Quick overview
Job description
Role Summary:
- Seeking an experienced Business Analyst (BA) with deep expertise in Supplemental Insurance and a strong understanding of Artificial Intelligence (AI), Generative AI, and Agentic AI.
- The ideal candidate will bridge business and technology teams by translating insurance processes, business rules, and operational knowledge into structured context and knowledge assets consumable by AI agents.
- This role will play a key part in enabling AI-driven underwriting, claims, customer service, policy servicing, and business operations.
Key Responsibilities:
- Elicit, analyze, and document business requirements across Supplemental Insurance platforms and processes.
- Create structured business context, decision logic, process flows, and knowledge artifacts for AI and Agentic AI solutions.
- Develop business capabilities, user journeys, domain models, taxonomies, ontologies, and knowledge repositories for AI consumption.
- Collaborate with Business SMEs, Product Owners, Data Scientists, AI Engineers, and Architects to define AI use cases and success criteria.
- Translate complex insurance workflows into prompts, agent instructions, knowledge graphs, FAQs, decision trees, and reusable AI assets.
- Support implementation of AI-powered solutions for Claims, Policy Administration, Enrollment, Billing, Customer Service, and Underwriting.
- Define acceptance criteria and validate AI agent outputs against business requirements and regulatory standards.
- Drive process optimization and business transformation through AI-enabled automation.
Required Qualifications: - 7+ years of Business Analysis experience.
- 3+ years in Supplemental Insurance, Group Benefits, or Voluntary Benefits domain.
Strong knowledge of:
Supplemental Health
Accident Insurance
Critical Illness
Disability Insurance
Hospital Indemnity
Claims and Policy Administration
Experience documenting business processes, requirements, workflows, and decision models.
Hands-on experience supporting AI, Generative AI, Knowledge Management, or Intelligent Automation initiatives.
Preferred Qualifications:
Experience designing content and context for AI agents, copilots, chatbots, or knowledge assistants.
Understanding of Agentic AI frameworks, RAG (Retrieval-Augmented Generation), knowledge graphs, and LLM-based solutions.
Experience with Majesco, Mainframe, AS400, or insurance core systems.
CBAP, AAC, SAFe, or Agile certifications preferred.
Key Skills:
Supplemental Insurance • Business Analysis • Requirements Management • Process Modeling • Business Rules • Claims • Policy Administration • Majesco • Mainframe • AS400 • Generative AI • Agentic AI • Prompt Engineering • Knowledge Management • RAG • AI Governance • User Stories • Agile Delivery • Data Analysis
Ideal Candidate:
A Business Analyst who combines strong Supplemental Insurance domain expertise with AI knowledge and can effectively translate business operations, workflows, policies, and decision-making logic into structured, reusable context that enables intelligent AI agents to deliver accurate, business-aligned outcomes. This individual should be capable of serving as the critical link between insurance SMEs and AI engineering teams, ensuring successful adoption of Agentic AI across the enterprise.
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