Senior Business Analyst / Project Manager – Claims Transformation

Job Summary

We are seeking an experienced Senior Business Analyst / Project Manager with deep expertise in Property & Casualty Insurance Claims to lead large-scale claims transformation, modernization, implementation, and enhancement initiatives.

The ideal candidate will possess a strong blend of Business Analysis, Project Management, Stakeholder Management, and Claims Domain expertise, with hands-on experience supporting claims platforms such as Guidewire ClaimCenter and/or Duck Creek Claims.

This role will partner with Claims Operations, Product Owners, IT teams, Vendors, and Executive Leadership to drive business requirements, project execution, system implementations, process improvements, integrations, and regulatory initiatives across the claims lifecycle.

Key Responsibilities

Program & Project Management

• Lead end-to-end delivery of Claims Transformation and Claims Modernization initiatives.
• Manage project scope, timelines, budgets, risks, dependencies, and stakeholder communications.
• Develop project plans, status reports, RAID logs, and executive-level presentations.
• Coordinate activities across business, technology, QA, vendor, and offshore teams.
• Drive governance meetings, steering committee updates, and project reviews.
• Ensure successful execution of Agile, Waterfall, or Hybrid delivery methodologies.

Business Analysis & Requirements Management

• Lead requirements gathering workshops with Claims Operations, Adjusters, Claims Managers, Product Owners, and Business Stakeholders.
• Document Business Requirements Documents (BRDs), Functional Requirements, User Stories, Process Flows, Use Cases, and Acceptance Criteria.
• Conduct current-state and future-state process analysis.
• Perform gap analysis and recommend process improvements and automation opportunities.
• Manage requirements traceability throughout the project lifecycle.

Claims Domain Leadership

• Act as SME for end-to-end Claims Operations, including:
• First Notice of Loss (FNOL)
• Claims Intake & Assignment
• Coverage Verification
• Claims Investigation
• Reserve Management
• Payments & Settlements
• Subrogation & Recoveries
• Litigation Management
• Claims Closure
• Regulatory & Compliance Reporting
• Collaborate with business users to optimize claims workflows and operational efficiencies.