Role Overview

The SAP FS-CM Functional Consultant/Developer is a critical hybrid role responsible for the end-to-end design, configuration, development, and support of the SAP Claims Management (FS-CM) module. This position requires an in-depth understanding of the claims handling lifecycle, expert SAP configuration skills in FS-CM, and strong ABAP development capabilities to deliver efficient, customized claims solutions and ensure regulatory compliance.

Key Responsibilities

Functional Consulting & Configuration

• Analyze and interpret complex business requirements from Claims and operations stakeholders (e.g., claims adjusters, claims auditors) and translate them into effective SAP FS-CM solutions.
• Perform system configuration and customizing across all core FS-CM components, including:
• Claims Product Configuration (e.g., configuring claim item groupings, coverage determination).
• Setting up and maintaining the Claim Process Model and status management.
• Configuration of Reserve Management, Payment Handling, and Subrogation/Recovery processes.
• Defining rules for Fraud Management and claims analytics integration.
• Managing interfaces and integration points with SAP FS-CD (Collections & Disbursements), SAP FS-PM (Policy Management), and FICO/GL.
• Design and document detailed functional specifications for reports, interfaces, conversions, enhancements, and forms (RICEF).
• Conduct unit, integration, and User Acceptance Testing (UAT), and provide comprehensive training and documentation.

Development & Technical Implementation

• Develop and modify ABAP/ABAP OO programs to implement custom claims-specific requirements.
• Utilize and extend FS-CM-specific technical components such as BAdIs, User Exits, and enhancement points (e.g., within the Claim Handler’s Desktop).
• Develop interfaces for data exchange with external systems (e.g., medical providers, repair shops) via Web Services or APIs.
• Troubleshoot and perform technical debugging of ABAP code and complex FS-CM configuration.
• Collaborate on technical upgrades, patching, and performance optimization within the FS-CM.

Required Qualifications & Experience

• Expert knowledge of the FS-CM technical and functional architecture (Claim Header, Claim Item, Participant, Claim Handler’s Desktop). Proficiency in configuring the Claim Process Model and Coverage Determination. Deep understanding of Payments and Reserves.
• Advanced ABAP programming skills. Experience with FS-CM specific development objects (e.g., custom events, enhancements). Proficiency in debugging and performance analysis. Familiarity with SAP data models, particularly in FS-CM.
• Excellent communication (written and verbal) and presentation skills. Strong analytical and problem-solving abilities. Ability to work independently and collaboratively in a team environment.
• Professional Experience:
• Minimum of 3 years of dedicated, hands-on experience in implementing and supporting SAP FS-CM.
• Demonstrated expertise in both functional customizing and ABAP development within the FS-CM context.
• Strong understanding of Claims Business Processes across at least one major insurance line (P&C/Non-Life, Health, or Auto).

Language

• Good English
• Nice to have French

Location

• Nearshore/offshore