McLaren Strategic Solutions (MSS) · 3 weeks ago
Business Analyst – US Insurance Claims Modernization
Dallas, TX
Full-time
Onsite
Senior Level
5+ years expMcLaren Strategic Solutions (MSS) is seeking an experienced Business Analyst with deep expertise in the US Insurance Claims domain to lead the modernization of a legacy claims management platform. This role is critical in bridging the gap between claims Subject Matter Experts (SMEs) and technical engineering teams, driving discovery, documenting target-state processes, and overseeing the transformation from initial First Notice of Loss (FNOL) through to final claim closure.
Management Consulting
Responsibilities
Lead requirements gathering for the end-to-end claims lifecycle, transitioning from legacy systems to modern platforms
Document current AS-IS workflows and pain points to define optimized TO-BE processes using Visio or BPMN
Collaborate with adjusters, finance, and SIU teams to define logic for coverage verification, triage, reserves, and litigation handling
Establish rules for fraud indicators, SIU referrals, and audit requirements to ensure compliance with state regulations
Work with architects to determine modernization scope, including rules engine configuration, API integrations, and phased migration strategies
Oversee source-to-target mapping, data quality rules, and reconciliation strategies for claims data like reserves and recoveries
Qualification
Required
5+ years of BA experience specifically in US Insurance Claims and system workflows
Proven track record in legacy system replacements or major re-platforming programs
Proficiency in writing high-quality User Stories, BRDs, FRDs, and Acceptance Criteria
Strong skills in AS-IS/TO-BE mapping, gap analysis, and facilitating stakeholder workshops
Hands-on experience managing UAT, traceability matrices, and business validation
Preferred
Experience with COTS platforms like Guidewire ClaimCenter or Duck Creek Claims
Familiarity with ACORD standards and insurance-specific data models
Exposure to workflow engines, API-first integrations, cloud migration, and event-driven architectures
Understanding of US-specific audit trails, state compliance, and segregation of duties
Company
McLaren Strategic Solutions (MSS)
McLaren Strategic Solutions (MSS) is the next generation technology services and digital transformation company.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Sajan Pillai
Chairman and CEO
Anoj Pillai
Chief Technology Officer
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