Business Analyst
1 day ago
Role Overview:We are seeking an experienced Business Analyst with Insurance Claims expertise to join our team.
The ideal candidate will have strong experience in claims processing, claims automation, policy management, and insurance operations, along with the ability to analyze business needs and drive solutions.Key Responsibilities:Gather, analyze, and document business and functional requirements related to claims processing and insurance workflows.Work closely with claims adjusters, underwriters, and other stakeholders to improve claims handling efficiency and optimize processes.Act as a bridge between business and IT teams, ensuring seamless communication and alignment on project objectives.Conduct gap analysis and recommend enhancements to claims systems and workflows.Develop and maintain business requirement documents (BRDs), functional specifications, and process workflows specific to claims.Collaborate with development teams to design and implement claims automation solutions and system enhancements.Support User Acceptance Testing (UAT) by developing test cases, executing test scenarios, and validating results related to claims processing.Ensure compliance with industry regulations and insurance standards in claims handling.Provide post-implementation support and work on continuous process improvements.Required Skills & Experience:5+ years of experience as a Business Analyst, with strong expertise in Insurance Claims Processing.Deep understanding of insurance claims lifecycle (First Notice of Loss (FNOL), assessment, adjudication, settlement, subrogation, and fraud detection).Experience with claims management systems such as Guidewire ClaimCenter, Duck Creek Claims, or similar platforms.Knowledge of claims automation, regulatory compliance, and claims fraud detection techniques.Experience in business process modeling, requirement gathering, and stakeholder management.Familiarity with Agile and Waterfall methodologies.Proficiency in SQL for claims data analysis and reporting is desirable.Strong analytical, problem-solving, and communication skills.
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