Description

You will translate operations and best practices into scalable product capabilities, automation, and agentic solutions.

This role is remote.

Responsibilities

• Define how claims workflows, decisions, and edge cases translate into scalable product capabilities and automation.
• Drive collaboration across Fraud and Claims Operations, Evergreen (GenAI Agentic team), and Cypress platform teams to refine use cases.
• Shape end-to-end workflows for agentic solutions, ensuring alignment with real-world execution and improved efficiency.
• Help define and track success metrics such as cycle time reduction, investigator productivity, and reduction in manual handling.

Required Skills

• 8+ years of experience in business analysis or related roles.
• Deep, hands-on expertise in claims operations, spanning intake, investigation, and resolution.
• Strong awareness of industry best practices in claims processing.
• Experience with GenAI and agentic solutions.
• Collaborative leadership with demonstrated ability to work effectively across business and technology groups.
• Excellent communication skills to represent the voice of real-world operations.
• Ability to influence teams toward scalable and effective ways of working.

Preferred Skills

• Experience defining and tracking success metrics for operational efficiency.
• Background in fraud detection or claims investigation workflows.

Key Skills

Education

Any Gradute