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California FAIR Plan Association · 3 months ago

Claims Business Process Analyst (Remote)

United States

Full-time

Remote

Mid Level

$80K/yr - $85K/yr

California FAIR Plan Association is seeking a Claims Business Process Analyst to optimize and modernize their claims business processes. The role involves analyzing, designing, and implementing workflows to improve efficiency and operational accuracy while collaborating with stakeholders to align processes with strategic priorities.

Financial ServicesInsuranceProperty Insurance

Comp. & Benefits

Responsibilities

Evaluate claims business processes and identify opportunities to enhance efficiency, accuracy, and customer satisfaction

Conduct root cause analyses to uncover operational gaps, data inconsistencies, or process bottlenecks

Define and document “as-is” and “to-be” workflows using process mapping and related methodologies

Collaborate with business stakeholders, to design improved end-to-end claims processes

Translate business needs into functional process requirements for automation, system enhancement, or workflow redesign

Support implementation of new workflows, ensuring proper change management and training. Develop, standardize, and maintain claims-related business processes, procedures, and performance metrics

Ensure that claims processes adhere to company policies, best practices, and all state/federal regulatory requirements

Serve as a liaison between Claims and other departments to ensure process coherence data alignment, and to enhance system capabilities (e.g. Duck Creek, OnBase)

Support Single Source of Truth initiatives ensuring consistent data usage, definitions, and reporting across systems

Define and track key performance indicators (KPIs) to measure process effectiveness and turnaround times

Prepare and present insights, findings, and process improvement recommendations to leadership

Support internal and external audits with accurate process documentation and data integrity assurance

Lead or participate in business process reengineering (BPR) and operational efficiency initiatives

Promote continuous improvement through feedback loops, metrics-driven decision making, and proactive issue resolution

Qualification

Claims operations knowledgeProcess improvement methodologiesDuck Creek Claims platformProcess mappingMicrosoft Office SuiteCommunication skillsCollaboration skillsAttention to detail

Required

Strong analytical and problem-solving skills

Solid understanding of claims operations

Ability to translate business challenges into actionable process and technology improvements

Proven experience in process management or business process improvement

Advanced knowledge and practical application of process improvement tools and methodologies such as Lean, Six Sigma, or Business Process Management (BPM)

Proficient in Microsoft Office Suite

Exceptional attention to detail and accuracy

Excellent communication and collaboration skills, with the ability to engage effectively with internal stakeholders, consultants, and leadership

Preferred

Bachelor's degree or equivalent

Experience with Homeowners and Catastrophe (CAT) claims, particularly wind and fire events, with emphasis on understanding end-to-end claims workflows, dependencies, and process challenges

Experience with the Duck Creek Claims platform (or similar claims management systems)