Auto Insurance Fraud Intelligence Analyst - General Motors Insurance

JOB DESCRIPTION

Why General Motors Insurance?

General Motors Insurance, backed by GM and GM Financial, is launching an innovative Insurtech venture aimed at transforming the auto insurance industry through connected vehicle data and advanced technology. With access to over 900 data points from more than 9 million connected GM vehicles in the U.S., the company is leveraging this data to support GM's vision of zero crashes, zero emissions, and zero congestion.

This position will be posted until filled.

The Auto Insurance Fraud Intelligence Analyst (FIA) will play a critical role in the identification and mitigation of emerging fraud trends targeting General Motors Insurance Company (GMIC) and its platforms. The FIA will leverage advanced intelligence methodologies, data analysis, and investigative techniques to design, implement, and refine models and tools to detect and prevent fraudulent activity across the GMIC ecosystem.

About the role

• Serves as subject matter resource regarding fraud investigations
• Assist and consult on claims with red flags, providing desktop investigative assistance
• Drive innovation by integrating advanced AI tools and techniques as well as common vendor tools into claims processes to enhance and advance fraud fighting efforts
• Consistently and proactively identify gaps in fraud detection systems and recommend solutions to increase efficiency and effectiveness
• Continuously monitor the performance of fraud analytic models (both GMIC-designed and vendor models) to ensure effectiveness as fraud schemes shift and evolve, modifying models to ensure peak performance and limit false positives
• Serve as subject matter resource regarding auto insurance fraud intelligence and analytics
• Analyze intelligence from large datasets to uncover patterns, anomalies, and red flags indicative of fraud
• Utilize predictive modeling tools to analyze fraud trends and provide insights regarding possible mitigation strategies
• Collaborate with policy analysts, claims adjusters, legal team, and leadership to develop and refine fraud detection decision frameworks with effective alert systems

• You have a demonstrated ability to look at the "big picture" regarding the auto insurance fraud landscape and provide proactive fraud analytics solutions
• You have strong analytical and problem-solving skills with keen attention to detail
• You are able to work in a rapidly changing start-up environment, building many tools from scratch and/or implementing new vendor tools for the first time
• You are able to work effectively with cross-functional teams and build strong working relationships
• You have demonstrated ability to present complex technical information clearly and concisely to diverse and sometimes non-technical audiences
• You have detailed understanding of how to tailor Verisk/ISO and other fraud detection technology platforms, including AI-based programs, to maximize fraud detection efficiency
• You possess detailed knowledge of how to derive actionable insights from data regarding fraud patterns and trends and can demonstrate data analytics expertise
• You have a strong understanding of digital claim workflows including demonstrated effectiveness in current digital desktop SIU investigation techniques and data analytic methods
• You possess excellent project management skills

• High School Diploma or equivalent required; Bachelor's Degree preferred
• 3+ years of Special Investigation Unit (SIU) and/or Major Case investigation experience in auto insurance required
• 2+ years of professional business analytics experience required
• 3+ years of medical fraud investigation experience strongly preferred
• 2+ years of experience investigating fraud on California auto insurance claims strongly preferred

• Must be able to obtain Property and Casualty (P&C) or Personal Lines License in at least (1) U.S. State within 30 days of start date