Pursue Purpose

Business Analyst – Claims Payment SME

We are seeking an experienced Business Analyst – Claims Payment SME with a strong background in commercial claims, payment processes, and Agile methodologies. The ideal candidate will be responsible for requirements gathering, process mapping, and solution definition for a global claims payment environment. This role involves close collaboration with business stakeholders and IT teams to optimize payment workflows and enhance operational efficiency.

Experience:

10+ years

Certification:
Agile Certified Product Owner, Pega CBA (preferred)

Key Responsibilities:

• Lead Requirements Workshops – Independently facilitate sessions with business and IT stakeholders.
• Process Mapping & Solution Definition – Analyze current state payment workflows and define optimized target state solutions.
• Claims Payment System Enhancements – Work with Payment Hub (One Inc) and other platforms to enhance claims payment processes.
• Documentation & Change Management – Develop business requirements, process documentation, and ensure alignment with change management procedures.
• Stakeholder Collaboration – Work closely with business liaisons, treasury teams, and IT departments to determine payment process requirements.
• Business/IT Workshops, Demos, and UAT – Drive engagement efforts for system improvements and operational efficiency.
• Claims Payment Lifecycle Knowledge – Bring expertise in insurance claims payment processing, payment channels, disbursements, payee information platforms, and master data management.
• Compliance & Standards – Ensure adherence to industry regulations and organizational policies while handling end-to-end requirements.
• SQL & RDBMS Expertise – Utilize strong database knowledge to optimize claims payment workflows.

Required Qualifications:

• 7+ years of experience in Agile Way of Working
• 10+ years of experience in Commercial Claims & Claims Payment workflows
• Payment SME with deep expertise in insurance claims payment processing
• Pega CBA Certified or experience in Pega Payment workflows (preferred)
• AGILE Certified Product Owner
• Strong SQL and RDBMS knowledge

Preferred

Skills:

• Familiarity with One Inc Payment Hub
• Experience with Treasury, Payment Channels, Disbursements, and Master Data Management in Insurance
• Strong communication and interpersonal skills
• Ability to multitask, prioritize deadlines, and work independently