Senior Claims Business Analyst

Pay Range: $47.00hr - $52.00hr Job Overview:
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. The candidate will plan and conduct User Acceptance Testing to guarantee that systems meet necessary specifications and provide analytical support for various projects and initiatives aimed at enhancing organizational claims management processes.

Responsibilities:
Lead requirements definitions for complex enhancements and ongoing strategic initiatives. Identify and translate business needs into clearly defined requirements. Create documentation inclusive of business use cases, process/data flows, traceability matrices, and report mock-ups. Plan, facilitate, and conduct requirements gathering sessions, meetings, and presentations. Serve as the primary business analysis point of contact for assigned initiatives, ensuring requirements are well understood and development teams are unblocked.

Lead review sessions for completed business and functional requirements with key business users, focused on gaining consensus and final business approval. Cultivate strong professional relations within business units to thoroughly understand business needs. Collaborate with the development and testing teams to provide subject-matter expertise. Assist in troubleshooting and resolving issues when out-of-the-box functionality is leveraged. Ensure future solutions are efficient and effective across all business processes while remaining consistent across products.

Participate in the development and planning of user acceptance testing activities, including test plans and scripts based on requirements, and facilitate the UAT execution phase. Work with the business lead and project manager to obtain UAT signoff. Support AI-enabled initiatives by documenting business requirements and collaborating with product, development, UX, and QA teams as assigned. Provide guidance and support to less experienced business analysts to help improve requirements quality, workload management, and overall delivery effectiveness.

Proactively manage workload, priorities, and dependencies, remaining available to support additional assignments as business needs evolve. Technical

Qualifications:

7+ years of business analysis experience, with 3+ years within property and casualty insurance claims.

Experience with iterative and agile methodologies, with working knowledge of both SDLC and PMLC processes. Strong experience with the development of detailed business requirements and technical specifications. Proven hands-on experience with 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. Experience operating and interfacing with business management during walkthrough, interview, presentation, and negotiation processes.

Proven track record for creating clear, concise deliverables which reflect a deep understanding of business needs and software functionality. Experience supporting AI-related or AI-enabled initiatives is a strong plus. General

Qualifications:

Proven track record for claims system implementation and support. Clear verbal and written communication skills. Ability to understand communication channels and escalate appropriately. Experience using standard project and business tools including Microsoft Project, Excel, PowerPoint, SharePoint, and UI mock-up tools. Proficiency with process modeling tools such as Visio.

Experience with visualization tools…