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Claims Operations Specialist

4 weeks ago

Jacksonville, Florida, United States LotSolutions, Inc. Full time
Job Overview

The Claims Operations Analyst plays a pivotal role in enhancing claims operational efficiency and productivity. This position involves collaborating with stakeholders to collect and consolidate user requirements, ensuring the development of appropriate technology solutions. The Analyst will utilize strong communication, analytical, and creative problem-solving skills to identify opportunities for improvement and automate manual processes.

Key Responsibilities:

  • Collaborate with project sponsors to determine project scope and vision.
  • Clearly identify project stakeholders and establish user classes, as well as their characteristics.
  • Conduct interviews to gather user requirements via workshops, questionnaires, surveys, site visits, workflow storyboards, use cases, scenarios, and other methods.
  • Evaluate, analyze, and communicate systems requirements on a continuing basis and maintain systems processes.
  • Support and maintain the monthly flow of claims data files into internal data recording and management systems.

Requirements:

  • Bachelor's degree or equivalent experience in workforce environment.
  • 3 plus years of Claims, Business Analysis or related experience.

Skills & Competencies:

  • High level of professional standards of accuracy and work product.
  • Requires knowledge of claims bordereaux verification.
  • Proven experience with business and technical requirements analysis, elicitation, modeling, verification, and methodology development.
  • Ability to create systematic and consistent requirements specifications in both technical and user-friendly language.
  • Exceptional analytical skills with the ability to apply them to systems issues and products as required.