Demo

Claims Business Analyst

RIT Solutions, Inc.
Tampa, FL Full Time
POSTED ON 3/9/2025
AVAILABLE BEFORE 6/6/2025

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.

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.)
  • 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.
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