Claims Business Process Analyst

Job not on LinkedIn

November 26

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $80k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

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California FAIR Plan Association

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Insurance

California FAIR Plan Association is an insurance organization that provides basic fire insurance coverage for high-risk properties in California when traditional insurance companies will not offer coverage. The FAIR Plan includes dwelling coverage for owner- or tenant-occupied dwellings with up to four family units, as well as commercial coverage for business-owned buildings. They also offer earthquake insurance through the California Earthquake Authority. The organization helps Californians access necessary fire insurance via licensed brokers and is essentially a temporary insurance solution when coverage is unavailable from traditional insurers.

51 - 200 employees

Founded 1968

📋 Description

• Evaluate existing 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 documentation for 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 and data alignment. • Support Single Source of Truth (SSOT) initiatives to ensure consistent data usage, definitions, and reporting across systems. • Partner with technology teams to evaluate and enhance system capabilities (e.g., Duck Creek, OnBase, ADLS, Snowflake). • 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 a culture of continuous improvement through feedback loops, metrics-driven decision making, and proactive issue resolution.

🎯 Requirements

• Bachelor’s degree or equivalent preferred. • Experience with Homeowners and Catastrophe (CAT) claims, particularly wind and fire events, preferred — with emphasis on understanding end-to-end claims workflows, dependencies, and process challenges. • 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) • Experience with the Duck Creek Claims platform (or similar claims management systems) preferred. • 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.