Remote Claims Platform Analyst

pieinsurance; United States; On-site; USD 90,000 - 110,000; Full time

Benefits offered by this job

Competitive cash compensation

Comprehensive health plans

Generous PTO

Future focused 401k match

Generous parental and caregiver leave

Job summary

Pie Insurance is seeking a Claims Business Systems Analyst to configure and maintain the Origami claims platform, build dashboards, test integrations, and secure the environment. You will partner with Enterprise Technology, vendors, and L&D to ensure reliable solutions and end‑user adoption.

Ideal candidates have 3+ years in insurance claims systems (Origami, Guidewire, Equisoft, Pega), experience with SaaS/cloud platforms, and strong requirements gathering skills.

Qualifications

• Bachelor’s degree in Computer Science, Information Systems, Business Administration, or equivalent work experience.
• Experience 3+ years in insurance claims and claims systems (Origami, Guidewire, Equisoft, Pega).
• Experience creating process maps, gathering business requirements, writing functional specifications, creating test plans, and writing test scripts.
• Experience working with SaaS platforms and cloud-based systems.
• Familiarity with Business Systems Analyst responsibilities is a plus, but not required.

Responsibilities

• Configure, customize, and maintain the core claims platform (Origami) based on requirements and specifications defined by the Staff Technical Program Manager.
• Create, modify, and maintain end-user dashboards, mail merge templates, and online state forms within the core adjudication system.
• Test configured integrations with third-party solutions per documented integration specifications.
• Manage platform security protocols including roles, profiles, sharing rules, and permission sets, as well as license assignment.
• Maintain vendor directory in Origami for 1099 accuracy and reporting.
• Construct solutions to business problems using standard platform functionality including reports, dashboards, and workflow automation via declarative and programmatic functionality.
• Develop test scripts and test data based on UAT plans and acceptance criteria defined by the Staff Technical Program Manager.
• Execute test scenarios for system enhancements, new feature deployments, Origami releases, and integration updates.
• Document test results, defects, and resolution steps with detail sufficient for development team action.
• Support UAT sessions by coordinating logistics, managing defect tracking, and ensuring timely resolution.
• Validate that system configurations meet documented specifications prior to handoff for UAT.
• Serve as first‑line troubleshooter for claims system issues, identifying root causes and implementing fixes or escalating to Enterprise Technology and vendor support as appropriate.
• Monitor system performance, identify recurring issues, and recommend solutions to improve stability and reliability.
• Ensure all system configurations and customizations are properly documented and maintained.
• Coordinate with Enterprise Technology and Origami Support on platform-level issues, upgrades, and patches.
• Maintain documentation of system architecture, data flows, and integration touchpoints within the Claims technology ecosystem.
• Collaborate with the Claims Data Analysis & Reporting team to ensure accuracy of claim data in Origami.
• Support reporting needs by building and maintaining system-level reports and data extracts.
• Collaborate with Compliance & EDI specialists to support accuracy of state electronic reporting and CMS Section 111 reporting.
• Identify and resolve data quality issues stemming from system configuration or integration errors.

Skills

SaaS platforms

Cloud-based systems

Requirements gathering

Test plans & scripts

Process mapping

Agile ceremonies

Education

Bachelor's degree in Computer Science, Information Systems, Business Administration, or equivalent work experience

Tools

Origami

Guidewire

Equisoft

Pega

Job description

Pie Insurance is seeking a Claims Business Systems Analyst to configure and maintain the Origami claims platform, build dashboards, test integrations, and secure the environment. You will partner with Enterprise Technology, vendors, and L&D to ensure reliable solutions and end‑user adoption.

Ideal candidates have 3+ years in insurance claims systems (Origami, Guidewire, Equisoft, Pega), experience with SaaS/cloud platforms, and strong requirements gathering skills.