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California FAIR Plan Association100% Remote

Claims Business Process Analyst

Employment

Full-time

Remote Scope

US

Date Posted

Oct 24, 2026

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About the Role

POSITION SUMMARY The Claims Business Process Analyst optimizes and modernizes claims processes to improve efficiency, accuracy, and alignment. This role analyzes workflows, identifies bottlenecks, and drives improvements by partnering with stakeholders and consultants to document gaps, define future processes, and implement solutions aligned with strategic priorities. PRINCIPAL DUTIES & RESPONSIBILITIES Evaluate 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. Work with the support partner vendor to implement fixes and enhancements to the Duck Creek Claims system. Document requirements, perform user acceptance testing and validation during release cycles for the claims system. Produce release notes and update the department as necessary on system changes. Develop, standardize, and maintain claims-related business processes, procedures, and performance metrics. Serve as a liaison between Claims and other departments to ensure process coherence, data alignment, and to enhance system capabilities (e.g. Duck Cr

Required Skills & Technologies

Claims-Business-AnalystBusiness-Process-AnalystInsurance-Claims-AnalystProcess-Improvement-AnalystClaims-Operations-AnalystClaims-AnalystBack-Office-Claims-AnalystOperations
Link verified: 10/25/2026

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