Claims Process Systems Analyst

ROLE SUMMARY

The Claims Business Analyst is responsible for developing business and functional requirements for claims processing and administration systems. They ensure proper integration with downstream systems for reporting purposes, plan and conduct User Acceptance Testing to guarantee that the systems meet the necessary specifications, and provide analytical support for various projects and initiatives aimed at enhancing the claims management processes within the organization.

ROLE RESPONSIBILITIES

• Lead project requirements definitions for complex projects and multi-year strategic initiatives.
• Identify and translate business needs into clearly defined requirements.
• Create detailed 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

• 3+ years of business analysis experience, including defining functional and reporting requirements and conducting user acceptance testing for business-critical solutions in complex environments.
• Possess experience with Guidewire ClaimCenter systems is required.
• Must have detailed claims processing knowledge and experience.
• Experience with iterative and agile methodologies, with working knowledge of both SDLC &PMLC processes.
• Proven hands-on experience with creation of business process diagrams, data rules, business requirements, and functional requirements/user stories.
• Possess knowledge and experience when reviewing, re-engineering, or developing IT solutions for business process improvements automation.
• Candidate has experience operating and interfacing with business management during walkthrough, interview, presentation, and negotiation processes.
• Proven track record for creating clear, concise deliverables which reflect a deep understanding of business needs and software functionality.

GENERAL QUALIFICATIONS

• The candidate has clear verbal and written skills. Able to understand communication channels and can escalate appropriately.
• Experience using standard project and business tools including, Microsoft Project, Excel, PowerPoint, Project, SharePoint, UI mock-up tools, etc.
• Must be proficient with process modeling tools (e.g., Visio).
• Experience with visualization tools is beneficial.
• Possess excellent problem-solving and analytical skills.
• Candidate has experience supervising small teams.
• Possess a strong initiative with the ability to self-manage.
• Comfortable with ambiguity and able to work through challenges to complete the objectives correctly.
• The candidate is a team player who works well with technical and business resources.
• Able to see tasks through to completion without significant guidance.
• Has personal time-management skills and an ability to meet individual/team deadlines.