AI & Process Improvement Analyst

AI & Process Improvement Analyst
Location: Remote (Reports to Corporate Branch - Danville, Illinois)
Schedule: Full-Time
Salary Range: $120,000 - $165,000 annually

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

CCMSI is seeking an innovative and analytical AI & Process Improvement Analyst to identify, evaluate, implement, and optimize artificial intelligence, automation, and process improvement initiatives across the organization. This role serves as a strategic bridge between business operations, claims, finance, data, technology, and executive leadership to drive operational excellence, improve service quality, increase productivity, and support responsible AI adoption. The ideal candidate combines strong analytical capabilities with practical knowledge of insurance operations and emerging AI technologies.

Essential Duties & Responsibilities:

AI Strategy and Business Applications

• Identify business process and workflows where AI, automation, and advanced analytics can provide measurable value.
• Partner with claims, operations, Finance, HR, client service, IT, and leadership teams to understand business needs and identify AI opportunities.
• Evaluate emerging AI technologies and determine their applicability to TPA operations.
• Develop business cases and recommendations for AI initiatives, including expected benefits, costs, risks, and implementation requirements.
• Maintain an inventory and prioritize AI opportunities across the company.

Claims and Operational Analytics

• Analyze claims and operational data to identify trends, patterns, inefficiencies, and opportunities for improvement.
• Develop AI-assisted solutions to support claims professionals with activities such as:
• Claim file summarization
• Document classification and extraction
• Correspondence drafting
• Medical or claims documentation review
• Diary and workflow prioritization
• Identification of missing information
• Quality assurance reviews
• Claims trend identification
• Workload and productivity analysis
• Develop dashboards, reports, and other analytical tools that provide actionable information to management.
• Assist in identifying opportunities to improve claims cycle time, quality, accuracy, consistency, and client focused services.

AI Implementation and Optimization

• Participate in the design, testing, implementation, and monitoring of AI solutions.
• Develop and refine effective prompts, workflows, and AI use cases.
• Conduct testing to evaluate the accuracy, consistency, reliability, and usefulness of AI-generated outputs.
• Establish appropriate human-review processes for AI-assisted activities.
• Monitor implemented AI solutions and recommended enhancements based on performance and user feedback.
• Document AI processes, workflows, controls, and operating procedures.

Data Governance, Risk and Compliance

• Support responsible and secure use of AI involving confidential employee, client, claimant, medical, financial, and other sensitive information.
• Partner with IT, information Security, Legal, Compliance, and other stakeholders to establish appropriate AI controls.
• Help ensure AI applications are used consistently with company policies, contractual obligations,…