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Business Analyst - Medical Malpractice Claims & Data Analytics

Business Analyst - Medical Malpractice Claims & Data Analytics

Charter GlobalAtlanta, GA, United States
1 day ago
Job type
  • Full-time
  • Quick Apply
Job description

Job Title : Business Analyst / SME in Medical Malpractice Claims & Data Analytics

Location : Remote / WFH

Duration : 12 months+ contract

Overview :

  • We are seeking a highly skilled and experienced Business Analyst to join our team, focusing specifically on automating medical malpractice claims processes and leveraging data analytics to drive business improvements.
  • The ideal candidate will bridge the gap between business needs and technical solutions, translating complex claims requirements into actionable data strategies and functional specifications.
  • This role requires a strong understanding of the medical-legal landscape, proficiency in claims management systems, and a proven ability to analyze large datasets to identify trends, efficiencies, and risk areas.

Key Responsibilities :

Claims Expertise & Process Analysis :

  • Serve as a subject matter expert on medical malpractice claims workflows, lifecycle, and regulatory requirements.
  • Conduct detailed analysis of current claims processes to identify bottlenecks, inefficiencies, and areas for optimization.
  • Document and refine business requirements, functional specifications, and user stories related to claims systems and enhancements.
  • Collaborate with claims adjusters, legal counsel, and operational teams to gather and validate requirements.
  • Data Analysis & Reporting :

  • Utilize data analytics tools and SQL to query, manipulate, and analyze large datasets from claims and risk management systems.
  • Develop and maintain key performance indicators (KPIs), dashboards, and reports related to claims frequency, severity, cycle time, and indemnity payments.
  • Identify data-driven insights to predict risk, assess reserve adequacy, and inform underwriting strategies.
  • Ensure data integrity and accuracy across all claims-related reporting.
  • Solution Implementation & Support :

  • Work closely with IT development teams during the design, testing, and deployment of new features or system upgrades.
  • Develop and execute comprehensive test plans (UAT) to ensure solutions meet business requirements.
  • Provide training and ongoing support to end-users on new processes and system functionalities.
  • Qualifications :

  • Education : Bachelor's degree in Business Administration, Finance, Data Science, Information Technology, or a related field.
  • Minimum of 10+ years of experience as a Business Analyst, Data Analyst, or similar role.
  • Mandatory experience working directly with medical malpractice claims, liability claims, or professional lines insurance is required.
  • Proven track record of using data analytics to solve complex business problems.
  • Skills :

  • Advanced proficiency in SQL for data extraction and analysis.
  • Strong knowledge of data visualization tools (e.g., Tableau, Power BI).
  • Expertise in requirements gathering, process mapping, and documentation (e.g., flowcharts, user stories).
  • Excellent analytical, problem-solving, and critical thinking skills.
  • Exceptional communication and stakeholder management abilities.
  • Best Regards,

    David Roy #LI-DR1 | Accounts Manager US Staffing | Charter Global Inc. | https : / / www.charterglobal.com

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