Claims BUSINESS ANALYST

Claims Business Analyst

Duration-6 – 12 months ++

Hybrid 3 Days a week: 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

PLS NOTE MUST HAVE GUIDEWIRE CLAIMS CENTER NOT POLICY EXPERIENCE ONLY AND WORKERS COMP CLAIMS

• 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.

• Sys implementation – for each jurisdiction there's different compliance req edi calls; Verisk exp VERY HELPFUL, pbm, medical bill mngt, etd to adjudicate a wc claim