Five Sigma - Claims Management Solution

Project Manager

• Conduct the project planning activities and manage the execution of large-scale, high-risk, or strategic projects from Initiating to successful go-live on time, scope and budget.
• Evaluate complex situations accurately and identify viable solutions that create successful outcomes for the customer.
• Manage relationships with project stakeholders, keeping them informed of progress and issues, in order to manage expectations on all project requirements and deliverables
• Ensure proper use of methodology, tools, and procedures
• Analyse risk, establish contingency plans and identify trigger events and responsibilities for initiating mitigating action
• Establish trust with clients by learning about their organization, processes, team member, and desired outcomes
• Work with a client’s internal and external teams to understand the operational and technical requirements of the project
• Ensure the timely and successful completion of projects, as well as the transition to the customer support & success team post-production
• Work with the customer to create end-user training and establish support channels for go-live and post-production support
• Plan and manage the project resource allocation with relevant departments within the organization
• Ability to manage multiple projects and clients at one time
• Provide technical, business consulting, and product expertise to customers enabling comprehensive implementations and solutions
• Enable and configure various product features that meet the customer's needs within contractual constraints or identify change requests when needed
• Identify use cases, roles, and other business requirements for each implementation

Project Manager – Claims Platform

Onboarding Specialist

• Lead hands-on execution of customer onboarding activities from discovery through go-live and hypercare
• Act as the claims SME during onboarding, guiding decisions on workflows, roles, rules, and configuration
• Configure claims workflows, rules, roles, and platform settings aligned to customer operating models
• Support end-to-end implementation, including UAT and post-go-live stabilisation
• Partner closely with the Integration Specialist on integration design and delivery
• Translate claims workflows and business requirements into clear integration and data mapping inputs
• Define data mappings and transformation rules for migrations from a claims perspective
• Support data validation, reconciliation, and UAT cycles to ensure business outcomes are met
• Run detailed discovery sessions focused on claims operations and GI / P&C requirements
• Document functional requirements, workflows, and acceptance criteria
• Identify gaps between customer claims processes and platform capabilities
• Support change requests where scope adjustments are required
• Translate business requirements into functional designs, specifications, user stories, and acceptance criteria
• Partner with the Head of Delivery Australia on planning, sequencing, and delivery risk management
• Collaborate with Professional Services and PRND (Product, Research & Development) teams during onboarding
• Support testing, defect triage, and issue resolution
• Contribute to onboarding standards, templates, and playbooks
• Support QA activities by validating functional outcomes during UAT and post-go-live.

Onboarding Specialist – Claims Platform, GI / P&C

Artificial Intelligence

• Own and drive the full sales cycle (prospecting → discovery → demo → business case → security/legal → procurement → close).
• Build and manage a pipeline of small to enterprise opportunities across P&C carriers, MGAs, and Third Party Administrators (TPAs).
• Consistently meet/exceed quarterly and annual quota (new business + expansion).
• Lead executive-level conversations and align multiple stakeholders: Claims leadership, Operations, IT/CIO, Finance, Procurement, and Legal.
• Clearly articulate Five Sigma’s value proposition through high-impact demos, proposals, and presentations.
• Build ROI-driven business cases and tailor solutions to customer workflows.
• Navigate and negotiate SaaS contracts, including security reviews and legal/compliance processes.
• Collaborate cross-functionally with Product, Marketing, IT and Customer Success to win and expand accounts.
• Maintain accurate forecasting and pipeline hygiene in CRM.

Enterprise Sales Manager – Insurance, AI Claims

Analyst

• Serve as a functional and technical bridge between clients, product teams, engineering teams, and implementation partners
• Lead requirements elicitation sessions to gather business needs and integration requirements
• Translate business requirements into detailed functional specifications, user stories, acceptance criteria, and process documentation
• Analyze P&C insurance claims workflows and identify opportunities for automation and optimization
• Conduct gap analysis between customer requirements and system capabilities
• Design and document integration workflows using REST APIs, webhooks, message queues, and event-driven patterns
• Collaborate with engineering to define technical integration specifications, field mappings, payload structures, and error-handling requirements
• Work with SaaS platform architectures to ensure integrations adhere to security, scalability, and reliability standards
• Review API documentation and guide clients on usage, authentication, rate limits, and best practices
• Lead data discovery, profiling, and mapping activities for legacy to platform data migrations
• Define migration rules, transformations, validation criteria, and reconciliation processes
• Collaborate with data engineering teams on strategies, test scripts, and migration cutover plans
• Support mock conversions, UAT cycles, and post-migration data audits
• Communicate progress, risks, and dependencies to project managers and stakeholders
• Train and support customers during implementations and onboarding

Integration Analyst

Business Analyst

• Lead requirements elicitation sessions with internal and external stakeholders to gather business needs, integration requirements, and data workflows.
• Translate business requirements into detailed functional specifications, user stories, acceptance criteria, and process documentation.
• Analyze P&C insurance claims workflows and identify opportunities for automation and optimization.
• Conduct gap analysis between customer requirements and system capabilities.
• Design and document integration workflows using REST APIs, webhooks, message queues, and event-driven patterns.
• Collaborate with engineering to define technical integration specifications, field mappings, payload structures, and error-handling requirements.
• Work with SaaS platform architectures to ensure integrations adhere to security, scalability, and reliability standards.
• Review API documentation and guide clients on usage, authentication, rate limits, and best practices.
• Lead data discovery, profiling, and mapping activities for legacy → platform data migrations.
• Define migration rules, transformations, validation criteria, and reconciliation processes.
• Collaborate with data engineering teams on strategies, test scripts, and migration cutover plans.
• Support mock conversions, UAT cycles, and post-migration data audits.
• Serve as a subject matter expert (SME) across P&C insurance data structures, claims workflows, product configurations, and regulatory considerations.
• Partner with Product Management to provide domain input on roadmap, feature design, and platform integrations.
• Support QA teams by refining test cases and validating functional outcomes.
• Communicate progress, risks, and dependencies to project managers and stakeholders.
• Train and support customers during implementations and onboarding.

Project Manager – Claims Platform

Onboarding Specialist – Claims Platform, GI / P&C

Enterprise Sales Manager – Insurance, AI Claims

Integration Analyst

Business Analyst, Integration Analyst

Project Manager