Business Analyst for Claims Management -INSURANCE ( REMOTE)

We are currently looking for a Business Analyst for Claims Management for an insurance client. The role involves owning the design and documentation of claims processing workflows, including automation, workload management, and TPA integration, ensuring compliance with IRDAI and SLA standards.

Requirements

• 4-5 years of experience in health claims operations (retail/group) with process re-engineering experience
• Experience working with TPAs and API data exchanges in India
• Familiarity with claims systems (e.g., MediAssist, Raksha, Core IT platforms)
• Strong analytical and problem-solving skills for system testing and exception handling
• Proven ability to translate business process logic into system requirements
• Skilled in as-is and to-be mapping, gap analysis, and workflow design
• Experience working with IT development and QA teams on core insurance systems
• Deep understanding of IRDAI regulations, esp. regarding claims management and customer grievance reporting
• Excellent documentation, analytical, and stakeholder management skills