AI-Driven Insurance Business Analyst

Capgemini; Jersey City (NJ); On-site; USD 45,000 - 70,000; Full time

Job summary

Capgemini Jersey City seeks an experienced Business Analyst with deep Supplemental Insurance domain expertise and strong AI/Generative AI knowledge. You will translate insurance processes and rules into AI-ready context for AI agents, shaping underwriting, claims, policy administration and customer service workflows.

Collaborate with data scientists, AI engineers, and business SMEs to define use cases, acceptance criteria, and success metrics while ensuring compliance with regulatory standards

Qualifications

• 7+ years of Business Analysis experience.
• 3+ years in Supplemental Insurance, Group Benefits, or Voluntary Benefits domain.
• Strong knowledge of Supplemental Health, Critical Illness, Disability Insurance, Hospital Indemnity, Claims and Policy Administration.
• Hands-on experience supporting AI, Generative AI, Knowledge Management, or Intelligent Automation initiatives.

Responsibilities

• Elicit, analyze, and document business requirements across Supplemental Insurance platforms and processes.
• Create structured business context, decision logic, process flows, and knowledge artifacts for AI and Agentic AI solutions.
• Develop business capabilities, user journeys, domain models, taxonomies, ontologies, and knowledge repositories for AI consumption.
• Collaborate with Business SMEs, Product Owners, Data Scientists, AI Engineers, and Architects to define AI use cases and success criteria.
• Translate complex insurance workflows into prompts, agent instructions, knowledge graphs, FAQs, decision trees, and reusable AI assets.
• Support implementation of AI-powered solutions for Claims, Policy Administration, Enrollment, Billing, Customer Service, and Underwriting.
• Define acceptance criteria and validate AI agent outputs against business requirements and regulatory standards.
• Drive process optimization and business transformation through AI-enabled automation.

Skills

Supplemental Insurance

Business Analysis

Requirements Management

Process Modeling

Business Rules

Claims

Policy Administration

Mainframe

AS400

Generative AI

Agentic AI

Prompt Engineering

Knowledge Management

RAG

AI Governance

User Stories

Agile Delivery

Data Analysis

Job description

Capgemini Jersey City seeks an experienced Business Analyst with deep Supplemental Insurance domain expertise and strong AI/Generative AI knowledge. You will translate insurance processes and rules into AI-ready context for AI agents, shaping underwriting, claims, policy administration and customer service workflows.

Collaborate with data scientists, AI engineers, and business SMEs to define use cases, acceptance criteria, and success metrics while ensuring compliance with regulatory standards