Sr Operational Claims Analyst - GM Protection

JOB DESCRIPTION

Why would you join GM Protection as a Sr. Operational Claims Analyst?

Are you passionate about the automotive service industry and how vehicle service claims keep the world moving? Do you have experience both as a service department technician, advisor, or manager? Have you spent time applying your technical skills and operational knowledge with a vehicle service contract provider or administrator? Do you thrive on helping others perform at the top of their potential? GM Protection is looking for an analyst with these qualities to join our growing team and help drive claims performance at both the dealership and administrator levels. technologies to enhance learning experiences. Strategic thinking, creativity, leadership skills, excellent communication, and your ability to enhance dealership and administrator performance with data driven methods that align with our Strategic Priorities and Core Values will be essential to your success.

• Provide claims oversight of third-party administrator (TPA) by monitoring performance and compliance with contractual obligations
• Development of systematic claim decisioning rules for service contract administration and adjudication processes based the terms and conditions of the service contracts
• Gather and compile relevant claim data from TPA to perform both general and directed audit functions
• Analysis of TPA claim adjudication data to determine whether appropriate action was taken to arrive at claim resolution
• Identify TPA trends, behaviors, and process gaps by utilizing data and present findings to leadership
• Interface with customers, agents, dealers, and other relevant parties to complete all investigations of claims Assist with the design and administration of claims escalation process
• Process claims escalations with internal customers and the TPA
• Responsible for the investigation, evaluation, negotiation, settlement, and subrogation processes
• Provide coverage and procedure inquiry support for Dealerships, GM Protection Sales, and departments within GM Financial

• Recent claims adjudication, review, and/or process ownership experience
• Strong mechanical knowledge and experience within the automotive service industry
• Experience as an automotive mechanical breakdown claims adjuster
• Advanced knowledge of standard policies, procedures, and best practices related to warranty or service contract related operations
• Understanding of warranty and service contracts in captive automotive dealership financing
• Understanding of insurance underwriting and regulations preferred
• Excellent oral and written communication, interpersonal, persuasive communication and presentation skills
• Display commitment to continuous improvement of business, customer, and team member environments
• Ability to make sound business and management decisions to achieve company objectives
• Proven ability to lead, collaborate, and partner with others
• Strong relationship building and change management skills
• Ability to prioritize while managing multiple tasks and responsibilities simultaneously
• Must be proficient in computer software such as Excel, Word, PowerPoint, Salesforce, and SharePoint
• Advanced knowledge of a variety of claims management system platforms
• Effective planning, time management, negotiation, and delegation skills
• Knowledge of dealership operations and Finance & Insurance
• Risk management or claims administration experience
• Awareness of manufacturer technical bulletins, campaigns, and recall data
• Manufacturer and/or ASE certifications

• High School Diploma or equivalent plus five years experience required
• Bachelor's Degree in a related field plus two years experience preferred
  • Auto warranty or protection product claim and adjudication experience required