Business Analyst – Insurance Transaction Management

Business Analyst - Insurance Transaction ManagementPosition Overview

We are looking for an experienced Business Analyst with strong domain expertise in Insurance Transaction Management to join our growing team. This role will act as a bridge between business stakeholders and technical teams, translating complex insurance processes into clear, actionable requirements for our claims automation and fraud detection platform.

You will play a critical role in understanding insurance workflows, documenting business requirements, and ensuring our solutions align with evolving industry needs.

Location: Mumbai

Employment Type: Full-time

Experience Required: 4–6 years (Insurance domain – Transaction Management)

Key Responsibilities1. Requirements Management & Analysis

• Gather, analyze, and document business requirements from insurers, TPAs, hospitals, and other stakeholders
• Analyze insurance transaction workflows: policy issuance, claims processing, premium collection, and settlements
• Translate business requirements into clear functional specifications for product and engineering teams
• Create and maintain BRDs, FRDs, and user stories
• Facilitate requirement discussions, reviews, and stakeholder sign-offs
• Define acceptance criteria for features and releases

2. Insurance Domain Expertise

• Apply strong understanding of the insurance transaction lifecycle, including:
• Policy administration and underwriting
• Claims registration, adjudication, and settlement
• Reimbursement and cashless workflows
• TPA operations and provider network management
• Premium accounting and reconciliation
• Fraud detection and investigation processes
• Document integration requirements across core insurance systems, hospital systems, and TPA platforms
• Ensure alignment with IRDAI regulations and industry standards
• Assess impact of regulatory changes on processes and systems

3. Stakeholder Management

• Act as the primary interface between business, operations, and technology teams
• Coordinate and support User Acceptance Testing (UAT) with business stakeholders

4. Documentation & Reporting

• Maintain detailed documentation of business processes and system workflows
• Create functional specifications, user documentation, and business rules
• Develop data dictionaries and requirement repositories
• Provide structured analysis reports and insights to leadership
• Track and communicate progress on requirements and deliverables

Required QualificationsEducational Background

• Bachelor's or Master's degree in Business, Technology, or related field
• MBA (Operations / Finance / IT) preferred

Certifications (Preferred)

• Business Analysis: CBAP, CCBA, PMI-PBA
• Insurance: LOMA, FLMI, or equivalent
• Agile: CSPO or similar

Domain Experience (Must-Have)

• 4–6 years in the insurance industry with hands-on experience in:
• Transaction management (policy, claims, accounting)
• Health or general insurance (retail and group)
• TPA operations and workflows
• End-to-end claims lifecycle
• Provider networks, hospital integrations, and pre-authorization
• Experience working with core insurance systems (policy admin / claims platforms)
• Exposure to insurance technology and digital transformation initiatives
• Strong understanding of IRDAI guidelines and schemes like PMJAY

Technical Understanding

• Good understanding of SDLC
• Familiarity with APIs and web services (REST/SOAP)
• Exposure to cloud platforms (AWS/Azure/GCP) is a plus
• Basic understanding of databases and data models
• Awareness of AI/ML in fraud detection (desirable, not mandatory)
• Familiarity with OCR and document automation tools is a plus

Application Process

• Please fill out the application form https://forms.gle/gJnyBeZQsVAiqXGj7

Applications submitted without application form will not be accepted