ROLE TITLE Claims Business Analyst
ROLE LOCATION(S) Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Los Angeles, CA; Lubbock, TX; Morristown, NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS
(HYBRID work model) TECHNICAL QUALIFICATIONS - 7+ years of business analysis experience, with 3+ years within the space of Workers Comp Claims.
- Must have a clear understanding and experience with the statutory and compliance reporting requirements and best practices for multi-jurisdictional Workers' Compensation claims.
- Extensive experience with integrating multiple vendors needed for Workers' Compensation claim handling.
- Strong experience with claims management and medical bill review solutions.
- 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 - Proven track record for Workers' Compensation system implementation and support.
- 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.)