & direction for others working on the project.

Requirements

Eligible to lawfully work in the U.S. immediately.
Bachelor’s degree in Business Administration, Insurance, technology, or a related field
Conducting comprehensive internal quality audits and documenting findings
Building consensus between managers of multiple areas
Researching company procedures and guidelines as well as industry best practices
Analyzing an operation, evaluate audit findings, develop opinions/conclusions and conduct closing meetings
Analyze data to determine potential problems, identify missing information, etc.
Analyzing problems to identify causes
Applying advanced auditing tools and techniques
Identifying trends and assess potential impact
Working effectively under pressure
Assessing fraud potential and make appropriate referrals for investigation
Achieving stated objectives within designated timeframe
Analysis and problem solving
Project planning and management
Risk assessment and root cause analysis
Auditing/consulting/evaluating insurance processes
Knowledge of: Insurance policy provisions and coverage terminology
Insurance laws and regulations
Underwriting quality standards
Rating & Underwriting accuracy
Quality audit techniques and/or internal control concepts
Descriptive statistics
Audit sampling theories
Investigation techniques
Negotiation techniques
Advanced root cause analysis techniques
Quality concepts and conventions, such as Six Sigma, Total Quality, continuous improvement concepts, Quality Function Deployment, LEAN, etc., including a level of knowledge sufficient to adapt and implement concepts into company activities and processes
Internal controls
Microsoft Office applications (e.g., Word, Excel, PowerPoint, and Access)
Google Cloud Platform
Dashboards
Ability to: Lead a project team
Ensure accuracy of information
Demonstrate an elevated level of objectivity, confidentiality, and professionalism
Provide oversight to all aspects of quality and compliance review activities
Review internal quality audit work-paper documentation and reports
Communicate effectively with others in all levels of the organization, including conducting audit opening and closing meetings and making special presentations when requested
Build consensus between State Product Management, Actuarial Pricing, Central Services, Field Management & Underwriting.
Communicate effectively with others in a work environment
Research company procedures and guidelines as well as industry best practices
Analyze an operation, evaluate audit findings, develop opinions/conclusions, and conduct meetings
Analyze problems to identify causes
Apply advanced auditing tools and techniques
Identify trends and assess potential impact
Work effectively under pressure
Assess fraud potential and make appropriate referrals for investigation
Achieve stated objectives within designated timeframe
Organization and planning
Excellent oral and written communication skills to include report preparation and presentation of major findings.

Nice To Haves

Advanced degree
Insurance related coursework obtained from the Insurance Institute of America (IIA) or other similar source.
Experience in: Project management

Responsibilities

Provides guidance and direction to a project team of individuals responsible for the review of highly complex insurance product, underwriting and related practices that measure product performance, underwriting practices, quality controls and monitor the activities of underwriting vendors to ensure adherence to corporate standards for a particular line of business and ability to achieve optimal results from a profitability standpoint.
Make recommendations to increase profitability.
Ensures the timely and accurate completion of assigned individual and team tasks.
Develops scope and identify next steps for assigned projects.
Works with Management to develop reporting and analytics.
Works with the team to identify opportunities to streamline workflow and processes utilizing GCP, Excel and their knowledge of how data flows.
Collaborates with field management and the team to build and enhance dashboards.
Must understand the data structure and data availability in order to advise on capabilities.
Summarizes findings at an agent level and presents findings to management.
Analyzes cost/benefit across Product features & Underwriting Practices to ensure or increase optimization of profitability.
Participates in meetings with agents & managers to share results.
Works in conjunction with Internal Audit on confidential and/or special projects and employee investigations.
Conducts analyses to identify underlying trends and improvement opportunities and provides results and recommendations to management.
Develops policies and procedures relative to the audit process as indicated.
Reviews Underwriting reporting budget and analyzes cost-benefit.
Builds trials to evaluates opportunities for new vendor solutions to assess cost/benefit and potential to increase optimization across Product & Underwriting.
May collaborate directly with vendors.
Performs special projects as requested and may provide guidance & direction for others working on the project.