Role: Insurance Business Analyst (US Benefits)
Work Mode: Remote
Experience: 12+ years preferred
We are looking for an experienced Business Analyst with US Insurance / Benefits Administration domain expertise to gather requirements, define functional specifications, and coordinate with business and technical teams.
Key Responsibilities:
· Lead requirements gathering and solution design for US benefits administration, including health and welfare plans, open enrollment, life events, eligibility rules, and carrier integrations.
· Translate regulatory requirements (ACA, COBRA, HIPAA, ERISA) into functional specifications, user stories, and configuration requirements.
· Coordinate with clients, onshore stakeholders, offshore delivery teams, QA, and configuration teams.
· Manage priorities, scope, UAT feedback, and stakeholder communication.
· Mentor Business Analysts, review deliverables, and drive process improvements.
Required Skills:
· Strong experience in US Benefits Administration or US Health Insurance / Payer domain.
· Knowledge of eligibility, enrollment workflows, plan structures, claims basics, and HIPAA compliance.
· Familiarity with 834 EDI files and carrier integrations.
· Strong requirements documentation, stakeholder management, and UAT skills.
· Experience with ACA, COBRA, HIPAA, and ERISA regulations.
