Claims Platform Analyst - MSI jobs in United States
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MSI ยท 1 day ago

Claims Platform Analyst - MSI

MSI is a leading MGA specializing in insurance solutions. They are seeking a Claims Platform Analyst to manage the configuration and oversight of their claims platform, ensuring efficient claims processing and effective communication between teams.

Financial ServicesInsurance

Responsibilities

Collaborate closely with internal teams to configure and build the claims system according to business requirements
Participate in design sessions, testing cycles, and implementation activities
Ensure system settings, workflows, and rules support efficient and accurate claims processing
Identify configuration opportunities to enhance productivity and operational accuracy
Maintain documentation of configuration decisions, workflows, and operational processes
Monitor incoming claims volumes daily and ensure timely, fair, and accurate assignment to examiners across MSI and third-party administrators (TPAs)
Develop and manage workload balancing strategies to ensure equitable distribution based on capacity, licenses, experience, and performance
Identify trends, bottlenecks, or issues in claim routing and work with operations and technology teams to address them
Oversee the creation, maintenance, and accuracy of user profiles within the system
Ensure users have correct permissions, role configurations, and access required to perform their job functions
Partner with HR, management, and IT to support onboarding/offboarding activities and system-related transitions
Act as the primary liaison between the claims business team and the technology team for system performance issues, enhancements, or unexpected behaviors
Communicate system changes, updates, or issues to leadership and frontline staff
Support training efforts by providing subject matter expertise on system features, workflows, and updates
Track workload distribution, capacity, cycle times, and other operational metrics
Provide routine reporting and insights that support strategic decisions around staffing, workload, and process optimization
Recommend process improvements based on data-driven insights

Qualification

Claims management systemsClaims processes knowledgeAnalytical skillsConfiguration experienceCommunication skillsTechnical aptitudeMulti-taskingProblem-solving abilitiesDetail-oriented

Required

5+ years of experience in claims handling, claims operations, or a related field
Strong working knowledge of claims processes, workflows, and regulatory considerations
Strong analytical and problem-solving abilities; comfortable working with operational data
Excellent communication skills with the ability to interface effectively between business and technology teams
Self-driven, detail-oriented, and able to perform under tight deadlines or high-pressure situations
Ability to manage multiple tasks and priorities with minimal oversight
Technical aptitude and comfort working in systems that require configuration (no coding required)

Preferred

Experience using or supporting claims management systems; configuration or implementation experience is highly preferred

Company

MSI

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MSI is a leading managing general agency (MGA) that thrives on solving challenges, delivering responsive service, and providing an easy insurance experience.

Funding

Current Stage
Late Stage
Company data provided by crunchbase