Fulcrum Digital Inc

Compensation

Full Description

Note: The job is a remote job and is open to candidates in USA. Fulcrum Digital Inc is an agile and next-generation digital accelerating company providing digital transformation and technology services. The Sr Process Analyst role involves conducting detailed analysis of insurance claims, utilizing advanced Excel for data processing, and ensuring compliance and accuracy in deliverables while collaborating with cross-functional teams. Responsibilities • Conduct detailed analysis of insurance claims files received in spreadsheet format. • Identify missing, inconsistent, or incorrect entries; provide corrective recommendations and ensure timely resolution. • Evaluate claim patterns, anomalies, and outliers for escalation or further investigation. • Use advanced Excel functions (VLOOKUP, INDEX-MATCH, nested IFs, conditional logic, conditional formatting, etc.) to structure, cleanse, and transform claimant data. • Apply logical and financial formulas to calculate claim amounts, incorporating deductibles, policy limits, and benefit structures. • Automate recurring tasks and develop templates to enhance operational efficiency. • Build dynamic pivot tables and dashboards to summarize claims by claimant, type, category, and maximum claim amount. • Identify high-value claims, top claimants, and trends requiring managerial review. • Present analytical findings to leadership with clear, data-driven insights. • Cross-verify computed amounts against policy terms, deductible tiers, and Benecon-specific guidelines. • Ensure all outputs adhere to audit standards, compliance requirements, and established operating procedures. • Conduct regular quality checks and mentor junior associates to uphold accuracy in deliverables. • Prepare comprehensive, audit-ready reports with claimant-level and category-level breakdowns. • Collaborate with cross-functional teams to clarify data discrepancies and finalize claims summaries. • Communicate complex analytical outcomes in a clear, concise manner to both technical and non-technical stakeholders. • Support knowledge transfer, documentation updates, and process improvement initiatives. Skills • Expert-level proficiency in Microsoft Excel (advanced formulas, pivot tables, data validation, troubleshooting) • Strong understanding of insurance operations, claims workflows, and related terminology • Exceptional numerical reasoning, pattern recognition, and attention to detail • Ability to interpret complex datasets and convert them into actionable insights • Proven ability to identify process gaps and propose data-driven improvements • Strong written and verbal communication skills • Ability to articulate technical findings to non-technical stakeholders with clarity and confidence • Professional, collaborative demeanour with the ability to work across teams and time zones • Flexibility to support US working hours, including night shifts • Willingness to follow the US holiday calendar • High adaptability, ability to multitask, and perform under deadline-driven environments • Strong critical thinking and problem-solving capabilities • Familiarity with Benecon processes Company Overview • Founded in 1999, Fulcrum Digital is a global system integrator driving transformative results through AI-powered solutions. It was founded in 1999, and is headquartered in Jersey City, New Jersey, USA, with a workforce of 1001-5000 employees. Its website is https://fulcrumdigital.com/.