Job
Description
The Claims Business Analyst is responsible for developing detailed business and functional requirements for claims processing and administration systems, as well as ensuring proper integration with downstream systems for reporting purposes. Your role also includes planning and conducting User Acceptance Testing to guarantee that the systems meet the necessary specifications. Additionally, you will provide analytical support for various projects and initiatives aimed at enhancing the claims management processes within the organization. To be considered for this role, you must have proven experience with insurance claims. You will lead requirements definitions for complex enhancements and on-going strategic initiatives. Your responsibilities will involve identifying and translating business needs into clearly defined requirements. You will create Documentation inclusive of business use cases, process/data flows, traceability matrices, and report mock-ups. In addition, you will plan, facilitate, and conduct requirements gathering sessions, meetings, and presentations. Your role will also involve leading review sessions for completed business/functional requirements with key business users focused on gaining consensus and final business approval. It is important to cultivate strong professional relations within business units to thoroughly understand business needs. Collaboration with the development and testing teams to provide subject-matter expertise is crucial. You will assist in troubleshooting and resolving issues when out-of-the-box functionality is leveraged. Future solutions should be efficient and effective across all business processes while being consistent across products. Participation in the development and planning of User Acceptance Testing activities, including test plans and scripts based on requirements, is a part of your responsibilities. You will work with the business lead and project manager to obtain UAT signoff. Technical qualifications expected for this role include 7+ years of business analysis experience, with 3+ years within the space of property and casualty insurance claims. Experience with iterative and agile methodologies, with working knowledge of both SDLC & PMLC processes, is required. Strong experience with the development of detailed business requirements and technical specifications is a must. You should have proven hands-on experience with the creation of business process diagrams, data rules, business requirements, and functional requirements/user stories. Knowledge and experience when reviewing, re-engineering, or developing IT solutions for business process/improvements automation are essential. You should have experience operating and interfacing with business management during walkthrough, interview, presentation, and negotiation processes. A proven track record for creating clear, concise deliverables reflecting a deep understanding of business needs and software functionality is expected. General qualifications include a proven track record for claims system implementation and support. Clear verbal and written skills are necessary as you should be able to understand communication channels and escalate appropriately. Experience using standard project and business tools including Microsoft Project, Excel, PowerPoint, Project, SharePoint, UI mock-up tools, etc., is required. Proficiency with process modeling tools (e.g., Visio) and experience with visualization tools is beneficial. You should possess excellent problem-solving and analytical skills, experience supervising small teams, a strong initiative with the ability to self-manage, and comfort with ambiguity to work through challenges to complete objectives correctly. Being a team player who works well with technical and business resources, able to see tasks through to completion without significant guidance, having personal time-management skills, and the ability to meet individual/team deadlines are important qualities for this role. The education requirements for this position include a B.A./B.S. Degree. Certified Business Analyst Professional (CBAP) is a plus but not required.,
