Claims Business Analyst

Claims Business Analyst

Duration: 6-12 months.

Hybrid: 3 days a week in Charlotte, NC;
Chicago, IL;
Colorado Springs, CO;
Conshohocken, PA;
Dallas, TX;
Fargo, ND;
Garden City, NY;
Houston, TX;
Jacksonville, IL;
Lenexa, KS;
Los Angeles, CA;
Lubbock, TX;
Morristown, NJ;
Mt Juliet, TN;
New York, NY;
Purchase, NY;
Topeka, KS.

• 7+ years of business analysis experience, with 3+ years within the space of Workers Comp Claims.
• Must have a clear understanding and experience with the statutory and compliance reporting requirements and best practices for multi-jurisdictional Workers' Compensation claims.
• Extensive experience with integrating multiple vendors needed for Workers' Compensation claim handling.
• Strong experience with claims management and medical bill review solutions.
• Experience with iterative and agile methodologies, with working knowledge of both SDLC & PMLC processes.
• System implementation experience for each jurisdiction’s different compliance requirements, including EDI calls; experience with Verisk is very helpful, PBM, medical bill management, and ETD to adjudicate a WC claim.
• Must have experience with Guidewire Claims Center, not just policy experience, and Workers Comp claims.