Claims Business Analyst

Claims Business Analyst

The Claims Business Analyst is responsible for developing detailed business and functional requirements for claims processing and administration systems, as well as ensuring proper integration with downstream systems for reporting purposes. The role also includes planning and conducting User Acceptance Testing to guarantee that the systems meet the necessary specifications. Additionally, the Claims Business Analyst provides analytical support for various projects and initiatives aimed at enhancing the claims management processes within the organization.

Role Responsibilities :

• Lead requirements definitions for complex enhancements and on-going strategic initiatives.
• Identify and translate business needs into clearly defined requirements.
• Create documentation inclusive of business use cases, process / data flows, traceability matrices, and report mock-ups.
• Plan, facilitate, and conduct requirements gathering sessions, meetings, and presentations.
• Lead review sessions for completed business / functional requirements, with key business users focused on gaining consensus and final business approval.
• Cultivate strong professional relations within business units to thoroughly understand business needs.
• Collaborate with the development and testing teams to provide subject-matter expertise.
• Assist in troubleshooting and resolving issues when out-of-the-box functionality is leveraged.
• Ensure future solutions are efficient and effective across all business processes, while being consistent across products.
• Participate in the development and planning of the user acceptance testing activities, including test plans and scripts, based on requirements. After the planning phase, facilitate the UAT execution phase.
• Work with the business lead and project manager to obtain UAT signoff.

Technical Qualifications :

General Qualifications :

Education Requirements :