Claims Business Analyst

Claims Business Analyst - Workers Comp
In Office -
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

Remote is NOT an option

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

• 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.

• 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.)
• 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.