Overview
Remote
On Site
Accepts corp to corp applications
Contract - W2
Contract - Independent
Contract - 30 day((s))
Skills
problem-solving
Mandatory experience working directly with medical malpractice claims
liability claims
or professional lines insurance is required.
Excellent analytical
and critical thinking skills
Job Details
Job Title: Business Analyst / SME in Medical Malpractice Claims & Data Analytics
Location: Remote/WFH
Duration: 12 months+ contract
Overview:
- We are seeking a highly skilled and experienced Business Analyst to join our team, focusing specifically on automating medical malpractice claims processes and leveraging data analytics to drive business improvements.
- The ideal candidate will bridge the gap between business needs and technical solutions, translating complex claims requirements into actionable data strategies and functional specifications.
- This role requires a strong understanding of the medical-legal landscape, proficiency in claims management systems, and a proven ability to analyze large datasets to identify trends, efficiencies, and risk areas.
Key Responsibilities:
Claims Expertise & Process Analysis:
- Serve as a subject matter expert on medical malpractice claims workflows, lifecycle, and regulatory requirements.
- Conduct detailed analysis of current claims processes to identify bottlenecks, inefficiencies, and areas for optimization.
- Document and refine business requirements, functional specifications, and user stories related to claims systems and enhancements.
- Collaborate with claims adjusters, legal counsel, and operational teams to gather and validate requirements.
Data Analysis & Reporting:
- Utilize data analytics tools and SQL to query, manipulate, and analyze large datasets from claims and risk management systems.
- Develop and maintain key performance indicators (KPIs), dashboards, and reports related to claims frequency, severity, cycle time, and indemnity payments.
- Identify data-driven insights to predict risk, assess reserve adequacy, and inform underwriting strategies.
- Ensure data integrity and accuracy across all claims-related reporting.
Solution Implementation & Support:
- Work closely with IT development teams during the design, testing, and deployment of new features or system upgrades.
- Develop and execute comprehensive test plans (UAT) to ensure solutions meet business requirements.
- Provide training and ongoing support to end-users on new processes and system functionalities.
Qualifications:
- Education: Bachelor's degree in Business Administration, Finance, Data Science, Information Technology, or a related field.
- Minimum of 10+ years of experience as a Business Analyst, Data Analyst, or similar role.
- Mandatory experience working directly with medical malpractice claims, liability claims, or professional lines insurance is required.
- Proven track record of using data analytics to solve complex business problems.
Skills:
- Advanced proficiency in SQL for data extraction and analysis.
- Strong knowledge of data visualization tools (e.g., Tableau, Power BI).
- Expertise in requirements gathering, process mapping, and documentation (e.g., flowcharts, user stories).
- Excellent analytical, problem-solving, and critical thinking skills.
- Exceptional communication and stakeholder management abilities.
Best Regards,
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David Roy #LI-DR1 | Accounts Manager US Staffing | Charter Global Inc. |
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