Senior Claims Process Improvement Specialist

AAA-The Auto Club Group•MI-Admin Office Building (AOB), MI

4d•$76,000 - $100,000•Remote

About The Position

As a Senior Claims Process Improvement Specialist, you'll lead high-impact initiatives that transform Claims operations, partner with leaders and cross-functional teams to streamline processes, implement innovative solutions, and deliver measurable business results. This role offers the opportunity to influence strategic decisions, leverage data-driven insights, and help shape the future of the Claims organization through continuous improvement and operational excellence.

Requirements

Bachelor’s degree in related field
A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.
Minimum of 4 years of claim handling experience
Experience in process improvement activities including evaluating, analyzing, recommending, documenting, and implementing improvements in processes and procedures
Organizing, controlling, monitoring, and reporting projects including providing work direction and guidance to vendors or Claims teams
Analyzing information flow and evaluating the effectiveness and efficiency of systems, solutions, and business strategies
Conducting cost/benefit analysis
Planning, organizing, and training others on new applications, processes, or vended solutions
Implementing and evaluating performance interventions
Analyzing and documenting workflows
Project management, including planning and oversight
Preparing and presenting information to management
Strategic thinking and addressing complex issues
Lead multifunctional project teams, including employees of various levels, including management
Effectively communicate (both verbally and in writing)
Analyzing potential new products and vendors
Developing change management plans and leading business readiness activities
Researching, analyzing, and presenting industry benchmarks and making recommendations
Analyzing and defining resource and skill requirements for projects
Participating in or leading process improvement initiative
Demonstrated strong problem solving and interpersonal skills
Demonstrated strong organization and prioritization skills
Effectively works on concurrent projects
Setting priorities, multitasking, working under pressure, and adapting to changing demands
Adapting to and effectively lead change

Nice To Haves

Project Management Professional certification
Presenting information using tools such as PowerPoint, Tableau or similar
Creating and utilizing process flowcharts, and gap analysis using VISIO or other comparable tools
Process improvement strategies and best practices
Project management in a leadership capacity
Knowledge of ACG claims systems
Knowledge of Project management tools
Multi-line claims operations exposure

Responsibilities

Collaborate with Claim leaders to develop change management and implementation strategies for large scale projects or initiatives
Conducts need analysis assessments
Gathers and documents business requirements
Identifies gaps and operational functions in need of improvement
Designs and documents process enhancements and recommended workflows
Executes projects ensuring adherence to corporate and regulatory guidelines
Analyzes data to determine the root cause of operational inefficiencies
Participates in cross-functional teams performing cost-benefit analysis and budget implications
Identifies, analyzes, and recommends innovative approaches to resolve highly complex problems
Forecasts and communicates project outcomes to Claims leadership
Documents and maintains process flows and procedures
Measures and tracks achievement of project objectives and timelines
Works with technology and functional teams on the implementation of Claims system or solutions
Leads business readiness activities and organizational change management to ensure end users are prepared for system upgrades, changes or new technology or functional solutions
Participates in the development of training related to process improvement solutions

Benefits

Medical plans with multiple coverage options, including HSA eligibility.
Prescription drug coverage.
Dental and vision benefits.
Employee Assistance Program (confidential support services).
Company-paid basic life insurance.
Optional supplemental life insurance and dependent coverage.
Short-term and long-term disability coverage.
Critical illness, accident, and pet insurance options.
401(k) plan to support long-term financial goals. 3% automatic deferral upon eligibility; may contribute 1% to 50% of eligible earnings, either pre or post tax. Company match of 50% paid on employee contributions up to 6% of pay, payable to employees following the end of the year; immediate vesting. Additional company contribution of 4% of pay each pay day into your account; 100% vested after three (3) years of service.
Health Savings Account (HSA) and Flexible Spending Accounts (FSA) options.
Paid Time Off (PTO): Accrual-based, increases with tenure, eligible at 90 days of employment. Full-time new employees will receive up to 12 PTO days annually; accrual based on start date and may include additional PTO based on role and/or state & local requirements. Part-time employee PTO hours are calculated based upon the standard weekly hours the employee is scheduled to work and will accrue at a minimum of 3 hours per month.
Paid Holidays: Full-time employees are eligible for 10 company-paid holidays annually, in addition to 1 mental health day, 2 floating holidays and 1 volunteer day. Holidays vary by business unit schedules. Part-time employees are eligible for 8 company-paid holidays annually, in addition to 1 mental health day and 2 floating holidays. Holidays vary by business unit schedules.
Paid leave programs, including parental, bereavement, jury duty, and military leave.
Tuition assistance (up to $5,250 annually; 80% covered by ACG).
Professional certification support with 100% reimbursement for eligible programs.
Opportunities for career development and advancement.
Complimentary AAA membership with roadside assistance and travel discounts.
Adoption assistance program.