Business Analyst - Health Insurance

About the Role:

• We are seeking a Business Analyst with strong domain expertise in Health Insurance, specifically in Policy Issuance and Claims Processing. The candidate will play a key role in gathering requirements, translating business needs into functional specifications, and supporting implementation across stakeholders.

Responsibilities of the Candidate:

• Gather, analyse, and document business and functional requirements
• Prepare BRD, FRD, SRS, and use case documents
• Work closely with business stakeholders, product teams, and technical teams
• Drive discussions related to policy issuance and claims workflows
• Support UAT planning, execution, and defect tracking
• Ensure alignment of requirements with business objectives and product capabilities
• Participate in client discussions, demos, and solution walkthroughs
• Review test cases to ensure alignment with business requirements and scenarios

Requirements:

• Strong understanding of Policy Issuance in Health Insurance (LOB)
• Strong understanding of Claims Processing in Health Insurance (LOB)
• Excellent Business Analyst (BA) skills including requirement gathering, documentation, and stakeholder management
• Good understanding of API Integration from functional point of view
• Good analytical and problem-solving abilities
• Strong communication and articulation skills

Preferred Qualifications:

• Medical Doctor – preferred but not mandatory
• Prior experience working with TPA / Insurance platforms
• Exposure to end-to-end health insurance lifecycle

Good to Have:

• Experience in product configuration and provider management
• Familiarity with regulatory guidelines (IRDAI, etc.)
• Experience in Agile/Scrum environments