Doran Jones Inc. · 3 weeks ago
Business Analyst – US Insurance Claims Modernization
Dallas, TX
Full-time
Onsite
Senior Level
5+ years expDoran Jones Inc. is seeking an experienced Business Analyst with deep expertise in US insurance claims 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 of the claims lifecycle.
Information ServicesInformation TechnologyProfessional Services
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
Doran Jones Inc.
Doran Jones Inc.
51-200 employees
H1B Sponsorship
Doran Jones Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (12)
2023 (8)
2022 (5)
2021 (5)
2020 (13)
Funding
Current Stage
Growth StageTotal Funding
unknown2021-07-14Acquired
Leadership Team
Matt Doran
Co-Founder & Head of Sales
Recent News
Built In NYC
2024-04-07
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