Business Analyst - Life and Health Insurance

Job Summary

We are seeking a highly skilled and experienced Business Analyst with 7-10 years of focused experience

in the life and health insurance industry, particularly in claims processing. Understanding the key KPIs

that drive claims processing is critical. The candidate will play a crucial role in bridging the gap between

business needs and IT solutions, contributing to the enhancement of our solution. The ideal candidate

will have a strong techno-functional understanding of the insurance product benefits, coverages,

claims rules, exclusions and fraud analytics and should know about Product Configuration in the

system. Having a comprehensive grasp of Medical Codes ICD, PCS, and CPT codes would be an

additional plus for this role.

Key Responsibilities

• Collaborate with the Claims head, claims processing and provider management team to

gather and analyse business requirements related to claims processing.

improvement and optimization.

advantage.

development team.

exclusions etc to analyse the configuration of the product in the Product Configurator

efforts.

ensuring all relevant information is captured accurately.

related to claims processing and fraud detection.

cases, process flows, and data mappings.

implementation of business requirements.

that the solutions meet the business needs.

and expertise to support decision-making processes.

Qualifications And Skills

industry, with a strong focus on claims processing and product underestanding.

all levels of the organization.

specifications.

domain.

Skills : business analyst,business requirements,health insurance,insurance,processing,business analysis,analytics

Skills Required

Data Analysis, Fraud Analytics, Claims Processing, Business Analysis