Business Analyst for Claims Management -INSURANCE ( REMOTE)
RemoteFull-time4–5 yrsPosted 1 week ago
Mid-level data analytics role at ADV Techminds. Needs 4–5 years. Remote.
About the role
Owns design and documentation of claims processing workflows, including automation, workload management, and TPA integration, ensuring compliance with IRDAI and SLA
What you'll do
- Define workload balancing logic and queue management rules for claims teams
- Design data and process interfaces with TPAs (EDI/API structures)
- Define claim status taxonomy, turnaround times, and escalation hierarchies
- Support configuration of fraud triggers and quality checks
- Ensure regulatory compliance for cashless and reimbursement claim processing
What you need
- Claims processing
- Insurance
- Stakeholder management