AI & Process Improvement Analyst

Ccmsi • Danville, IL

2d • Remote

About The Position

CCMSI is seeking an innovative and analytical AI & Process Improvement Analyst to identify, evaluate, implement, and optimize artificial intelligence, automation, and process improvement initiatives across the organization. The role serves as a strategic bridge between business operations, claims, finance, data, technology, and executive leadership to drive operational excellence, improve service quality, increase productivity, and support responsible AI adoption. The position is remote and reports to the Corporate Branch in Danville, Illinois.

The analyst will identify AI and automation opportunities, analyze claims and operational data, develop AI-assisted solutions and reporting tools, and participate in designing, testing, implementing, and monitoring AI applications. The role also supports governance, risk, privacy, compliance, training, adoption, and continuous improvement. Success may be measured by implemented opportunities, productivity and time savings, reductions in repetitive work, cycle-time and quality improvements, employee adoption, cost savings, project completion, stakeholder satisfaction, and compliance with AI governance and security requirements.

Requirements

• Bachelor’s degree in business analytics, data analytics, information systems, computer science, business administration, insurance, or a related field; equivalent experience may be considered.
• At least 4 years of experience in analytics, business process improvement, technology, insurance operations, or a related field.
• Demonstrated experience using generative AI tools and/or automation technologies.
• Strong written and verbal communication skills, including the ability to explain complex concepts to non-technical audiences.
• Strong attention to detail and ability to manage multiple projects.
• Understanding of AI capabilities and insurance/TPA operations, including claims administration, workflows, regulatory considerations, data privacy, and the importance of human oversight in claims decisions.
• Experience with Power BI, SQL, Excel, Power Automate, or similar analytical or automation tools.
• Experience developing AI prompts, workflows, or AI-assisted applications.
• Proficiency in Microsoft Office products.
• Ability to perform the essential duties satisfactorily; reasonable accommodations may be made for individuals with disabilities.

Nice To Haves

• Experience in workers’ compensation, liability, property and casualty, disability, or other insurance-related operations.
• Experience working for or with a third-party administrator (TPA).
• Experience with claims systems and insurance data.
• Knowledge of data governance, privacy, information security, and AI risk management.
• Experience with process-improvement methodologies such as Lean, Six Sigma, or Kaizen.
• Lean Six Sigma Green Belt or Black Belt certification.
• Microsoft Copilot Certification.
• Microsoft Power Platform Certification.
• AI-related professional certification.

Responsibilities

• Identify business processes and workflows where AI, automation, and advanced analytics could provide measurable value.
• Partner with claims, operations, Finance, HR, client service, IT, and leadership teams to understand needs and identify AI opportunities.
• Evaluate emerging AI technologies for applicability to TPA operations; develop business cases and recommendations that address benefits, costs, risks, and implementation requirements.
• Maintain and prioritize an inventory of AI opportunities across the company.
• Analyze claims and operational data to identify trends, patterns, inefficiencies, and opportunities for improvement.
• Develop AI-assisted solutions for claim file summarization, document classification and extraction, correspondence drafting, medical or claims documentation review, diary and workflow prioritization, missing-information identification, quality assurance, claims trend identification, and workload and productivity analysis.
• Develop dashboards, reports, and other analytical tools that provide actionable information to management.
• Identify opportunities to improve claims cycle time, quality, accuracy, consistency, and client-focused services.
• Participate in the design, testing, implementation, and monitoring of AI solutions; develop and refine prompts, workflows, and use cases.
• Test AI-generated outputs for accuracy, consistency, reliability, and usefulness, and establish appropriate human-review processes.
• Monitor implemented AI solutions and recommend enhancements based on performance and user feedback.
• Document AI processes, workflows, controls, and operating procedures.
• Support responsible and secure AI use involving confidential or sensitive information, and partner with IT, Information Security, Legal, Compliance, and other stakeholders to establish appropriate controls.
• Help ensure AI applications comply with company policies, contractual obligations, regulatory requirements, and applicable privacy standards.
• Identify risks associated with AI outputs, including inaccuracy, bias, inappropriate recommendations, and data-security concerns; maintain documentation of AI models, tools, use cases, testing, controls, and approved applications.
• Facilitate workshops, demonstrations, and adoption initiatives; develop training materials, guidelines, job aids, and best practices.
• Serve as an internal resource for employees seeking to incorporate AI into their work and partner with managers to identify opportunities to reduce repetitive administrative work.
• Promote responsible AI adoption while emphasizing human judgment and accountability.
• Apply process-improvement methodologies to assess workflows and identify ways AI or automation can eliminate unnecessary steps, reduce duplication, or improve quality.
• Establish performance indicators for AI initiatives and track and report productivity improvements, time savings, quality improvements, cost savings, and employee and client impact.
• Participate in corporate-wide process-improvement initiatives and other strategic projects.

Benefits

• Four weeks of paid time off, accruing throughout the year in accordance with company policy.
• 10 paid holidays in the first year.
• Medical, dental, vision, life, and disability insurance.
• 401(k) retirement plan.
• Employee Stock Ownership Plan (ESOP).
• Internal training and advancement opportunities.
• Supportive, team-based work environment.
• The role may qualify for bonuses or additional forms of pay.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level