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Business Analyst - Insurance Claims

Business Analyst - Insurance Claims

RMV Workforce LLPChennai, India
19 days ago
Job description

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.
  • (ref : iimjobs.com)

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