Senior Business Analyst / Project Manager – Claims Transformation

Job Summary

We are seeking an experienced consultant, Senior Business Analyst / Project Manager with deep expertise in Property & Casualty Insurance Claims to lead large-scale claims transformation, modernization, implementation, and enhancement initiatives. The ideal candidate will possess a strong blend of Business Analysis, Project Management, Stakeholder Management, and Claims Domain expertise, with hands-on experience supporting claims platforms such as Guidewire ClaimCenter and/or Duck Creek Claims.

Key Responsibilities

• Lead end-to-end delivery of Claims Transformation and Claims Modernization initiatives
• Manage project scope, timelines, budgets, risks, dependencies, and stakeholder communications
• Develop project plans, status reports, RAID logs, and executive-level presentations
• Cookordination activities across business, technology, QA, vendor, and offshore teams
• Drive governance meetings, steering committee updates, and project reviews
• Ensure successful execution of Agile, Waterfall, or Hybrid delivery methodologies
• Lead requirements gathering workshops with Claims Operations, Adjusters, Claims Managers, Product Owners, and Business Stakeholders
• Document Business Requirements Documents (BRDs), Functional Requirements, User Stories, Process Flows, Use Cases, and Acceptance Criteria
• Conduct current-state and future-state process analysis
• Perform gap analysis and recommend process improvements and automation opportunities
• Manage requirements traceability throughout the project lifecycle
• Act as SME for end-to-end Claims Operations, including:
• First Notice of Loss (FNOL)
• Claims Intake & Assignment
• Coverage Verification
• Coverage Verification
• Claims Investigation
• Reserve Management
• Payments & Settlements
• Subrogation & Recoveries
• Litigation Management
• Claims Closure
• Regulatory & Compliance Reporting
• Collaborate with business users to optimize claims workflows and operational efficiencies
• Lead business analysis and delivery activities for Guidewire ClaimCenter and/or Duck Creek Claims implementations, upgrades, migrations, and enhancements
• Support claims system integrations with Policy Administration, Billing, Document Management, Payment, Fraud Detection, and Third-Party Vendor systems
• Define business rules, claims workflows, integrations, and data conversion requirements
• Support platform modernization and cloud transformation initiatives
• Testing & Release Management
• Oversee SIT, UAT, Regression Testing, and Production Readiness activities
• Review and approve test scenarios, test cases, and business validation results
• Coordinate defect triage and resolution activities
• Support release planning, deployment validation, and post-production stabilization
• Data & Reporting Support
• Analyze claims data, KPIs, operational metrics, and reporting requirements
• Partner with analytics teams to improve claims reporting and dashboard capabilities

Required Qualifications

• 14+ years of experience as a Business Analyst, Project Manager, or Delivery Lead within the Insurance domain
• 8+ years of Property & Casualty Insurance experience
• Strong expertise in Claims Operations and Claims Management Systems
• Demonstrated experience leading enterprise-scale Claims Transformation programs
• Experience managing cross-functional business and technology teams
• Strong stakeholder management and executive communication skills
• Experience working with Agile, Scrum, Waterfall, and Hybrid delivery models
• Strong documentation skills including BRDs, FRDs, User Stories, Process Flows, and UAT artifacts
• Working knowledge of SQL and data analysis concepts

Preferred Qualifications

• Hands-on experience with Guidewire ClaimCenter – Must Have
• Experience with Duck Creek Claims (Highly Preferred)
• Exposure to Guidewire PolicyCenter, BillingCenter, or Duck Creek Policy/Billing
• Experience supporting Claims System Implementations, Upgrades, Cloud Migrations, or Platform Modernization initiatives
• Experience working with Commercial Lines and/or Personal Lines Insurance
• Knowledge of API integrations, Data Mapping, Data Migration, and System Interfaces
• Experience managing offshore and distributed delivery teams

Preferred Skills

• Guidewire ClaimCenter / Duck Creek Claims
• Claims Transformation
• Claims Modernization
• FNOL
• Claims Adjudication
• Reserve Management
• Claims Payments
• Subrogation
• Recoveries
• Litigation
• Business Analysis
• Project Management
• Agile / Scrum
• UAT Management
• Stakeholder Management
• Data Migration
• System Integration
• Regulatory Compliance

Nice to Have

• CPCU, AINS, CBAP, PMP, PMI-ACP, SAFe Agilist, or equivalent certifications
• Experience with Cloud-based Insurance Platforms
• Exposure to Digital Claims Transformation and Customer Self-Service Portals

LOCATION AND COMPENSATION

This position is hybrid and will require employees to be onsite in Morristown, NJ. The position is full time and will include a base salary range of $90-$100K plus full benefits, including health, dental, vision, life, disability, vacation, and 401(k) with company match.