Claims Business Analyst

The Claims Business Analyst is responsible for evaluating claims workflows, identifying and recommending process improvements, and translating business needs into actionable solutions. This includes collecting, documenting, and analyzing business and technical requirements related to claims processing to ensure workflows are clearly defined and that outputs are aligned with strategic goals. The Claims Business Analyst is further responsible for the creation and maintenance of claims reports and dashboards to track key performance indicators and to model claims trends and outcomes. The role requires a keen understanding of Specialty, Credit, and Warranty claims as well as exceptional problem-solving skills and the ability to lead and collaborate with cross-departmental teams. Minimum Qualifications: • Bachelor's degree preferred. • At least 3 years of Business Analysis or related experience. • Insurance or claims experience preferred. • Python coding experience preferred. Primary Job Functions: • Analyze claims data to identify trends, areas of risk, and opportunities for improvement in claims processing. • Recommend and implement process improvements to streamline claims workflows, improve accuracy, and reduce processing time. • Facilitate communication and collaboration between various stakeholders, including Claims, Underwriting, Actuary, IT, Finance, and Statistical Reporting. • Actively participate in business review meetings to discuss performance metrics, areas for improvement, and strategic planning. • Create and maintain documentation of claims processes, ensuring clarity and accuracy for users and IT teams. • Contribute to project planning, execution, and testing to ensure successful implementation of process improvements. • Other duties as assigned. The above-cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills & Competencies Required: • Advanced knowledge of SQL syntax, queries, and database management required. • Proficiency with data analysis tools and techniques to analyze claims data and identify patterns. • Familiarity with relevant industry standards and insurance compliance requirements. • Knowledge of relevant software and claims management systems used for claims processing. • Strong business acumen, including data analysis, critical thinking, business analysis, and organizational skills. • Proven ability in the use of metrics and data to drive performance, ensure continuous improvement, and increase efficiency. • High level of emotional intelligence, influencing skills, and communication skills to enable collaboration with a variety of key stakeholders including senior executive stakeholders. • Excellent verbal and written communication skills. Additional Information: Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more. #LI-Onsite Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.