Business Analyst - Insurance Claims

Key Responsibilities:

Analyze and document detailed business and functional requirements related to insurance claims processes.

- Drive operational improvements in claims systems by identifying business needs and supporting the testing and implementation phases.

- Collaborate closely with test engineers to design effective test scenarios and facilitate defect triage.

- Conduct thorough data analysis to identify trends, issues, and areas for process improvement.

- Track key performance indicators (KPIs) and develop dashboards to monitor claims operations effectively.

- Support automation and digital transformation initiatives within the claims function.

- Develop business cases and align stakeholders on project goals, scope, and benefits.

- Possess comprehensive knowledge of insurance claims lifecycle, including policy verification, claim registration, adjudication, settlement, and closure.

- Facilitate communication between business stakeholders, technical teams, and third-party vendors to ensure smooth project delivery.

- Ensure compliance with regulatory requirements and internal policies related to claims processing.

Qualifications and Skills:

- 8+ years of experience as a Business Analyst in the insurance domain, specifically focused on end-to-end claims processing.

- Strong understanding of insurance claims lifecycle and related systems.

- Proven experience in requirements gathering, documentation, and stakeholder management.

- Hands-on experience collaborating with QA/testing teams for scenario design and defect management.

- Proficiency in data analysis, KPI tracking, and dashboard development tools.

- Familiarity with automation tools and digital initiatives in insurance operations.

- Excellent communication, analytical, and problem-solving skills.

- Ability to work independently and manage multiple priorities in a fast-paced environment.

- Relevant certifications in Business Analysis (e.g., CBAP) is a plus.