Business Analyst for Claims Management
1 week ago
for an insurance client , we are currently looking for a Business Analyst (m/f/d) for Claims Management.
Key details:
Project start: January 2026
Workload: Fulltime
English-skills required
Role Summary:
Owns design and documentation of claims processing workflows, including automation, workload management, and TPA integration, ensuring compliance with IRDAI and SLA
standards.
Key Responsibilities:
Map end-to-end claims process: intimation ? adjudication ? approval ? payment.
Define workload balancing logic and queue management rules for claims teams.
Design data and process interfaces with TPAs (EDI/API structures).
Define claim status taxonomy, turnaround times, and escalation hierarchies.
Support configuration of fraud triggers and quality checks.
Ensure regulatory compliance for cashless and reimbursement claim processing.
Skills & Experience:
4-5 years in health claims operations (retail/group), with process re-engineering experience.
Experience working with TPAs and API data exchanges in India.
Familiar with claims systems (e.g., MediAssist, Raksha, Core IT platforms).
Strong analytical and problem-solving skills for system testing and exception handling.
Proven ability to translate business process logic into system requirements.
Skilled in as-is and to-be mapping, gap analysis, and workflow design.
Experience working with IT development and QA teams on core insurance systems.
Deep understanding of IRDAI regulations, esp. regarding claims management and customer grievance reporting.
Excellent documentation, analytical, and stakeholder management skills.
-
Business Analyst for Claims Management
1 week ago
Hyderabad, Telangana, India ADV TECHMINDS Full time ₹ 5,50,000 - ₹ 8,50,000 per yearfor an insurance client , we are currently looking for a Business Analyst (m/f/d) for Claims Management. Key details: Project start: January 2026 Workload: Fulltime English-skills required Role Summary: Owns design and documentation of claims processing workflows, including automation, workload management, and TPA integration, ensuring compliance with IRDAI...
-
Claims Process Analyst
2 days ago
Hyderabad, Telangana, India Aggne Full time ₹ 5,00,000 - ₹ 15,00,000 per yearJob Title:Claims Process AnalystLocation:HyderabadDepartment:Claims OperationsJob SummaryWe are seeking a detail-oriented and knowledgeable Claims Process Analyst to join our Life Insurance Claims team. The ideal candidate will have experience in reviewing policy and underwriting documents, understanding compliance and legal aspects of claims, and...
-
business analyst
5 days ago
Hyderabad, Telangana, India ADV TECHMINDS Full time ₹ 50,00,000 - ₹ 80,00,000 per yearfor an insurance client in the Munich Area we are currently looking for below Business Analyst positions (IRDAI Context). Indian Insurance Domine exp is mandatory ( IRDAI ) Position 1) Business Analyst Reporting & Regulatory (IRDAI Context). Position 2) Business Analyst for Claims Management Position 3) Business Analyst for Policy Administration Position...
-
Claims Analyst Manager
1 week ago
Hyderabad, Telangana, India Verisk Full time ₹ 12,00,000 - ₹ 48,00,000 per yearJob DescriptionYou will lead and manage a claims administration team responsible for: handling incoming correspondence via mailbox and/or system, creating and updating claims ensuring accuracy, raising payments, completing monthly spreadsheet returns and other claims administrative tasks. You will ensure compliance with company standards and regulatory...
-
Claims Analyst Manager
1 week ago
Hyderabad, Telangana, India Verisk Analytics Full time ₹ 8,00,000 - ₹ 12,00,000 per yearDescriptionYou will lead and manage a claims administration team responsible for: handling incoming correspondence via mailbox and/or system, creating and updating claims ensuring accuracy, raising payments, completing monthly spreadsheet returns and other claims administrative tasks. You will ensure compliance with company standards and regulatory...
-
Senior Claims Analyst
1 week ago
Hyderabad, Telangana, India Verisk Analytics Full time ₹ 4,20,000 - ₹ 8,40,000 per yearDescriptionCoaching & Development: As a Subject Matter Expert, you will oversee coaching and training to help the team members develop their competency, skills and confidence. Assisting them with technical queries and providing guidance to ensure accuracy and efficiency. Support onboarding and training of new team members.Process Improvement: Identifying...
-
Senior Claims Analyst
2 weeks ago
Hyderabad, Telangana, India Verisk Full time ₹ 6,00,000 - ₹ 12,00,000 per yearCoaching & Development: As a Subject Matter Expert, you will oversee coaching and training to help the team members develop their competency, skills and confidence. Assisting them with technical queries and providing guidance to ensure accuracy and efficiency. Support onboarding and training of new team members.Process Improvement: Identifying opportunities...
-
Business Analyst
1 week ago
Hyderabad, Telangana, India Thryve Digital Health LLP Full time ₹ 6,00,000 - ₹ 18,00,000 per yearGreetings from Thryve Digital We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad.Essential ResponsibilitiesConduct thorough analysis of business processes to identify areas for improvement and optimization.Collaborate with cross-functional teams to gather and document business requirements.Assist in the development...
-
Senior Business Analyst
2 weeks ago
Hyderabad, Telangana, India Ventra Health Full time ₹ 12,00,000 - ₹ 36,00,000 per yearOverviewWe are seeking a Senior Business Analyst to join our Client Onboarding team.This role leads initiatives to enhance billing system performance and efficiency by analyzing opportunities and supporting the execution of projects that optimize system functionality, automation, and workflow design. The Senior Business Analyst is responsible for identifying...
-
Senior Business Analyst
1 week ago
Hyderabad, Telangana, India EPAM Systems Full time ₹ 15,00,000 - ₹ 25,00,000 per yearWe are seeking aSenior Business Analystwith extensive experience in property and casualty (P&C) reinsurance claims to join our team.You will play a key role in understanding and analyzing business processes within a large reinsurance enterprise, focusing on claims and ceded operations. Your expertise will contribute to refining product backlogs and...