Consultant | Analytics - Functional | Business Analyst

IMCS Group Inc

Johnston, RI

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JOB DETAILS

SKILLS

Automation, Best Practices, Business Analysis, Call Centers, Claims Management, Communication Skills, Consulting, Customer Support/Service, Decision Support, Diversity Recruiting, Finance, Fortune 500 Customers, Health Information Technology, Leadership, Metrics, Productivity Management, Team Player, Time Management, Usability Engineering, Use Cases

LOCATION

Johnston, RI

POSTED

30+ days ago

Company Description: IMCS Group is one of the fastest growing MWBE (Minority Woman Owned Enterprise) staffing firms in the U.S. We focus on bringing a Diversity Recruitment approach to Fortune 500 companies within North America and EMEA region contingent labor programs. IMCS Group excels in providing top talent in IT, Healthcare, Engineering, Finance, Light Industrial, Contact Center, and Clerical. We have offices in the US, Canada, Mexico, and India in which we can provide support to our clients.

Description: Job Title: Lead Business Analyst Intelligent Automation (Product)
Work Location & Reporting Address: Johnston, RI 02919 (Hybrid)
Vendor Rate: ***
Contract duration: 12 months
Target Start Date: Immediate
Does this position require Visa independent candidates only? Yes

Interview Process (Is face to face required?) Video call

Job Details:
Minimum years of experience required: 8+ years
Certification needed: None
Must Have Skills: Domain SME in Claims and fraud operations
Nice to Have Skills: Agentic AI exposure

Detailed Job Description:

Role Description:
We are building the next generation of our claims management platform, transforming how claims are supported through intelligent automation.
This role brings deep industry knowledge and hands-on operational expertise to shape what we build, grounded in both real-world experience and industry best practices.
Leads the translation of claims and fraud operations into intelligent and agentic automation capabilities.
Ensures our automation and agentic capabilities reflect how claims are actually worked, not just how they are designed.

Key Responsibilities:
"Translate Operations and Best Practices into Product Capabilities: Define how claims workflows, decisions, and edge cases translate into scalable product capabilities, automation, and agentic solutions.
"Shape High-Impact Use Cases: Drive the collaboration across Fraud and Claims Operations, Evergreen (GenAI Agentic team) and Cypress platform teams to define and refine use cases spanning intake, investigation, evidence gathering, decision support, and resolution.
"Validate Target-state Workflows: Shape end-to-end workflows that enable agentic solutions, ensuring alignment with real-world execution while improving efficiency, consistency, usability, and automation outcomes.
"Drive Measurable Outcomes: Help define and track success metrics such as cycle time reduction, improved investigator productivity, and reduction in manual handling.

Key Skills and Competencies:
"Deep, hands-on expertise in claims operations, spanning intake, investigation, and resolution, with strong awareness of industry best practices.
"Collaborative leadership, with demonstrated ability to work effectively across business and technology groups.
"Excellent communications skills, with the ability to represent the voice of real-world claims operations while influencing toward more scalable and effective ways of working through new capabilities such as agentic solutions.

EEOC Disclaimer: IMCS Group is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. IMCS Group is committed to maintaining an inclusive workforce, where employees are hired, retained, compensated, and promoted based on their contributions to our Company.

About the Company

IMCS Group Inc

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