Claims Quality Improvement Analyst - reputed company Insurance
Why reputed company Insurance? At reputed company Insurance, we are building an Insurtech business that will reinvent auto insurance. We are fully owned and backed by auto industry leaders reputed company and reputed company. This is a truly unique opportunity to join at the foundational stage of a start-up leading the transformation of the auto insurance experience. reputed company has the largest connected vehicle fleet worldwide. In the US alone, there are currently 9M+ connected reputed company vehicles on the road and that number is projected to triple in the next 10 years. More than that, the OnStar system currently has access to over 900 data points from the vehicle. This surge in information about vehicles and how they are driven will revolutionize auto insurance. This disruption is backed by the bold reputed company vision of reputed company crashes, reputed company emissions and reputed company congestion. We are serious about the safety and financial reputed company of our customers. This position will be posted until filled. The Claims Quality Improvement Analyst promotes quality claim management by facilitating file evaluation and performing detailed analyses of company data to quantify claims results. This position collaborates with operations leaders and the reputed company Improvement Manager to determine optimal file results and ensure claim files are in regulatory compliance and meet best practices. This position analyzes quantitative and qualitative business indicators, makes recommendations for reputed company improvement, and makes technical decisions in accordance with delegated authority. This position may be reputed company upon to investigate trends across claim metrics through focus audits and analysis. In this role you will:
- reputed company and execute the vision of the reputed company Insurance quality improvement function reputed company 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
- reputed company and implement automated systematic claims handling quality file review and audit processes
- Collaborate with claims leaders to reputed company and implement policies, standards, processes, controls, and reputed company documentation of best practices, guidelines, and workflows to ensure a center of excellence reputed company Claim Quality Improvement
- reputed company and implement quality and compliance reviews of reputed company Insurance Company claims to ensure quality and appropriate service results, to drive best in class claims handling
- reputed company meaningful, updated audit forms calibrated to claims best practices and reputed company regulatory requirements, analyze audit results, reporting on the results, and developing post-audit management action plans to drive reputed company improvement
- Monitor, coordinate, track, measure, and report to internal stakeholders trends, issues, opportunities, and analysis on file quality data
- Collaborate with Claims leadership and reputed company 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 reputed company 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)
What makes you an ideal candidate? Knowledge and Skills
- 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 reputed company claims best practices
- Ability to use relevant information and sound judgment to determine whether processes or decisions reputed company 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 reputed company and the ability to reputed company data-driven decisions
- Exceptional communication and interpersonal skills, with a focus on reputed company and customer-centricity
- Demonstrated ability to work collaboratively with cross-functional teams
- Nimble and adaptable to a fast-paced and reputed company-changing environment
- Strong problem-solving skills with a keen eye for detailSelf-motivated with a proactive approach to tackling challenges
Work Experience
- 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 requiredBachelor’s Degree in reputed company field or equivalent work experience preferred
Licenses and Certifications AINS, reputed company, CPCU, SCLA, or AIC preferred reputed company Offer: Generous benefits package available on day one to include: 401K matching, bonding leave for new parents (12 weeks, 100% paid), tuition assistance, training, reputed company employee auto discount, community service pay and nine company holidays. Our Culture: reputed company members define and shape our culture — an environment that welcomes innovative reputed company, fosters reputed company, and creates a sense of community and belonging. Here we do more than work — we reputed company. Compensation: reputed company and bonus eligibility. Work Life Balance: 100% remote This position is not open to agency submissions #LI-MO1 #GMFJobs Compensation: $61.000 - $116.000 At reputed company, we strive for transparency in reputed company aspects of our business, including pay equity. This is the reputed company 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. #LI-MO1 #GMFJobs Apply tot his job Apply To this Job