Business Analyst, Workforce Management

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Requirements:

• Bachelor’s degree in Business Administration, Finance, Economics, or a related field.
• Proven experience as a Business Analyst, preferably in the Insurance or TPA industry.
• Strong financial modeling and analytical skills; proficiency in tools such as Excel, Tableau, or related BI software.
• Excellent understanding of process improvement methodologies such as Lean or Six Sigma.
• Demonstrated project management capabilities; PMP certification is a plus.
• Strong interpersonal and communication skills; comfortable interfacing with senior leadership and various stakeholders.
• Ability to work independently and as part of a team in a fast-paced environment.
• Claims experience is beneficial but not mandatory.

Responsibilities:

• Propose solutions and strategies for process improvements that align with business goals.
• Work with cross-functional teams to implement process changes and track outcomes.
• Lead or contribute to process improvement initiatives to streamline operations and enhance productivity.
• Collaborate with other departments (e.g., IT, HR, and Customer Service) to integrate new tools, technologies, or systems that enhance operational efficiency.
• Develop project plans, set milestones, and help launch projects internally.
• Facilitate meetings and workshops to gather input and align on project objectives.
• Support the Claim Operations team with project execution as needed.
• Ensure technical developments do not adversely affect claims systems or adjudication processes.
• Track and analyze key performance indicators (KPIs) including claims processing time, accuracy, and customer service metrics.
• Provide actionable insights and recommendations based on financial data to support decision-making.
• Analyze historical data and trends to develop accurate forecasts of claims volume and resource needs.
• Collaborate with finance teams to ensure accurate and timely reporting.
• Analyze workforce data to assess productivity and identify areas for improvement.
• Develop metrics and dashboards to track employee performance and support management strategies.
• Provide regular reports on team productivity, staffing efficiency, and performance against service level agreements (SLAs).
• Analyze claims data to identify trends, patterns, and areas for operational improvements.