Claims Business Systems Analyst
Pie Insurance · United States
About this role
**Claims Business Systems Analyst** Pie’s mission is to empower small businesses to thrive by making commercial insurance affordable and easy to buy. We leverage technology to transform how small businesses buy and experience commercial insurance. The **Claims Business Systems Analyst** is responsible for the hands-on configuration, build, and maintenance of Pie’s core claims platform and its integrated technology ecosystem. Working under the functional direction of the **Staff Technical Program Manager**, this role executes internal configuration and builds tickets from the Claims technology **JIRA** backlog, builds dashboards and templates, develops and runs test scripts, troubleshoots system issues, and maintains the technical integrity of the claims technology environment. --- ## How You’ll Do It ### System Configuration & Build - Execute internal configuration and build tickets from the Claims technology JIRA backlog as prioritized by the Staff Technical Program Manager - Configure, customize, and maintain the core claims platform (**Origami**) based on requirements and specifications - 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 (medical bill review, pharmacy benefit management, payment processing, fraud detection, digital mailroom, etc.) per documented integration specifications - Manage platform security protocols (roles, profiles, sharing rules, permission sets) and license assignment - Maintain vendor directory in Origami for 1099 accuracy and reporting - Construct solutions using standard platform functionality (reports, dashboards, workflow automation via declarative and programmatic functionality) ### Testing & Quality Assurance - Develop test scripts and test data based on UAT plans and acceptance criteria - 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 action - Support UAT sessions by coordinating logistics, managing defect tracking, and ensuring timely resolution - Validate configurations meet documented specifications prior to UAT handoff ### System Maintenance & Troubleshooting - Serve as first-line troubleshooter for claims system issues; identify root causes and implement fixes or escalate as appropriate - Monitor system performance, identify recurring issues, and recommend solutions to improve stability and reliability - Ensure 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 ### Data Integrity & Reporting Support - Collaborate with the Claims Data Analysis & Reporting team to ensure accuracy of claim data in Origami - Build and maintain 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 ### Collaboration & Handoff - Receive work assignments through the Claims technology JIRA backlog as prioritized by the Staff Technical Program Manager - Work under the functional direction of
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