Project Manager / Business Analyst

Job Description

• The Client is looking for a highly skilled Functional Business Analyst with deep expertise in the insurance domain, specifically focused on Disability and Absence Benefits. The ideal candidate should have hands-on experience with FINEOS, ClaimVantage, claims data (eligibility & status), and ideally some exposure to APIs and system integrations. The candidate will serve as the bridge between business stakeholders and technical teams to drive effective solutions in a complex insurance environment.

Key Responsibilities:

• Partner with business stakeholders to gather, analyze, and document functional requirements for Disability/Absence Benefits products.
• Lead discussions around claims administration, eligibility verification, claims status tracking, and reporting processes.
• Analyze and translate business needs into functional specifications, especially for systems like FINEOS and ClaimVantage.
• Create detailed documentation such as Business Requirement Documents (BRDs), Functional Specifications (FSDs), process flows, and data mappings.
• Collaborate with developers and QA teams to support system configuration, interface development, and user acceptance testing.
• Understand and validate claims eligibility data, status feeds, and reporting outputs, ensuring alignment with business requirements.
• Work closely with technical teams to consume or expose APIs related to claims data and external system integrations.
• Facilitate cross-functional workshops and requirement sessions to align on business processes and system capabilities.
• Support FINEOS and ClaimVantage system enhancements, configuration changes, and integration projects.
• Conduct gap analysis, root cause analysis, and impact assessments for proposed changes.
• Participate in Agile/Scrum ceremonies and support sprint planning, story grooming, and backlog refinement.

Required Skills & Qualifications:

• Bachelor s degree in Business, Information Technology, or related discipline.
• Experience as a Business Analyst in the insurance industry, with specific focus on Disability and Absence Benefits.
• Working knowledge of Claims Eligibility Data, Claims Status Feeds, and reporting outputs.
• Working experience with FINEOS (Claims, Billing, or Policy modules).
• Experience with ClaimVantage or other claims administration platforms is a strong plus.
• Exposure to or experience working with APIs and data integrations.
• Strong communication and documentation skills with an ability to translate business needs into technical requirements.
• Familiarity with system configuration, UAT coordination, and test case development.
• Ability to work across teams and drive consensus on business requirements.