Business Analyst - Claims
Omni Inclusive
Job Title Mandatory required skills: Worker Compensation Claims process 10+ 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. #J-18808-Ljbffr
- ...York, NY; Purchase, NY; Topeka, KS 10+ years of experience with min 7+ years of business analysis experience, with 3+ years within the space of Property and Casualty Insurance Claims. Experience with iterative and agile methodologies, with working knowledge of both...Claims
- ...Senior Discovery Business and System Analyst Employment Type: Full-Time, Executive-Level Department: Legal CGS is seeking a dedicated Senior Discovery... ...marketing materials from industry solution providers that claim to satisfy the identified business requirements; Contractor...ClaimsFull timeFor contractorsWork at officeFlexible hours
- ...Guidewire ClaimCenter Business Analyst Sompo International has a new IT contractor opportunity for a Guidewire ClaimCenter Business Analyst... ...business and functional requirements definitions for claims processing and administration as well as downstream systems and...ClaimsFor contractorsWork at officeImmediate start
- ...The Business Analyst, Pricing and Underwriting , is responsible for the compilation, analysis, and reporting of data to support pricing... ...insights for pricing and business strategy. Analyze pharmacy claims, drug pricing, rebate models, and utilization trends for...ClaimsFull timeTemporary workWork at officeRemote workWork from home
- Omni Inclusive is looking for a candidate with extensive experience in business analysis, particularly within the Workers Compensation Claims field. The ideal individual will have a strong understanding of compliance reporting requirements and a proven track record in...Claims
$110k - $130k
Functional Analyst (Claims) with Scrum Master Exp Job Description Business and Systems Requirement Elicitation, BRD / User Story creation & translation Stakeholder Management Elicit functional / business and system requirements, use stories, acceptance criteria across...Claims- ...Claims Business Analyst - Workers Comp 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...Claims
- ...A leading claims adjusting firm in Charlotte, North Carolina, is looking for Independent Insurance Claims Adjusters to support storm-related claims. This opportunity offers flexibility, comprehensive training, and competitive compensation. Both seasoned adjusters and...Claims
- ...A leading claims adjusting company in North Carolina is looking for Independent Insurance Claims Adjusters. This opportunity provides comprehensive training to develop skills for assisting clients affected by disasters. Ideal candidates should be Licensed Claims Adjusters...ClaimsFlexible hours
- ...Vice President, Auto Insurance & Risk Management Solutions About the Company Prestigious provider of risk & claims management services Industry Insurance Type Privately Held Founded 1962 Employees 5001-10,000 Categories Commercial Insurance Insurance Property Insurance...Claims
- A prominent claims adjusting company in Mount Holly, North Carolina, is seeking Independent Insurance Claims Adjusters to join their team. This opportunity offers a flexible career path where you can make a real difference in people's lives while receiving comprehensive...ClaimsFlexible hours
$80k - $120k
...the best experience for job seekers. (*Comscore, Total Visits, March 2025) Day to Day In this role, you’ll own core and advanced business analysis across medium-to-large projects or complex workstreams, maintaining a single source of truth for requirements, flows, decisions...Work experience placementLocal area- Veriipro is seeking a Claims Specialist in Charlotte, NC, to manage and adjudicate disability, FMLA, and Paid Family Leave claims. The ideal candidate will ensure accurate determination of benefits while working closely with claimants and employers to facilitate seamless...Claims
- Pacific Asset Management, LLC is seeking a talented Operations Claims professional to join its team in Charlotte, NC. This role involves processing insurance claims, maintaining compliance, and delivering exceptional service to customers. Ideal candidates should have relevant...Claims
$71.1k - $112.5k
A global technology company is looking for a Test Automation Lead for P&C Insurance Claims Applications. In this role, you'll drive automation strategy and execution for complex claims systems, leading efforts in designing and implementing scalable automation frameworks...Claims- Pacific Life in Charlotte is hiring an Operations Claims professional for their Consumer Markets Division. The role follows a hybrid schedule and involves processing insurance claims accurately and delivering excellent service. This position is flexible with regards to...ClaimsFlexible hours
- ...IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and... ...Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This...Claims
$24 - $28 per hour
...Office Manager to oversee front-office operations and support a busy clinical team. This role is essential to maintaining efficient daily... ...prior to treatment Prepare, review, and submit dental insurance claims accurately and in a timely manner Reconcile EOBs and insurance...ClaimsHourly payWork at officeMonday to FridayFlexible hoursShift work- Travelers Canada is seeking a legal professional in Charlotte, NC, to handle complex insurance claims and provide expert legal counsel. The ideal candidate will have at least five years of experience in claim handling and a Juris Doctorate Degree. This role involves negotiating...Claims
- Insight Global seeks a keen analyst in Charlotte, North Carolina. This position supports claims processes including document capture and indexing as well as client administration tasks. The ideal candidate will have at least 2 years of claims support experience and strong...Claims
- ...Overview Position: Business Development Representative at CRH . Location: This is a remote role where the candidate must live in... ...the product. Investigate and, if applicable, resolve customer claims to reinforce the relationship between customer and local store....ClaimsFull timeLive inLocal areaRemote workNight shift
- ...Claims Specialist 7/1/2025 Category: Telecommunications Job Type: Contract to hire One of our best clients has an opening for a claims... ...field investigators, to manage claims and collect from businesses and insurance agencies. On a day to day basis you can expect to...ClaimsContract workWork at office
- Synergistic Systems Inc is looking for a Life Insurance Claims Specialist to handle contestable death claims and evaluate policy reinstatement requests. This remote position will require strong communication skills, an investigative mindset, and proficiency in MS Office...ClaimsRemote jobLong term contract
$75k - $100k
...policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong... ...with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter...ClaimsFor contractorsWork at officeFlexible hours- Synergistic Systems, Inc. is looking for a Life Insurance Claims Specialist for a remote long-term contract position. This role involves reviewing contestable death claims, evaluating reinstatement requests, and processing inquiries from the Medical Information Bureau....ClaimsRemote jobLong term contractWork at office
- ...Companies, Patients and our Practices. The Accounts Receivable Specialist supports the Flagship Practices by processing and resolving claims that have been submitted to Insurance Companies for services provided to our Patients. As a detailed-oriented professional, the...ClaimsWork at office
- BWX Technologies, Inc. is seeking an Insurance Risk Analyst to manage corporate insurance programs and complex claims. This role involves data analysis to support annual policy renewals and optimize claim strategies. The ideal candidate holds a Bachelor’s degree and has...Claims
$80k - $120k
Indeed is seeking an experienced Business Analyst based in Charlotte, North Carolina. In this role, you will lead business analysis across complex projects, partnering with various stakeholders. Your responsibilities will include documenting requirements, creating process...- ...and machine learning models that improve claims outcomes, operational efficiency, and... ...measure accuracy, bias, stability, and business impact. Monitor deployed models for... ...technical guidance to data scientists and analysts across the organization. Mentor junior...Claims
- ...Head of Claims About the Company Growing specialty insurance organization focused on claims strategy and operational excellence. Industry Insurance Type Privately Held About the Role The Company is seeking a Head of Claims to take on a senior leadership...Claims
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