Business Analyst; Claims

Job Details

Location:

Corporate Office - Boca Raton, FL 33487

Position Type:
Full Time

Salary Range: $80,000.00 - $ Salary/year

We are seeking an experienced Property & Casualty Claims Business Analyst with deep knowledge of Homeowners Insurance claim handling, ideally in Florida. This role will partner with the Claims department and development teams to document current processes, define requirements, and support the creation of a streamlined, automated work management system that enhances accuracy, compliance, and efficiency. The analyst will serve as the bridge between business stakeholders and technical teams, ensuring solutions are practical, sustainable, and aligned with business needs.

The ideal candidate is self-driven, detail-oriented, and able to work independently while engaging with stakeholders at all levels. This role requires balancing shifting priorities, managing scope changes, and driving projects to completion in a complex environment.

• Partner with Claims leadership and staff to understand, document, and analyze current workflows, systems, and processes.
• Elicit, refine, and prioritize business requirements, ensuring clarity and alignment with strategic goals.
• Translate business needs into functional and technical requirements for system design and automation.
• Perform impact analysis to assess downstream effects on systems, operations, and compliance.

• Identify opportunities to streamline claims processes and reduce manual intervention.
• Recommend and document process improvements aligned with regulatory compliance and industry best practices.
• Collaborate with IT and Claims teams to design, test, and implement new or enhanced system features.

• Lead requirement-gathering sessions, workshops, and user story creation with stakeholders who may have evolving needs.
• Maintain scope discipline while fostering collaboration, ensuring changes are well-documented and approved.
• Conduct user acceptance testing, validate solutions, and oversee smooth adoption of new workflows.
• Provide regular project updates and maintain transparent communication across teams.

• Develop and maintain detailed documentation of workflows, requirements, and system configurations.
• Establish clear testing plans and coordinate defect resolution.
• Monitor outcomes to confirm implemented solutions meet business objectives and compliance standards.

• Act as the escalation point for Claims-related system issues, prioritizing incidents based on impact and severity.
• Troubleshoot escalated help desk tickets, determine root cause, and work with IT/development teams to drive issues to prompt resolution.
• Ensure timely communication with stakeholders on issue status and resolution progress.

• Bachelor’s degree or equivalent combination of education and relevant work experience.
• Professional experience in the Property & Casualty Homeowners and/or Residential Commercial insurance industry functioning in a Claims System Business Analyst capacity, including requirements elicitation, documentation, and collaboration with technical teams to implement changes to insurance or policy administration systems.
• Proven experience analyzing business problems, troubleshooting issues, and applying logical, detail-oriented approaches to develop effective solutions with limited supervision.
• Demonstrated experience managing multiple assignments simultaneously, prioritizing work, managing scope, and driving work to completion with minimal supervision in a fast-paced, results-driven environment.
• Demonstrated experience working with cross-functional teams, business stakeholders, and technical resources, with strong written and verbal communication skills.
• Demonstrated experience of insurance claims processes, regulatory considerations, and system workflows.

• 3+ years of professional experience in a Claims Business Analyst role within the Property & Casualty insurance industry.
• Experience supporting Homeowners and/or Residential Commercial lines of business for Florida and/or California risks, including familiarity with state-specific claims processes and regulatory requirements.
• Experience with Duck Creek, Sugar
  
  CRM, Click Claims, or similar claims workflow platforms.
• Familiarity with regulated environments such as Florida or California.
• Proficiency with tools such as SQL, Excel, Visio, Jira, or similar.
• Experience with process modeling, system integrations, and data analysis.
• Business Analyst certification (CBAP, CCBA) a plus.

• Ability to understand technical concepts and communicate effectively with developers and system vendors.
• Strong analytical and critical-thinking skills, with the ability to evaluate business needs and translate them into clear, well-defined requirements.
• Ability to work independently with…