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Claim Benefit Specialist Jobs

747 active opportunities · Updated for October 2026

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Ice Miller is seeking a business litigation associate with 3-6 years of experience to join our Litigation team. The ideal candidate will have experience with sophisticated business disputes involving corporate governance, ownership, fiduciary duties, and transactions. Relevant experience may include disputes arising from mergers, acquisitions, and other corporate transactions, including matters involving purchase agreements, earn-outs, indemnification claims, post-closing adjustments, representations and warranties, valuation issues, or related post-transaction claims. Familiarity with Delaware corporate law or Delaware courts is preferred, but this position can be located in any of the listed offices. In this position, you will: Manage complex matters through all phases of litigation or arbitration, including case strategy, factual development, discovery, motion practice, settlement, and hearing or trial preparation Draft pleadings, briefs, dispositive motions, and other substantive filings Analyze corporate governance documents, transaction agreements, financial records, and other business materials to identify key factual, legal, and damages issues Lead written and fact discovery, coordinate document review and production, prepare witnesses, and take and defend depositions Work directly with clients, financial professionals, and experts to understand business objectives, assess risk, and translate complex corporate and financial issues into practical litigation strategies Prepare for and support trials and arbitrations, including developing exhibits, coordinating witnesses, drafting pre- and post-hearing submissions, and assisting with courtroom or hearing strategy Evaluate corporate transaction documents and develop strategies for disputes involving purchase agreements, earn-outs, indemnification claims, post-closing adjustments, representations and warranties, and related post-transaction matters Requirements: 3-6 years of commercial or business litigation expe

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. Job Profile Summary Leads automation and AI transformation strategy across the Payment Integrity, Revenue Integrity, and Grievances and Appeals COEs. Builds and manages a team to ideate, prioritize, and oversee delivery of automation and agentic AI initiatives that improve claims accuracy, recovery, and appeals outcomes. Partners with COE and business leadership to align automation roadmaps to enterprise priorities, governance standards, and measurable business impact. Job Description A Brief Overview Leads a team to drive automation and AI-enabled transformation across Payment Integrity, Revenue Integrity, and Grievances and Appeals. Sets strategic direction for how automation and intelligent workflow opportunities are identified and scaled across these COEs, and ensures successful, on-time delivery through strong program oversight. Balances delivery accountability with team development, ensuring the group operates as a cohesive practice rather than three disconnected initiatives. What you will do Leads and develops a team, setting priorities, allocating capacity across COEs, and holding the team accountable to delivery and quality standards. Sets the automation transformation strategy for Payment Integrity, Revenue Integrity, and Grievances and Appeals in partnership with COE leadership. <

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 The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

REMOTEsqlPower BITableau
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C
28 days ago

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 The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

REMOTEsqlPower BITableau
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C
29 days ago

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. Job Description Summary The Application Developer is responsible for designing, building, and maintaining automation solutions that support claims processing workflows within the Rocket Automation platform. This role partners closely with business, governance, and operations teams to translate defined requirements into scalable, reliable automation capabilities. The Developer serves as a technical expert, ensuring solutions are built to enterprise standards and operate efficiently in production, while supporting continuous improvement of automation performance and stability. Key Responsibilities Design, develop, and enhance automation solutions based on clearly defined business requirements and processing rules Translate functional requirements into technical logic, ensuring accuracy and scalability of automation workflows Perform unit testing, system testing, and validation of automation solutions prior to deployment Support production deployments, including release readiness, implementation, and post-production monitoring Troubleshoot and resolve defects, errors, and performance issues in production automation processes Maintain and enhance existing automation solutions to improve efficiency, accuracy, and throughput Monitor automation performance and system health, identifying opportunities for optimization and i

AG
1mo ago

This role is responsible for executing operational tasks within the insurance function, ensuring comprehensive coverage for assets, liabilities, and business ventures. This role focuses on managing annual insurance renewals, preparing and issuing RFPs, handling claims, and maintaining accurate policy documentation. By collaborating with internal teams and engaging with insurers, the Team Member ensures seamless insurance operations, compliance with regulatory standards, and effective risk mitigation. Through standardized processes and strong stakeholder management, this role supports the group’s resilience and operational continuity. Source: Adani Group | Job ID: 58504

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Dropbox
📍 Canada Select Locations• Remote• C$130.5K – C$176.5K/yr
1mo ago

Role Description Dropbox is hiring a Customer Evidence Manager to own and drive the customer-proof infrastructure that powers our managed sales motion. This is a senior individual-contributor role for a commercially minded, creatively grounded customer marketer who understands that the value of a customer story is not that it gets published — it is that it protects customer trust, gives buyers credible, accurate proof and moves a deal forward. You are the editorial authority on what good looks like, not the person writing every script: execution (writing, video, design) is delivered through agency partners you brief and direct. Enterprise buyers do not decide on brand claims. They decide on credible proof from organizations like theirs: customer stories, ROI evidence, video testimonials, peer reviews, and competitive validation. In this role, you will produce that evidence and ensure it reaches sellers and customers at the moments it can have the greatest commercial impact. You will own the program outcomes and operational rigor — setting the creative and editorial bar for what makes a great customer story, directing the agency partners who produce the work, and deploying that proof into active deals — and measuring evidence's impact on pipeline, win rates, and sales-cycle velocity. You will partner closely with Sales, Customer Success, Campaign Enablement, and product teams to prioritize proof for the full suite of Dropbox products and solutions, including AI capabilities, multi-product platform adoption, and priority vertical workflows. You will get substantial senior Sales and Marketing leadership exposure and a direct, measurable line to revenue during a pivotal shift in how Dropbox goes to market. Responsibilities Identify advocates, coordinate outreach with account teams, manage consent and approvals, record participation preferences, and avoid customer fatigue. Set the creative and editorial direction and maintain the evidence taxonomy, freshness,

REMOTEaisalesforceprocurement
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Dropbox
📍 Us Select Locations• Remote• $153.8K – $208K/yr
1mo ago

Role Description Dropbox is hiring a Customer Evidence Manager to own and drive the customer-proof infrastructure that powers our managed sales motion. This is a senior individual-contributor role for a commercially minded, creatively grounded customer marketer who understands that the value of a customer story is not that it gets published — it is that it protects customer trust, gives buyers credible, accurate proof and moves a deal forward. You are the editorial authority on what good looks like, not the person writing every script: execution (writing, video, design) is delivered through agency partners you brief and direct. Enterprise buyers do not decide on brand claims. They decide on credible proof from organizations like theirs: customer stories, ROI evidence, video testimonials, peer reviews, and competitive validation. In this role, you will produce that evidence and ensure it reaches sellers and customers at the moments it can have the greatest commercial impact. You will own the program outcomes and operational rigor — setting the creative and editorial bar for what makes a great customer story, directing the agency partners who produce the work, and deploying that proof into active deals — and measuring evidence's impact on pipeline, win rates, and sales-cycle velocity. You will partner closely with Sales, Customer Success, Campaign Enablement, and product teams to prioritize proof for the full suite of Dropbox products and solutions, including AI capabilities, multi-product platform adoption, and priority vertical workflows. You will get substantial senior Sales and Marketing leadership exposure and a direct, measurable line to revenue during a pivotal shift in how Dropbox goes to market. Responsibilities Identify advocates, coordinate outreach with account teams, manage consent and approvals, record participation preferences, and avoid customer fatigue. Set the creative and editorial direction and maintain the evidence taxonomy, freshness,

REMOTEaisalesforceprocurement
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CH
Cohere Health
📍 Hyderabad• Full-time
1mo ago

Opportunity Overview: We are seeking a Healthcare Analytics Analyst to join our Analytics team. In this role, you will conduct analyses that drive our strategy, inform product performance, and provide insights critical to the development of new clinical intervention strategies and product enhancements. You'll partner closely with cross-functional teams and clients to optimize auto-decisioning performance and deliver increased value. This is an opportunity to directly impact company growth and assist patients at a critical time in their healthcare journey. What you'll do: Research, build, execute and optimize auto-decisioning strategy for new client implementations Work with multiple types of healthcare data to build and maintain analytical and reporting solutions to support strategy and program decision making Identify optimization opportunities based on analyses to improve auto-decisioning performance and drive increased value for clients Perform quantitative analysis of health care cost, operational performance and clinical outcomes using claims and authorization data Track cost, utilization and industry trends to inform stakeholders of solution performance and provide insights around opportunities to optimize clinical value for patients, providers and payers Prepare information for clients, build reports, data visualization and self-service solutions for internal and external stakeholders Develop, review, and analyze detailed data sets leveraged for client reporting/analytics Collaborate with IPA team on rule refinement and metric tracking What you'll need: Must-haves 2-5 years in an analyst role, ideally at a health tech company, health plan, or healthcare consulting firm Has worked hands-on with claims data, authorization data, or utilization management data Proficient in SQL (daily use) Has built and maintained dashboards in Tableau or PowerBI for internal and external stakeholders Bachelor's degree in Health Informatics, Public Health, Data Analytics, o

pythonsqlai
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Backblaze External Website
📍 Argentina• Full-time• Remote
1mo ago

Corporate Paralegal About Backblaze Backblaze is a public company that makes storing and using data astonishingly easy. When our founding team got together, they committed to helping people save their data. Today, the Backblaze Storage Cloud provides a foundational platform around the world for a broad community of developers, IT generalists, entrepreneurs, and individuals who seek the easy, affordable, trusted solutions we provide. We have managed to nurture a team-oriented culture with amazingly low turnover. Our approach is guided by honesty, transparency, and a commitment to doing the right thing. Our customers are happy, and so are our coworkers: in the most recent “Great Place to Work” survey, 97% of our team rated Backblaze as “a great place to work.” Check out what our employees are saying on Glassdoor! About the Role We are seeking a Legal Paralegal to support Backblaze’s public-company, corporate, and governance operations. This role is the execution engine behind the Legal & Compliance team: public-company filings, board and committee preparation, entity and governance records, and litigation and insurance claims support. It frees attorney time and keeps a fast-moving public-company calendar running on schedule. The ideal candidate is exceptionally organized, detail-oriented, and comfortable handling confidential and market-sensitive information with discretion. This is a high-ownership role for someone who takes pride in accurate, on-time execution and wants to grow with a lean, high-impact team. This role reports to the Head of Legal & Compliance and is fully remote. What You’ll Do Public Company and Securities Support Support the preparation and filing of periodic and current reports, including Forms 10-K, 10-Q, and 8-K. Coordinate filing logistics with internal stakeholders, outside counsel, auditors, investor relations, and financial printers or filing agents, including EDGAR submission support, exhibit management, and filing-package assembly

REMOTErestaigo
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Zinnia
📍 Pune• Full-time
1mo ago

WHO WE ARE: Zinnia is the leading technology platform for accelerating life and annuities growth. With innovative enterprise solutions and data insights, Zinnia simplifies the experience of buying, selling, and administering insurance products. All of which enables more people to protect their financial futures. Our success is driven by a commitment to three core values: be bold, team up, deliver value – and that we do. Zinnia has over $180 billion in assets under administration, serves 100+ carrier clients, 2500 distributors and partners, and over 2 million policyholders. WHO YOU ARE: Accounts Payable Specialist is responsible for performing daily accounts payable activities including invoice processing, expense claims processing, payment runs & vendor account reconciliations. This is a new position and will take on interesting and challenging responsibilities as our organization grows. This position will report to Assistant Manager, Finance and work closely with India team. WHAT YOU’LL DO: • Processing of PO based invoices in Tally and matching them to correct GRN. • Processing of non-PO based invoices & ensuring that they are authorized in line with company policy and that they have the correct general ledger code, budget center, client / project details etc. for proper information gathering. • Process all invoices in a timely manner to ensure they are processed in line with supplier payment terms and reporting requirements. • Reconcile supplier statements and resolve any queries relating to the same. • Maintain invoice query log and resolve queries on a timely basis. • Process supplier payments using internet banking facility on a weekly basis. Reconcile and process invoices against the company credit card and ensure invoices are received for all payments made. • Process staff expenses on a weekly basis • Maintain complete documentation accurately, in accordance with company policy and accepted accounting practices. • Perform var

Excelaccountingfinance
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Industry: Leather Export & Manufacturing Job Location: Kolkata About the Company Our client is a well-established Leather Export & Manufacturing Company based in Kolkata. To support their expanding financial operations, they are urgently seeking a skilled and dedicated intermediate-level accountant to join their core finance team. Key Responsibilities & Skills Required The ideal candidate will independently manage day-to-day accounts, taxation compliances, and financial reporting. Main focus areas include: • GST Compliance: Hands-on experience with GSTR 1, GSTR 2B, and GSTR 3B working, reconciliation, and filing. • GST Refunds: Processing and filing GST Refund claims on a quarterly basis (essential for the export sector). • TDS Filing: Managing and executing Monthly TDS filings (necessary details and data will be provided by the team). • Core Accounting: Maintaining the Balance Sheet and Profit & Loss (P&L) statements accurately within Tally. • Labor Compliances: Handling basic EPFO and ESIC filing procedures. Salary & Compensation • Offered Salary: 15,000 18,000 per month. • Note: Salary is negotiable and highly dependent on the candidate’s relevant experience, skill set, and suitability during the interview. How to Apply If you have experience in manufacturing/export accounting and meet the above requirements, please share your updated resume on an urgent basis for immediate interview scheduling. Contact Timings: 9:00 AM to 8:00 PM Phone Numbers: * +91 87772 11016 • +91 93312 05133 • +91 92317 99122 Office Address: Ideal Career Zone 128/12A, Bidhan Sarani, Shyambazar (Near Shyambazar Metro Gate No. 1, Gandhi Market) Behind Sajjaa Dhaam Bed Sheet Showroom, Kolkata - 700004 #AccountsExecutive #KolkataJobs #HiringAccountants #LeatherIndustry #TallyJobs #GSTFiling #IdealCareerZone #JobsInWestBengal

accountingfinance
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Experience: 2 3 Years Location: Delhi, India Key Responsibilities Payroll Processing Accurate and timely preparation of monthly payroll, including salary, deductions, arrears and reimbursements. Attendance & Leave Verify attendance, leave, overtime, late coming, absence and other payroll inputs. Statutory Compliance Ensure accurate PF, ESI, PT, TDS and other applicable statutory deductions and timely compliance. Employee Master Data Maintain accurate and updated employee salary, bank, statutory and personal records. Full & Final Settlement PF Withdrawal & Claims Coordinate and process PF withdrawal, transfer, pension and other employee claims.

R
2mo ago

Replit is the agentic software creation platform that enables anyone to build applications using natural language. With millions of users worldwide, Replit is democratizing software development by removing traditional barriers to application creation. Role Summary Replit is the agentic software creation platform that enables anyone to build applications using natural language. With millions of users worldwide, Replit is democratizing software development by removing traditional barriers to application creation. As a Disputes and Chargeback Program Manager at Replit, you’ll be part of our Trust and Safety Operations team, who owns customer-facing workflows that handle sensitive and policy-driven interactions across the Support organization. This includes areas such as privacy requests, DMCA and intellectual property claims, law enforcement requests, and abuse appeals. You'll own Replit's disputes and chargeback function end-to-end: from the individual case in front of you to the policies, playbooks, and automation that let it hold up as we scale to millions of users. This role combines strategic ownership with hands-on execution: you'll determine dispute and chargeback strategy, and build the systems that make those decisions repeatable at scale, working closely with Engineering, Legal and Finance. In this role you will… Own the full dispute lifecycle: investigate incoming chargebacks and disputes, decide whether and how to represent, gather evidence, and respond within network deadlines. Design and maintain the policies, decision trees, and SOPs that govern how disputes and chargebacks are handled. Define the key metrics, health targets, and goals for the disputes program and track performance against them, reporting to leadership. Monitor chargeback rates and dispute trends to identify the underlying drivers of volume, and partner with Engineering and Finance to address root causes. Partner with Engineering and Support Operations to automate manual parts of the wor

aigorust
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AG
2mo ago

End to end responsible for: • financial governance and legal risk management for the SBU by ensuring budget discipline, cash visibility and compliant controls. • payment governance and SAP/WBS/CTC integrity so spend aligns to approved baselines and audit expectations. • contract legal review, notice management and dispute support with commercial teams to protect Adani’s position. • financial risk monitoring across funding, working capital, claims exposure and statutory compliance obligations. • Ensures transparent MIS, audit-ready records and SLA-driven closures across stakeholders. Source: Adani Group | Job ID: 56844

SAPfinance
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