insurance business analyst

DAMANA

<div>
 
 
 Company Overview
 
 
 
 
 Damana
 
 is a leading player in the insurance industry, committed to delivering innovative, technology-driven solutions to our clients. We are currently seeking a highly skilled
 
 Digital Business Analyst
 
 to join our
 
 Enterprise Architecture Team
 
 and support digital transformation initiatives within the
 
 medical insurance
 
 domain.
 
 
 
 
 
 
 Position Summary
 
 
 
 As a
 
 Digital Business Analyst
 
 specializing in
 
 medical insurance
 
 , you will analyze and optimize business processes related to
 
 medical claims
 
 ,
 
 policy administration
 
 , and
 
 adjudication workflows
 
 . You will support digital initiatives through structured documentation, process mapping (using
 
 Microsoft Visio
 
 ), and technical collaboration. Your role also includes identifying and mitigating
 
 Fraud, Waste, and Abuse (FWA)
 
 , ensuring compliance, and delivering insightful analytics through tools such as
 
 Power BI
 
 .
 
 
 You will work cross-functionally with business, compliance, and technology teams to drive efficient, secure, and compliant operations.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 Requirements Gathering &amp; Analysis
 
 
 <ul>
 <li>
 Collaborate with stakeholders to gather and document business and functional requirements related to medical claims and insurance policies.
 </li>
 <li>
 Translate complex business needs into clear documentation, including user stories and functional specifications.
 </li>
 <li>
 Ensure business rules related to
 
 ICD/CPT coding
 
 ,
 
 claims adjudication
 
 , and
 
 FWA handling
 
 are accurately captured.
 </li>
 </ul>
 
 
 Medical Claims, Adjudication &amp; FWA Analysis
 
 
 <ul>
 <li>
 Analyze end-to-end workflows for
 
 medical claims processing
 
 , adjudication rules, and benefit validation.
 </li>
 <li>
 Support rule configuration and decision logic for claim approvals, denials, co-pays, and benefit limits.
 </li>
 <li>
 Identify patterns of
 
 Fraud, Waste, and Abuse (FWA)
 
 and propose preventive and detection mechanisms.
 </li>
 <li>
 Collaborate with compliance teams to align with medical insurance regulations and audit requirements.
 </li>
 </ul>
 
 
 Business Process Analysis
 
 
 <ul>
 <li>
 Use
 
 Microsoft Visio
 
 to document and maintain detailed process maps and flowcharts.
 </li>
 <li>
 Apply
 
 BPMN standards
 
 to model current (as-is) and future (to-be) processes for claims, policy, and adjudication functions.
 </li>
 <li>
 Propose automation and process optimization opportunities for digital transformation.
 </li>
 </ul>
 
 
 Business Intelligence &amp; Analytics
 
 
 <ul>
 <li>
 Develop dashboards and reports using
 
 Power BI
 
 or other analytical tools to monitor claim trends, exceptions, FWA indicators, and performance KPIs.
 </li>
 <li>
 Analyze structured and semi-structured data to generate actionable business insights.
 </li>
 <li>
 Collaborate with data and actuarial teams to support advanced analytics and forecasting.
 </li>
 </ul>
 
 
 Release Management
 
 
 <ul>
 <li>
 Define deployment plans for changes to claims processing systems, adjudication engines, or policy management platforms.
 </li>
 <li>
 Support testing, UAT, go-live, and post-implementation documentation and training.
 </li>
 <li>
 Ensure change releases are well-governed, traceable, and aligned with business needs.
 </li>
 </ul>
 
 
 Enterprise Architecture Support
 
 
 <ul>
 <li>
 Create and maintain architecture diagrams (applications, databases, integrations) in EA tools.
 </li>
 <li>
 Ensure solutions align with enterprise architecture principles and documentation standards.
 </li>
 <li>
 Maintain updated assets and business process models in the EA repository.
 </li>
 </ul>
 
 
 
 
 
 Qualifications
 
 
 <ul>
 <li>
 Bachelor's degree in
 
 Computer Engineering
 
 ,
 
 Information Systems
 
 , or a related field.
 </li>
 <li>
 Proven experience as a Business Analyst in the
 
 insurance sector
 
 , particularly
 
 medical insurance
 
 .
 </li>
 <li>
 
 Strong domain expertise in:
 
 </li>
 <li>
 
 ICD and CPT coding
 
 </li>
 <li>
 
 Medical claims adjudication
 
 </li>
 <li>
 
 Medical policy structures and benefit rules
 
 </li>
 <li>
 
 Fraud, Waste, and Abuse (FWA)
 
 analysis in healthcare claims
 </li>
 <li>
 Proficiency in:
 </li>
 <li>
 
 Microsoft Visio
 
 for process modeling
 </li>
 <li>
 
 Power BI
 
 or similar BI/reporting platforms
 </li>
 <li>
 
 Java
 
 ,
 
 APIs
 
 ,
 
 Python
 
 ,
 
 MongoDB
 
 , and
 
 SQL
 
 </li>
 <li>
 
 Enterprise Architecture tools
 
 </li>
 <li>
 Excellent documentation, communication, and analytical skills.
 </li>
 <li>
 Ability to work across departments in a fast-paced, compliance-focused environment.
 </li>
 <li>
 Knowledge of
 
 project management
 
 or exposure to
 
 Agile/Scrum
 
 is a plus.
 </li>
 </ul>
</div>

Digital Business Analyst

HRsource

<div>
 
 
 Job Title:
 
 Senior Business Analyst
 
 
 
 Location:
 
 Riyadh, Saudi Arabia
 
 
 
 Reports to:
 
 Pre-Sales Director
 
 
 
 
 
 
 Position Overview
 
 
 
 We are looking for an experienced
 
 Senior Business Analyst
 
 to partner with our clients in the
 
 insurance industry
 
 . The ideal candidate will bring
 
 8+ years of experience
 
 in business analysis, with a strong understanding of
 
 insurance processes and systems
 
 , and the adaptability to explore and support new business domains when required.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 Business Analysis
 
 
 <ul>
 <li>
 
 Requirement Gathering &amp; Analysis:
 
 Collaborate with stakeholders to understand business needs, translating them into clear and actionable specifications for technical teams.
 </li>
 <li>
 
 Documentation:
 
 Develop and maintain detailed documentation, including business requirement documents (BRDs), functional specifications, process flows, and user manuals.
 </li>
 <li>
 
 Process Optimization:
 
 Assess existing business processes and system workflows to identify opportunities for improvement and efficiency enhancement.
 </li>
 <li>
 
 Testing &amp; Validation:
 
 Partner with QA teams to verify that deliverables meet business requirements and maintain high quality standards.
 </li>
 <li>
 
 User Support &amp; Training:
 
 Facilitate user training sessions and provide ongoing support to ensure smooth adoption of new systems and processes.
 </li>
 </ul>
 
 
 Change Management &amp; Communication
 
 
 <ul>
 <li>
 
 Project Management Office (PMO):
 
 Oversee project execution, ensuring timely delivery, adherence to scope, and budget compliance.
 </li>
 <li>
 
 Stakeholder Engagement:
 
 Serve as a trusted liaison between business and technical teams, aligning project goals and addressing stakeholder expectations.
 </li>
 <li>
 
 Data-Driven Insights:
 
 Analyze business data to uncover trends, generate insights, and support strategic decision-making.
 </li>
 </ul>
 
 
 
 
 
 Qualifications
 
 
 
 
 Required
 
 
 <ul>
 <li>
 
 Experience:
 
 Minimum of 8 years as a Business Analyst, with proven exposure to the
 
 insurance industry
 
 (highly preferred).
 </li>
 <li>
 
 Technical Proficiency:
 
 Strong command of business analysis tools such as
 
 JIRA
 
 and
 
 Confluence
 
 , with hands-on experience in
 
 Agile
 
 environments.
 </li>
 <li>
 
 Analytical Ability:
 
 Exceptional problem-solving skills, capable of interpreting complex data and transforming it into actionable insights.
 </li>
 <li>
 
 Communication:
 
 Excellent verbal and written communication skills, with the ability to effectively collaborate across multiple stakeholder levels.
 </li>
 <li>
 
 Education:
 
 Bachelor&rsquo;s or Master&rsquo;s degree in
 
 Business Administration, Finance, Computer Science
 
 , or a related field.
 </li>
 </ul>
 
 
 P
 
 
 
 
 referred
 
 
 <ul>
 <li>
 
 Insurance Expertise:
 
 In-depth knowledge of insurance products, operations, regulations, and industry best practices.
 </li>
 <li>
 
 Leadership:
 
 Demonstrated ability to lead and coordinate cross-functional, multi-stakeholder projects.
 </li>
 <li>
 
 Certifications:
 
 Professional credentials such as
 
 CBAP
 
 (Certified Business Analysis Professional) or
 
 PMP
 
 (Project Management Professional) are a plus.
 </li>
 </ul>
 
 
</div>

Senior Business Analyst

Sanadk Services

Job Summary We are seeking a detail-oriented and knowledgeable Insurance Analyst to join our team. The ideal candidate will have a strong background in managed care, medical office operations, and insurance verification. This role involves analyzing insurance claims, ensuring compliance with HIPAA regulations, and maintaining accurate medical records. The Insurance Analyst will play a crucial role in facilitating effective communication between healthcare providers, patients, and insurance companies.Responsibilities<ul><li>Review and analyze insurance claims for accuracy and completeness.</li><li>Verify patient insurance coverage and benefits prior to services rendered.</li><li>Maintain compliance with HIPAA regulations while handling sensitive patient information.</li><li>Utilize CPT coding, ICD-9, and ICD-10 coding systems to ensure proper billing practices.</li><li>Collaborate with medical staff to resolve any discrepancies in medical records or coding.</li><li>Assist in the management of medical terminology and documentation within the office.</li><li>Provide support for both dental and medical office operations as needed.</li><li>Prepare reports on claims processing and outcomes for management review.</li></ul>Qualifications<ul><li>Proven experience in managed care and medical office settings is preferred.</li><li>Strong understanding of HIPAA regulations and compliance standards.</li><li>Proficiency in CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with medical terminology and the ability to interpret medical records accurately.</li><li>Excellent organizational skills with attention to detail.</li><li>Strong communication skills for effective interaction with healthcare professionals and patients.</li><li>Previous experience in insurance verification is highly desirable.</li><li>Experience in a dental office environment is a plus but not required. Join our dedicated team of professionals committed to providing exceptional service in the healthcare industry. Your expertise as an Insurance Analyst will contribute significantly to our mission of delivering quality care while ensuring efficient insurance processes.</li><li>Able to communicate in Arabic and English ( Bi-lingual)</li></ul>Job Type: Full-timePay: QAR1,300.00 - QAR2,800.00 per month

Insurance Analyst

Agito Software & Consulting

<div>
 
 We are looking for an experienced Business Analyst in the insurance sector to join our Digital Transformation department. The ideal candidate will analyze stories and acceptance criteria in the backlog created by the Product Owner and ensure that software development aligns with these acceptance criteria.
 
 
 
 
 
 
 Job Description
 
 
 
 
 
 <ul>
 <li>
 Review and thoroughly understand stories and acceptance criteria in the backlog.
 </li>
 <li>
 Support the implementation of stories in accordance with acceptance criteria using business analysis skills.
 </li>
 <li>
 Execute test scenarios, record identified defects and follow up on resolutions.
 </li>
 <li>
 Test REST services developed with a micro services architecture using tools such as Swagger or Postman and perform front-end testing.
 </li>
 <li>
 Ensure tasks are complete and ready for sprint reviews and present them effectively.
 </li>
 <li>
 Interpret insurance processes and product logic accurately to ensure test correctness.
 </li>
 <li>
 Prepare and maintain user guides and other documentation materials.
 </li>
 <li>
 Conduct research and data collection processes as requested by the Product Owner.
 </li>
 </ul>
 
 
 
 
 
 Requirements
 
 
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in Industrial Engineering, Computer Engineering, Mathematical Engineering, Business Engineering, Statistics, Mathematics, or a related field.
 </li>
 <li>
 Minimum 3&ndash;5 years of experience as a Business Analyst in the insurance sector.
 </li>
 <li>
 Knowledge of Agile/Scrum methodologies and backlog/acceptance criteria processes.
 </li>
 <li>
 Ability to analyze stories and acceptance criteria and verify software accuracy.
 </li>
 <li>
 Experience testing REST services and working with JSON data structures.
 </li>
 <li>
 Extensive experience with frontend and backend testing and defect identification.
 </li>
 <li>
 Strong analytical thinking, attention to detail, and problem-solving skills.
 </li>
 <li>
 Strong documentation and communication skills.
 </li>
 <li>
 Experience with the Figma design tool.
 </li>
 </ul>
 
 
 
 
 
 As Agito, we care about your Personal Data Security.
 
 
 
 
 Please find the Personal Data Protection Information Notice from the link below.
 
 
 
 
 https://www.agito.com.tr/iletisim-formu-aydinlatma-metni
 
 
 
 
</div>

Business Analyst

Great American Insurance Group

<div>Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a &quot;small company&quot; culture where your ideas will be heard with &quot;big company&quot; expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.
The Operations Analyst supports key business processes across underwriting, compliance, and systems initiatives to help propel new business and renewals. This role combines analytical, organizational, and technical skills to streamline workflows, enhance data accuracy, and support cross-functional projects within the Aviation insurance operations environment. You will directly support the Operations Manager to ensure platform stability, assist with compliance deliverables, and identify opportunities to improve efficiency, marketing exposure, and improve data-driven processes.
Key Responsibilities:
<ul><li>Maintain and enhance third party platform as a product owner,; act as a product liaison, build product as needed, and troubleshoot technical issues and manage pool mailbox.</li></ul><ul><li>
Ensure data accuracy and consistency across systems and reports</li><li>
Support compliance-related products, including state filings, document management, and audit requests.</li><li>
Identify opportunities to streamline workflows, improve automation, and reduce operational risk or manual touchpoints.</li><li>
Collaborate with cross-functional teams to support product, compliance, and system integration</li><li>
Assist with developing and maintaining Standard Operating procedures for recurring processes</li><li>
Participate in ad-hoc analysis, reporting, and special products assigned.</li></ul>
Qualifications:
<ul><li>Strong organization and problem-solving skills</li><li>
Detail oriented with commitment to data integrity</li><li>
Excellent communication skills</li><li>
Ability to manage multiple priorities and work independently</li><li>
Education: Bachelor&rsquo;s degree required; STEM or analytical background preferred</li><li>
Experience: 1-4 years of full-time professional experience</li><li>
Exposure to insurance, operations, or data analysis preferred</li><li>
Experience with Python, RStudio, or other coding tools is a plus</li><li>
Strong Excel and data visualization skills (e.g. Power BI, Tableau) preferred</li></ul>
Business Unit:
Aviation 
Salary Range:
$64,000.00 -$80,000.00
Benefits:
Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. 
We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. 
Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.</div>

Insurance Operations Analyst-Aviation Division

Raptee Energy

<ul><li>Post-secondary education working towards a technical finance or business designation.</li><li>P&amp;C insurance industry experience is an asset.</li><li>Completion of Insurance Institute courses an asset</li></ul>Job Types: Full-time, Permanent, FresherPay: &#8377;246,944.89 - &#8377;1,040,925.67 per yearBenefits:<ul><li>Health insurance</li><li>Provident Fund</li></ul>Work Location: In person

Reinsurance Analyst

QatarEnergy

<div>
 
 Primary Purpose Of The Job
 
 
 
 Develop and implement strategic solutions for QatarEnergy&rsquo;s corporate insurance program to ensure optimal coverage for insurable risks. Offer expert risk management counsel to various stakeholders across the organization, addressing risks associated with our business operations, including providing advice on contracts, capital projects, acquisitions, and divestments. Proactively manage insurance claims on behalf of the company to secure the best possible settlement.
 
 
 
 Required Experience And Skills
 
 
 
 
 Experience requirements:
 
 
 
 <ul>
 <li>
 </li>
 <ul>
 <li>
 Relevant experience in energy / insurance (10-15 years).
 </li>
 <li>
 Proven experience in placing operational and construction insurance programs for operators in international energy insurance markets.
 </li>
 <li>
 Experience of working on insurance programs across multiple countries.
 </li>
 <li>
 Risk engineering experience, including experience in carrying out Estimated Maximum Loss assessments and developing risk engineering survey programs for operators in the energy industry, would be beneficial.
 
 </li>
 </ul>
 </ul>
 
 Desired Soft Skills
 
 
 
 <ul>
 <li>
 </li>
 <ul>
 <li>
 Strong analytical and evaluation skills;
 </li>
 <li>
 Project management skills, including effective stakeholder management;
 </li>
 <li>
 Capability to adapt to changing circumstances and emerging risks in the insurance and business environment;
 </li>
 <li>
 Ability to work effectively as part of a team, collaborating with colleagues of different cultural backgrounds.
 
 </li>
 </ul>
 </ul>
 
 Educational Qualifications
 
 
 
 
 Education requirements:
 
 
 
 <ul>
 <li>
 </li>
 <ul>
 <li>
 Bachelor degree in Economics, Engineering, Finance, Business Administration, or Law.
 </li>
 <li>
 Professional qualifications in insurance obtained from the Chartered Insurance Institute (minimum at Diploma level) or equivalent.
 </li>
 <li>
 Commitment to continuous professional development and staying updated with the latest trends and developments in the insurance market.
 </li>
 </ul>
 </ul>
</div>

SR. INSURANCE ANALYST

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