Claim Benefit Specialist Jobs

Toast creates technology to help restaurants and local businesses succeed in a digital world, helping business owners operate, increase sales, engage customers, and keep employees happy. We are hiring a motivated and detail-oriented Associate Counsel to join our Legal team. As Associate Counsel, Product and Marketing, you will be a partner to your business colleagues and advise multiple Toast teams including product, engineering, marketing, compliance, and sales teams. You will learn Toast's products, strategies, and processes, and help the business identify and mitigate legal risk while helping Toast grow and evolve. Our Legal & Compliance teams are primarily concentrated in Boston, New York, Washington D.C., San Francisco, and Chicago. Candidates residing in these areas will be prioritized, as they will benefit from closer proximity to colleagues and greater access to company resources and events. A day in the life (Responsibilities) Supporting legal team members in advising stakeholders across the product, engineering, and marketing teams, from early product development through launch, including the review of marketing strategies and assets. Performing first-pass review of advertising and marketing collateral, including claim substantiation, disclosures, promotions and sweepstakes, and endorsements and testimonials. Supporting the review of hardware product development, identifying legal risks in areas such as product labeling and regulatory certifications. Supporting Toast's trademark portfolio development and enforcement efforts, including investigating potential third-party infringement, preparing cease-and-desist letters and takedown requests, and tracking matters through resolution. Researching and summarizing U.S. and international laws and regulations relevant to the Toast platform, products, services, and marketing activities. Helping maintain and improve scalable processes for providing legal input to business partners, such as rev

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Manager, Claims Vendor Management leads Pie's Claims Vendor Management program for assigned strategic claims vendors, with a strong focus on oversight of managed care program vendors. This role manages Claims vendor relationships including managed care services (medical bill review, pharmacy benefit management, utilization review, provider networks), legal vendors (law firms and litigation support), investigative services, support vendors (transportation, translation), and API-integrated technology vendors. The Manager executes vendor strategy in partnership with Claims leadership, including supporting a sunset program to eliminate redundant contracts, running a formal RFP process for competitive vendor selection, and leading contract negotiations and renegotiations to optimize value and performance within their assigned vendor categories. This role requires strong relationship management skills, solid analytical capabilities to identify cost reduction opportunities, and the ability to collaborate across Claims, Legal, Finance, and Procurement to drive vendor performance improvements and ensure compliance with billing practices. How You'll Do It Vendor Management Program Development Support implementation of Pie's Claims Vendor Management program for assigned strategic claims vendors. Execute vendor management strategy for the Claims Department in partnership with Claims leadership. Support and help develop vendor management team members contributing to strategic initiatives. Create and maintain a centralized repository of all vendor contracts with

GitLab is the intelligent orchestration platform for DevSecOps. GitLab enables organizations to increase developer productivity, improve operational efficiency, reduce security and compliance risk, and accelerate digital transformation. More than 50 million registered users and more than 50% of the Fortune 100* trust GitLab to ship better, more secure software faster. The same principles built into our products are reflected in how our team works: we embrace AI as a core productivity multiplier, with all team members expected to incorporate AI into their daily workflows to drive efficiency, innovation, and impact. GitLab is where careers accelerate, innovation flourishes, and every voice is valued. Our high-performance culture is driven by our values and continuous knowledge exchange, enabling our team members to reach their full potential while collaborating with industry leaders to solve complex problems. Co-create the future with us as we build technology that transforms how the world develops software. * Fortune 500® is a registered trademark of Fortune Media IP Limited, used under license. Claim based on GitLab data. Fortune 100 refers to the top 20% ranked companies in the 2025 Fortune 500 list, published in June 2025. Fortune and Fortune Media IP Limited are not affiliated with, and do not endorse products or services of GitLab. An overview of this role As a Senior Benefits Analyst on GitLab's Total Rewards team, you'll help design, administer, and improve our global benefits programs. You'll combine hands-on benefits operations with program assessment, vendor and broker partnerships, and cross-functional collaboration to make our offerings market-aligned, compliant, and easy for team members to navigate and use. You'll work across multiple countries and employment models, including professional employer organization (PEO), employer of record (EOR), and GitLab legal entity arrangements, while navigating local requirements and vendor processes. You'll ser

Job Title: Benefit Services Sales Manager Reports To: Practice Leader, SISCO Position Summary: As our Benefit Services Sales Manager, you’ll lead a high‑performing team that sells an integrated solution—SISCO(medical TPA), HealthCheck360 (wellness & advocacy), medical management, and BCC (HRIS/consolidated billing). Your charter: grow a sales team, build broker relationships coast‑to‑coast, win complex business and scale a connected platform that lowers claims cost, boosts engagement, and simplifies administration. You’ll hire, coach, and elevate sales executives, set strategy, and partner with executive leadership on product and marketing to accelerate new business and retention. Essential Functions: Supervise all sales executives, including setting activity metrics, holding regular sales meetings, and ensuring that the sales team has the necessary resources to succeed. Accompany sales executives on calls as necessary to close business. Train and develop new sales executives; implement formal development plans and ensure comprehensive training. Define sales territories to avoid overlap and inefficiency. Develop policies and procedures for handling incoming leads from national portals, conferences/events, and web-generated opportunities. Formulate strategies to increase penetration and engagement with top brokers in the US. Provide feedback to the Practice Leader on product and pricing requirements to remain competitive. Collaborate with the Practice Leader on marketing budget, priorities, and conference attendance; suggest new target verticals and distribution channels. Become an expert in the company’s products and differentiation; ensure all sales executives understand and can articulate these differences. Complete other duties as assigned by the Practice Leader Metrics of Success: New business generated each year Business retention rates Number of successful sales executives Significant penetration of new brokers Education: Four-year de

Paediatric Occupational Therapist Salary: £43,424 – £51,209 (includes paid school holidays) + excellent benefits Location: Surrey Contract: Permanent Hours: Full-time About Our Client Our client is dedicated to creating therapeutic living and learning environments for children and young people with complex needs, including developmental trauma, neurodevelopmental conditions, and special educational needs. They believe in celebrating the small victories that make a big difference in young lives. As part of a multi-disciplinary clinical team, you will play a crucial role in supporting educational and residential colleagues to provide clinically informed environments and deliver individualised interventions based on thorough assessment and formulation. About the Role As an Occupational Therapist , you will: Conduct clinical assessments and deliver tailored interventions. Work collaboratively with educational and residential teams to embed therapeutic strategies. Provide consultation, training, and guidance to staff teams. Contribute to creating environments that promote positive outcomes for young people. This is an exciting opportunity to make a genuine difference while working in a supportive, resource-rich setting. What’s on Offer Competitive Salary: £43,424 – £51,209 (including paid school holidays). Training & Development: Full induction, ongoing CPD, and a leading clinical development programme. Generous Holidays: Full school holidays plus bank holidays. Flexible Benefits: Including life insurance options and wellbeing tools. Medical Cover: Claim back costs for opticians, dentists, and more. High-Street Discounts: Access to a range of discounts and offers. Beautiful Working Environment: Modern facilities in a supportive setting. About You Qualified Occupational Therapist registered with the HCPC. Experienced in delivering therapeutic interventions for children and young people with complex needs. Skilled in supporting teams to create clinically informe

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. What you will do: Client Support Perform and support plan changes. Perform ID card facilitation. Complete any necessary reporting (scheduled, ad-hoc). Conduct inbound phone calls. Complete any assigned invoices. Perform any assigned group terminations. Complete documentation requests. Serve as a presence throughout the implementation process. Facilitate and participate in external-facing meetings. Member Support Perform overrides as needed. Oversee prior authorization and accessibility processes. Conduct inbound phone calls. Oversee resolution of claims issues. Perform manual eligibility adds and terminations. Service warranties as assigned. Required Qualifications 5&#43; years of experience in a pharmacy, PBM ( Pharmacy Benefit Management ), and/or insurance setting. Ability to travel up to 25% of time within the continental United States. Preferred Qualifications </

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers. Our customers include members of our benefit plans, employers that offer benefits, and doctors, hospitals, and other healthcare providers. In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources. This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions. As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction. Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty. Key Responsibilities: Actively listen and be an advocate for customers, understand their needs and provide guidance and support Resolve customer inquiries and issues efficiently while documenting all interactions. Educate customers about available resources and assist them in navigating their options. Anticipate customer needs and provide proa

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health is seeking a Senior Manager, Software Engineering to lead, grow, and develop high-performing engineering teams that design, build, and modernize mission-critical systems for our Claims Adjudication and Pharmacy Benefit Management (PBM) organization. This is a people-and-delivery leadership role, accountable for team performance, delivery execution, and engineering excellence. You will own technical direction for teams building scalable, reliable, cloud-native software while continuing to integrate with legacy platforms such as IBMi/AS400 and PBM adjudication systems like RxClaim. In this role, you will advance CVS Health's transition toward modern, AI-driven, cloud-native, microservices-based platforms and open-source engineering practices — championing strong CI/CD, sound architecture, and the responsible adoption of AI and GenAI developer tools (such as GitHub Copilot) that accelerate delivery without eroding engineering fundamentals. You will partner with senior leadership, product, and architecture to translate strategy into roadmaps and dependable execution, leading engineers, engineering leads, and cross-functional partners across software, AI, and quality engineering. This role requires a strong balance of people leadership, delivery execution, technical credibility in Java/Spring and microservices architecture, cloud modernization, and cross-fun

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers. Our customers include members of our benefit plans, employers that offer benefits, and doctors, hospitals, and other healthcare providers. In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources. This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions. As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction. Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty. Key Responsibilities: Actively listen and be an advocate for customers, understand their needs and provide guidance and support Resolve customer inquiries and issues efficiently while documenting all interactions. Educate customers about available resources and assist them in navigating their options. Anticipate customer needs and provi

Who We Are At Justworks, you’ll enjoy a welcoming and casual environment, great benefits, wellness program offerings, company retreats, and the ability to interact with and learn from leaders in the startup community. We work hard and care about our most prized asset - our people. We’re helping businesses get off the ground by enabling them to focus on running their business. We solve HR issues. We’re data-driven and never stop iterating. If you’d like to work in a supportive, entrepreneurial environment, are interested in building something meaningful and having fun while doing it, we’d love to hear from you. We're united by shared goals and shared motivations at Justworks. These are best summed up in our company values, which are reflected in our product and in our team. Our Values If this sounds like you, you’ll fit right in. Who You Are As a Senior Claims Manager of Workers Compensation (WC), you will work collaboratively within Justworks’ Workers Compensation Team as well as cross-functionally with teams across Justworks including: Customer Success, Technology, Engineering & Product, Accounting, Business Intelligence, Onboarding, Legal, and Finance. You will carry your own caseload of complex and/or high exposure claims while providing day to day guidance and oversight to a small claims team. Operating within our PEO environment, you will serve as the first point of contact for escalations for the claims team, be a trusted resource for customer facing claim inquiries and a key contributor to process improvement initiatives. We’re helping businesses get off the ground by enabling them to focus on running their business. We’re data-driven and never stop iterating. If you’d like to work in a supportive, entrepreneurial environment, are interested in building something meaningful and having fun while doing it, we’d love to hear from you. Your Success Profile What You Will Work On Supervise and support a small claims team providing daily direction, w

Who We Are At Justworks, you’ll enjoy a welcoming and casual environment, great benefits, wellness program offerings, company retreats, and the ability to interact with and learn from leaders in the startup community. We work hard and care about our most prized asset - our people. We’re helping businesses get off the ground by enabling them to focus on running their business. We solve HR issues. We’re data-driven and never stop iterating. If you’d like to work in a supportive, entrepreneurial environment, are interested in building something meaningful and having fun while doing it, we’d love to hear from you. We're united by shared goals and shared motivations at Justworks. These are best summed up in our company values, which are reflected in our product and in our team. Our Values If this sounds like you, you’ll fit right in. Who You Are As a Senior Claims Manager of Workers Comp (WC), you will work collaboratively within Justworks’ Workers Compensation Team as well as cross-functionally with teams across Justworks including: Customer Success, Technology, Engineering & Product, Accounting, Business Intelligence, Onboarding, Legal, and Finance. You will carry your own caseload of complex and/or high exposure claims while providing day to day guidance and oversight to a small claims team. Operating within our PEO environment, you will serve as the first point of contact for escalations for the claims team, be a trusted resource for customer facing claim inquiries and a key contributor to process improvement initiatives. We’re helping businesses get off the ground by enabling them to focus on running their business. We’re data-driven and never stop iterating. If you’d like to work in a supportive, entrepreneurial environment, are interested in building something meaningful and having fun while doing it, we’d love to hear from you. Your Success Profile What You Will Work On Supervise and support a small claims team providing daily direction, workload

Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. Key Responsibilities 1) Value Realization & Capacity Release (Outcome Ownership) Owns end-to-end benefits realization for Accounting COE initiatives—converting productivity claims into sustained capacity release that can be redeployed to higher-value work and/or enable scalability. Establishes a practical approach to validate savings (run-rate vs one-time), prevent “benefit leakage,” and ensure improvements are embedded into standard operations and operating rhythms. (Recommended design; no additional source) Drives measurable improvement in COE operational outcomes (cycle time, productivity, stability, quality), aligned to COE strategic direction and efficiency ambitions. 2) Global Accounting COE Operational Performance (Run &#43; Scale) Accountable for global operational health across Accounting COE services—ensuring stable delivery, scalable operating models, and consistent execution across regions. Ensures COE service commitments are translated into operating discipline, including SLA adherence, performance visibility, and corrective actions when service levels are at risk. Partners with functional leaders to reinforce standardization, operational readiness, and execution consistency that supports best-in-class performance. 3) Enterprise Advisory, Negotiation & Influence (E2E Beyond Accounting) Serves as the principal accounting advisor<

Workers Compensation Manager Company: The Boeing Company The Boeing Company is seeking a Workers Compensation Manager to lead the Workers’ Compensation Administration group located in Seattle, WA or Mesa, AZ . This manager will provide strategic direction, oversight, and continuous improvement for the company’s workers compensation claims programs, ensuring compliance, operational excellence, and alignment with enterprise objectives. Reporting to the Director Compensation and Benefits Delivery, this role will manage a team of professionals and collaborate across functions to drive program success. Position Responsibilities: Strategic Leadership and Program Management Develop, implement, and refine the workers compensation strategy, policies, and procedures to ensure regulatory compliance and achievement of program goals Lead the Workers’ Compensation Administration team, setting clear objectives, coaching, and developing staff to maximize performance and engagement Oversee financial and operational performance, including claims costs, lost time injury metrics, and program budgets. Provide regular analysis and insights to senior leadership Cross-Functional Collaboration Partner with Corporate Risk Management, Environmental Health and Safety, HR Services, Finance, Operations, and external agencies to integrate workers compensation initiatives and optimize claim management processes Represent Boeing in interactions with the Washington Department of Labor and Industries and other regulatory bodies Vendor and Claims Oversight Direct management of sensitive claims, including approval of reserve changes and settlements within delegated authority <li

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This is a full-time telework position requiring 50-75% travel in the Metro East Regional counties, Illinois (Madison, St. Clair, Monroe, Clinton, Jersey, Calhoun, Macoupin, and Bond counties.) Hours for this position are Monday-Friday 8:00a-5:00pm Central Time. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. • Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. • Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. • Coordinates and implements assigned care plan activities and monitors care plan progress. • Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach con

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Medical Only Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience. This will be completed by adhering to Pie’s Claims Best Practices and complying with regulatory and statutory requirements. This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie’s customers. How You’ll Do It Claims Technical Management: Independently handle all aspects of the workers’ compensation medical only claims from set-up to closure. Conduct timely 2-point contact investigation, with focus on continued medical management, potential for lost time benefits, and claim closure as facts of the case change. Mitigate claim exposure while achieving the best outcome. Determine timely and accurate compensability decisions within statutory requirements. Set and adjust timely/accurate reserves within authority limits to ensure reserving activities are consistent with the case facts and company best practices. Timely administration of statutory medical benefits throughout the life of the claim. Use Utilization Review where appropriate and pay medical bills within the allotted timeframes Comply with all applicable statutory guidelines, rules, and regulations. Proactively identify and timely escalate claims that meet indemnity claim conversion criteria Consistent and timely resolution of medical treatment to resolve and close claims Maintain a split inve