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Claim Center Business Analyst at Sarasota, Florida, USA
Email: [email protected]
From:

Anju Pathak,

Tek Inspirations LLC

[email protected]

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Job Description -

PV notes- 
PV will do screening to be sure they have the real experience before submitting.  
must have Guidewire skill/Guidewire is a tough skillset
PV will validate professional references and proper LinkedIn

Claim Center Business Analyst

location- Sarasota, FL

We are seeking a Senior ClaimCenter Business Analyst with extensive experience in Guidewire ClaimCenter and implementing FRISS, an AI-powered fraud detection platform, for a Property & Casualty (P&C) insurance company. As a Senior Business Analyst, you will work closely with cross-functional teams to enhance the efficiency and integrity of our claims process by integrating FRISS with ClaimCenter. Your expertise in Guidewire, FRISS, and P&C insurance will be critical to ensure successful project delivery and fraud prevention in claims management.

Key Responsibilities:
Collaborate with business stakeholders, product owners, and developers to gather detailed business and technical requirements for the integration of FRISS with Guidewire ClaimCenter.
Work with claims teams to identify key fraud risks and streamline claims processes, ensuring the FRISS implementation supports fraud detection while enhancing claims workflow efficiency.
Develop detailed functional specifications and documentation for the implementation of FRISS in ClaimCenter. Ensure solutions align with business objectives, compliance standards, and industry best practices.
Support the configuration and integration of FRISS within the ClaimCenter environment, ensuring seamless interaction between the systems.
Design and execute test cases for the FRISS integration, including user acceptance testing (UAT), regression testing, and performance testing, ensuring the system performs as expected.
Act as a key point of contact between IT, business users, and third-party vendors (e.g., FRISS), managing expectations and ensuring successful project delivery.
Provide training and ongoing support to end-users and stakeholders, ensuring proper adoption of FRISS and ClaimCenter functionalities.
Lead business analysis workstreams, providing guidance on best practices for ClaimCenter and fraud detection workflows. Collaborate with project managers to track progress and mitigate risks.
Ensure that the solution meets regulatory, compliance, and data privacy requirements specific to P&C insurance.

Required Qualifications
5+ years of experience as a Business Analyst, with a focus on P&C insurance and claims management systems.
Proven experience with Guidewire ClaimCenter and FRISS integration for fraud detection.
Strong understanding of ClaimCenter architecture, workflows, and integration points.
Familiarity with FRISS platform, its fraud detection models, and its integration capabilities with claims systems.
Ability to develop and document functional specifications, use cases, and process flows.
Experience with SQL, XML, and system configurations in a claims environment.
Deep understanding of P&C insurance claims processes, including fraud risks and regulatory requirements.
Excellent communication skills, with the ability to translate technical concepts into business terms.
Strong project management and stakeholder management abilities.

Preferred Qualifications:
Experience in Agile or Scrum project environments.
Experience with data analytics, business intelligence, and reporting tools.

Employers have access to artificial intelligence language tools (AI) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Keywords: cprogramm artificial intelligence information technology Florida
Claim Center Business Analyst
[email protected]
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Mon Sep 30 21:22:00 UTC 2024

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Location: Sarasota, Florida