Business Process Analyst Claims Operations

Business Process Analyst - Claims Operations NJM Insurance - 2.9 Ewing, NJ Job Details Full-time $61,256 - $77,255 a year 3 days ago Benefits Health insurance Dental insurance 401(k) Tuition reimbursement Paid time off Employee assistance program Vision insurance 401(k) matching Employee discount Life insurance Referral program Qualifications Handling insurance claims Improving operational efficiency Performance Improvement (PI) Property casualty insurance Root cause analysis

Full Job Description Important:

This is a hybrid, on‑site role in West Trenton, NJ supporting U.S. insurance claims operations . Candidates must have prior claims operations experience (PIP, Workers' Compensation, or General Claims) . This role is not fully remote and is not an IT, data, or software role .

Work Location & Schedule:

This position follows a hybrid work schedule and requires regular on‑site presence at NJM's West Trenton, NJ office. Candidates must be located within a reasonable commuting distance and able to work on‑site to support claims business users, operational initiatives, and process improvement efforts . This role is not fully remote . About the

Role:

NJM Insurance Group is seeking a Business Process Analyst - Claims Operations to join our Medical Claims Services (MCS) team. This role is responsible for analyzing, supporting, and improving claims business processes that directly impact day‑to‑day operations, business continuity, and the successful adoption of process and technology changes. This is a business‑side process role , focused on claims operations , not an IT or data‑only Business Analyst position. The role works closely with claims professionals, operational leaders, and technology partners to ensure processes are documented, stable, and continuously improving. The ideal candidate brings hands‑on experience within U.S. insurance claims operations and understands how processes function in practice across areas such as Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . Please Do Not Apply If Your experience is limited to IT Business Analyst, data analyst, or software‑focused roles You do not have hands‑on experience in U.S. insurance claims operations You are seeking a fully remote role Your background is primarily academic or international with no U.S. production experience

Key Responsibilities:

Business Process Analysis & Improvement Analyze existing claims business processes to identify inefficiencies, breakdowns, and improvement opportunities. Maintain and update process documentation , workflows, and operational procedures. Propose and support implementation of practical process improvements aligned to claims operations. Assist with prioritization and execution of approved business process enhancements. Operational & Production Support Provide consistent process and operational support to claims business users. Monitor, triage, and coordinate resolution of production and operational issues . Partner with technology teams and solution owners to ensure issues are clearly documented, tracked, and resolved. Support business continuity during incidents, process changes, or system updates. Process & Technology Adoption Support the operationalization of new claims processes and technology solutions . Collaborate with business and solution owners to understand and communicate process changes. Assist with change management , rollout planning, and end‑user readiness activities. Support training, communications, and documentation for new or updated claims tools and workflows. Cross‑Functional & Departmental Support Coordinate cross‑functional impacts related to claims process changes. Support departmental activities such as onboarding, communications, compliance tracking, and internal updates. Provide clear observations and recommendations to leadership regarding operational impacts, risks, and opportunities.

Required Qualifications:

Experience analyzing, supporting, or improving insurance claims business processes . Professional experience within U.S. Property & Casualty insurance operations . Working knowledge of PIP, Workers' Compensation, and/or General Claims workflows. Demonstrated experience supporting business users in operational or production environments. Ability to identify root causes of process issues and recommend actionable, business‑focused solutions . Strong written, verbal, and interpersonal communication skills. Strong ownership mindset with the ability to manage priorities and deliver reliable results.

Preferred Qualifications:

Bachelor's degree or equivalent practical experience. Experience supporting claims process changes, operational improvements, or system rollouts . Exposure to incident management, production support, or operational triage. Insurance coursework or certifications from The Institutes (e.g., AIC, CPCU). Comfort working in regulated, fast‑paced claims environments .

Work Arrangement:

Hybrid role with a required on‑site presence at NJM's West Trenton, NJ location. On‑site work supports close collaboration with Medical Claims Services, claims operations, and cross‑functional partners . This position is not eligible for fully remote work . What This Role Is — and Is Not This Role Is Claims‑focused and operations‑centric Hands‑on and business‑process driven Rooted in real claims workflows and day‑to‑day operational support This Role Is Not An IT, systems, or software development role A data‑only or analytics‑only position A fully remote role A purely strategic or advisory role

Pay:

$61,256.00 - $77,255.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Health insurance Life insurance Paid time off Referral program Tuition reimbursement Vision insurance Application Question(s): Are you able to work on‑site at NJM's West Trenton, NJ office on a hybrid schedule? Do you currently have or have you previously had hands‑on experience supporting insurance claims operations (e.g., PIP, Workers' Compensation, General Claims)? Do you have professional experience working in U.S. insurance operations (not academic or international experience only)? In 2-3 sentences, briefly describe your experience supporting insurance claims operations.

PLEASE NOTE

If left blank, your application will be rejected. Ability to

Commute:

Ewing, NJ 08628 (Required)

Work Location:

Hybrid remote in Ewing, NJ 08628