Claim Benefit Specialist Jobs

About Anthropic Anthropic’s mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers, engineers, policy experts, and business leaders working together to build beneficial AI systems. About the role Anthropic's Business Risk & Insurance (BRI) team, part of Treasury, safeguards the company's balance sheet, people and physical assets. We are the financial and operational safety net for a company building some of the world's most advanced AI systems, from large-scale compute and data center infrastructure to our offices and the products we put in customers' hands. The team is scaling quickly as Anthropic grows. As a Risk & Insurance Specialist, you'll build operational excellence across contracts, claims, and day-to-day insurance operations, using AI and automation to streamline processes wherever you can. You'll work closely with Compute, Engineering, Finance, Legal, Security, Product and Payroll to spot emerging risks early, help structure global insurance programs, support our risk-financing strategy and drive loss prevention. This is a rare chance to insure one of the fastest-growing companies, where parts of the risk landscape are still being defined, and to help Anthropic pursue its mission boldly by keeping our operations resilient and protected. Key responsibilities Insurance review of contracts: Review insurance and indemnity requirements in customer, vendor, lease, and compute agreements, and advise Legal and business partners on compliant, practical positions. Insurance operations: Manage claims intake and tracking, certificates of insurance, broker coordination, and policy administration. Build a data warehouse / repository and repeatable processes as volume scales. Data gathering and reporting: Collect and maintain exposure data (property values, payroll, revenue, headcount, etc.) for renewals, au

Become a part of our caring community The Senior Risk Management Professional identifies and analyzes active and potential sources of loss to analyze, estimate, and minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Risk Management Professional estimates the potential consequences of an occurring loss, develops and implements controls and cost-effective approaches to minimize the organization's risks, assesses and communicates information regarding business risks with functions across the organization. Begins to influence department’s strategy and makes decisions on moderately complex to complex issues regarding technical approach for project components. Work is performed without direction, and considerable latitude is used in determining objectives and approaches to assignments. In this role, you will use your experience to partner with business owners to support compliance within the Humana Pharmacy Solutions organization. You will work with Risk Operations, Humana Pharmacy Solutions, Humana Enterprise, and vendor teams to identify, track, resolve, and report out on compliance issues and risks identified in the Humana Pharmacy Operations space. Success in this role requires experience in compliance, risk management, or internal audit, and/or significant experience in pharmacy claims operations, including risk identification, issue remediation tracking, monitoring, audit support, and compliance reporting. The Senior Risk Management Professional will: Design, implement, and perform targeted monitoring to identify risks, promote consistency, and support remediation of issues within the Pharmacy space. Support audit and readiness activities through identif

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 Sr. Manager, Medical Policy Quality Assurance (QA) & Rework Remediation is responsible for managing the day-to-day operations of the Medical Policy quality assurance and remediation program. This role oversees quality reviews, issue intake, defect investigation, root cause analysis, corrective action implementation, remediation tracking, and closure validation activities to ensure the accuracy and integrity of Medical Policy implementation and policy coding. The Manager works collaboratively with Medical Policy, Clinical Operations, Configuration, Claims, Payment Integrity, Informatics, Compliance, Appeals, and Operational business partners to identify, investigate, remediate, and monitor policy-related defects and quality concerns. The role is accountable for maintaining audit-ready documentation, supporting governance processes, monitoring defect trends, and ensuring remediation activities are completed timely and effectively. This position serves as the operational leader responsible for executing the Medical Policy QA and remediation workflow and ensuring identified issues are addressed through sustainable corrective and preventive actions. Quality Assurance Management Manage the day-to-day execution of Medical Policy quality assurance activities. Oversee ongoing reviews of policy coding, implementation accuracy, operational w

Become a part of our caring community The Senior Data & Reporting Professional supports the Michigan Integrated Long-Term Services and Supports (MI LTSS) program through advanced analytics, operational reporting, performance monitoring, regulatory compliance reporting, and strategic data management. You will transform complex clinical, operational, quality, and financial data into actionable insights that support program oversight, state contract compliance, quality improvement initiatives, and executive decision-making. Your work assignments involve moderately complex to complex issues where analysis of situations or data requires an in-depth evaluation of variable factors. You will work independently, exercises considerable latitude in determining objectives and approaches to assignments, and begin to influence departmental strategy. The Senior Data & Reporting Professional partners closely with LTSS Care Management, Utilization Management, Quality, Finance, Compliance, Provider Operations, and Market Leadership to monitor program performance, identify operational opportunities, and support achievement of LTSS program requirements. Develop and maintain operational, clinical, quality, compliance, and executive dashboards supporting the MI LTSS program. Integrate and validate data from multiple systems, including care management platforms, quality monitoring tools, provider networks, claims data, assessment systems, and regulatory reporting sources. Create recurring and ad hoc reports supporting operational performance, regulatory compliance, quality improvement initiatives, and strategic program planning. Monitor LTSS performance indicators including Health Risk Assessments, InterRAI assessments, Nursing Facility Level of Care Determination (NFLOCD) completion, Person-Centered Service Plans, Integrated Care Team (ICT) participation,

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 has a powerful purpose – “Bringing our heart to every moment of your health.” To enable this purpose, we have several initiatives, existing and new, that are re-inventing pharmacy and enabling better health outcomes. In the Merchandising Organization, we support our company’s purpose and our Pharmacy and Consumer Wellness vision to be America’s most trusted health, wellness, and pharmacy care partner, delivering differentiated omnichannel experiences and meeting consumers where they are. As the Senior Analyst, Category Promo & Coupon Planning & Execution, you will use your interpersonal skills to build strong relationships with partners to influence and execute strategies that positively impact the company. As an Associate Manager you will partner with your leader to execute and report on the promotional strategies for our divisional merchandising teams, partnering closely with other leaders in Category Promo & Coupon Planning & Execution and Promotion Optimization. You will impact our business in the following ways: Support your leader in participating in the building and execution of category-level bi-weekly promotional plans deliver on event criteria, themes/claims, or strategically pre-defined category promo KPIs, as established based on the impact promotion has for that category relative to other categories. Pa

CLEAR is building THE secure identity company of the future. Our mission is to make experiences safer and easier—physically and digitally. With more than 43 million Members and a growing network of partners across the world, CLEAR's secure identity platform is transforming the way people live, work, and travel. Whether it’s at the airport, stadium, or throughout your everyday life, CLEAR unlocks the magic of frictionless experiences. The Employee Relations Lead serves as the centralized employee relations (ER) partner for our Airport Operations team. In this role, you're the consistent thread ensuring employee relations issues are handled the same way, every time, no matter where they happen. You're the person leaders lean on to make good calls, and the person team members know is invested in their success. This role puts you in the middle of it all - maintaining oversight across the entire fleet while coaching station leaders, resolving employee relations issues with consistency and fairness across the field, and building an exceptional team member experience that helps CLEAR thrive. What you'll do: Own employee and labor relations across your stations: run investigations, dig into root causes, and land on outcomes that are fair, defensible, and consistent, working closely with Legal along the way. Lead timely, thorough, and objective workplace investigations involving employee complaints, misconduct, policy violations, and other employee relations matters. Coach and advise leaders on corrective action, conflict resolution, policy interpretation, and consistent employment practices, so issues are addressed early and handled appropriately and consistently. Manage and ensure consistency in workers’ compensation, leave of absence (LOA), and accommodation cases, including reviewing claims and requests, with our Leave Administrators, Legal, and ensuring decisions align with company policy and applicable laws (e.g., FMLA, ADA, state and local leave laws). Support

POSITION SUMMARY: Join Natera as the Director of Development for our Early Cancer Detection (ECD) In Vitro Diagnostic (IVD) products. You will take ownership of the development, verification, and validation of our early cancer detection (ECD) Next Generation Sequencing products from feasibility exit through regulatory submission and post-market support. Every test represents a real person, and you will lead a team of scientists and managers to execute the performance data packages supporting PMA submissions. You will serve as the technical subject matter expert in FDA interactions, partnering across functions to deliver design-controlled diagnostic products that directly impact patient care. PRIMARY RESPONSIBILITIES: Own the execution of the technical strategy and phase-gated process of of development, design verification, and validation studies for ECD IVD devices utilizing cfDNA, methylation and other potential analytes Ensure rigorous compliance with applicable FDA Class III (PMA) design and development requirements Take ownership of the analytical performance strategy (limit of blank/detection, precision, linearity, interference, stability) for ECD assays, partnering directly with Regulatory Affairs (RA), biostatistics, bioinformatics and research teams Contribute to the robust transfer of assays to the commercial laboratory and manufacturing in support of the design transfer and operations teams Partner with clinical and biostatistics leaders on statistical analysis plans required for approvable device performance claims in clinical intended-use populations Think team by partnering directly across bioinformatics, biostatistics, software engineering, clinical, regulatory, and commercial functions to align development efforts with business goals, and drive resourcing and go/no-go recommendations at phase gates Deliver the analytical performance data package supporting Class III PMA submissions, developing a comprehensive approval strategy with RA Serve as t

POSITION SUMMARY: Join Natera as the Senior Director of Development for our Early Cancer Detection (ECD) and Multi-Cancer Early Detection (MCED) portfolio. You will take ownership of product development strategy and execution, guiding Next-Generation Sequencing (NGS) and cell-free DNA-based (cfDNA) In Vitro Diagnostic (IVD) products from feasibility through FDA Premarket Approval (PMA) and post-market support. Every test represents a real person, and you will build an organization of scientific contributors and managers to deliver robust clinical tools. You will establish priorities, allocate resources, and represent development with the FDA and executive leadership, ensuring that scientific rigor and data drive all regulatory and portfolio decisions. PRIMARY RESPONSIBILITIES: Define and own the multi-year assay development strategy and technical lifecycle for the ECD and MCED portfolio, in alignment with corporate and R&D strategy Take accountability for the phase-gated execution of all ECD and MCED programs, overseeing the development, design verification, and validation of NGS-based cancer detection IVD devices using cfDNA, methylation and other analyte classes. Set team priorities, allocate people, budget, and laboratory resources, and make or recommend go/no-go decisions to executive leadership Establish the analytical verification and validation strategy for the portfolio to ensure robust assays transfer seamlessly to commercial manufacturing Partner with clinical, medical, and biostatistics leaders to support approvable pivotal and prospective study design, statistical analysis plans, and performance claims for screening-population use in both the ECD and MCED intended-use claims Define regulatory pathways and evidence requirements for PMA submissions for ECD and MCED in an evolving regulatory landscape. Be facile in representing the Development approach and activities in senior-level engagement with the FDA (e.g., pre-submission meetings and advisory pan

Titan Security is built on serving our clients and building careers – just like yours. We are trusted by some of the most well-known companies and properties in the country while remaining dedicated to building personalized security solutions that solve the needs of every customer we support. Named as a nationally recognized Top Workplace in 2024 and 2025 by USA Today, Titan's customized approach to security services will provide you with the opportunity to learn, grow and succeed. Our core values of being Unified, Transparent, Innovative, Committed and Accountable help us in providing unparalleled service and support in all that we do. If you are looking for a meaningful career, a culture of excellence, and the ability to make a difference, we want to talk to you! Titan Security is currently hiring a Security Account Manager to work at a location in Burns Harbor, Indiana. The Security Account Manager reports to the Director of Operations and is primarily responsible for supervising the day-to-day security operations of assigned Client sites. Responsibilities of the Security Manager include but are no limited to: Manage a team of Security Officers, Site and Shift Supervisors including hiring/selection, scheduling, payroll, training, coaching, development and support. Ensure the client site is provided with high quality security services to protect people and property. Build, improve and maintain effective relationships with both client and employees. Coordinate necessary support services to effectively manage client site to meet or exceed financial and operational goals and provide quality customer service. Handle any escalated security issues or emergency situations appropriately. Conduct annual reviews for on site staff. Monitors the quality of staff performance including coordinating and conducting exit interviews, assisting with unemployment claims review of disciplinary actions, recommendations for suspension or termination as well as ensuring a re

About Inspira Education Inspira Education Group is one of the fastest-growing edtech startups in the US. We started with a simple mission to democratize access to high-quality coaching so that every student in the world has an equal opportunity to access the best opportunities. As the world’s leading network of top admissions coaches in medical, legal, business, and college studies, we’re building software and services in one place—disrupting long-entrenched application processes with products and experiences that strive to provide an equal platform for candidates from diverse backgrounds worldwide. As one of the fastest-growing edtech firms in the world, we are backed by some of the leading venture capital firms and investors in the world, including Zeev Ventures, Quiet Capital, Craft Ventures and Jeff Fluhr (Founder of Stubhub). The Role We’re looking for a Junior Content Editor to help keep everything we publish accurate, clear, and polished. You’ll work alongside our senior editors, SEO team, writers, and subject-matter experts to take drafts from rough to publish-ready across our blogs, guides, and marketing content. This is a great fit if you have a sharp eye for detail, love making sentences better, and want to grow into a more strategic editorial role. You’ll learn how content gets found and cited by search engines and AI tools, and you’ll build real skills in editorial process, style, and feedback. Please note: This role is open to candidates based remotely in Canada. What You’ll Do Edit for quality Catch spelling, grammar, factual, and formatting errors before content goes live. Rewrite passive constructions into active voice and replace jargon with plain language. Tighten wordy sentences without losing the point. Check that headings are logical and accurately reflect the content beneath them. Verify stats, claims, and quotes against primary sources, and flag anything unverified. Apply our style guide Apply Inspira’s house style consistently ac

Trade Surveillance Analysts Location: Glasgow (Hybrid) | Practice Area: Finance, Risk, Regulatory & Financial Crime | Type: 3 x Permanent and 2 x 12 month FTC Play a key role in delivering critical Corporate Actions operations that support global financial markets. The Role We're looking for a Analyst to join our Finance, Risk, Regulatory & Financial Crime practice, supporting a leading global financial institution within Trade Surveillance. You'll work within a fast-paced environment where attention to detail, collaboration, and continuous improvement are key to delivering operational excellence. What You'll Do Manage the end-to-end processing of corporate action income events across equity and fixed income products, ensuring accuracy throughout the event lifecycle. Review and reconcile payables, receivables, ex-date, record date and payment date activity while investigating and resolving outstanding claims. Partner with traders, counterparties and internal stakeholders to resolve exceptions, identify P&L impacts and support operational delivery. Identify opportunities to improve controls, enhance processes and contribute to change initiatives alongside project teams. Support mandatory corporate action events and tax reclaim activities while escalating risks or issues where appropriate. What We're Looking For Good understanding of financial markets and products Strong financial background in finance or economics Ability to manage multiple priorities, meet tight deadlines and maintain exceptional attention to detail in a dynamic environment. Strong communication skills with experience building effective relationships across trading desks, operations, counterparties and clients. Good working knowledge of Microsoft Office applications and an understanding of regulatory and operational controls, including CASS. Bonus Points For Experience using Easyway, Gloss or Broadridge BPS. Knowledge of Repo and Securities Lending activities. Experience sup

Celonis is the trusted platform to industrialize Enterprise AI. At our core is the Celonis Context Model — which combines process data, business knowledge, and intelligence into a living digital twin of the enterprise that AI can actually understand, turning AI's operational blind spots into operational clarity. World's leading companies trust Celonis and its global ecosystem of partners to make their AI agents, people, systems, and processes work together, achieving transformational outcomes. We believe there's a massive opportunity to unlock global productivity and sustainability by giving AI the context to understand how every business process really works. Join our mission to make processes work for people, companies, and the planet. The Team: Value Engineering is responsible for our largest Fortune 500 customers and owns their transformation journey by working on the very frontier of what’s possible with data and AI on the Celons Platform. Partnering closely with the Sales team, Value Engineering is responsible for ensuring that the Celonis Platform is deployed to tackle the most strategic business challenges, fits into the right place in our customers’ technology stack and most importantly generates strong ROI through deep and broad deployments. The Role: As a Senior Value Engineer, you will spearhead AI and data-driven business transformation within the Insurance sector by contributing to your customer’s end-to-end value journey using the Celonis Context Model. Working alongside Lead and Principal VEs, you will combine technical execution with consulting and project management. As an AI-fluent operator, your core mandate is to orchestrate complex roadmaps and execute targeted transformation initiatives that improve how these businesses operate across their Operations & Claims Management ecosystems. The work you’ll do: Value Selling & Realization: Uncover the real issues by peeling back layers of organizational complexity. Own the Outcome from first di

At Toast, we are passionate about creating raving fans and delivering an unparalleled customer experience — and that includes assisting our restaurant customers when their business becomes entangled in a creditor dispute. When a lien, levy, or garnishment is filed against a merchant, our customers need a partner who moves quickly, communicates clearly, and gets it right the first time. As Toast brings the end-to-end management of liens and levies in-house, we need an experienced subject matter expert to build and lead this function from the ground up. As the Director, UCC & Tax Lien Compliance, you will own the day-to-day operational management of Toast's merchant liens and levies and bankruptcy compliance programs, build the specialized team and processes required to run it well, and lead the insourcing of this function in close partnership with Compliance, Care, Product and Engineering and Legal. This is a hands-on, build-it role: you'll inherit an active, high-visibility function with real customer and compliance stakes, and you'll be the person who turns it into a well-governed, scalable operation. About this role Strategic Ownership Build and maintain a state-by-state policy framework. Build the governance backbone for the function: SOPs, decision frameworks, case tracking, and closed-loop quality review, so that policy is applied consistently across the team and holds up to audit and legal scrutiny. Determine the right tools and systems required to manage an effective Liens & Levies compliance process, work with product and impacted stakeholders to minimize losses to Toast. Own the phased liens and levies compliance transition plan with Toast's third-party partner, including data-sharing, visibility, and handoff of withholding and remittance responsibilities. Establish and own the escalation path for complex or high-risk cases (e.g., competing creditor claims, disputed releases, bankruptcy proceedings, fraudulent or ambiguous documentation), partnering

Couchbase, the operational data platform for AI, empowers businesses to succeed by bringing data to life in new ways. Major market-leading companies rely on Couchbase for mission critical operational, analytical, mobile and AI workloads. Built to replace legacy infrastructure and fragmented data services, Couchbase empowers enterprises with a unified platform architected for performance, flexibility and global scale. With Couchbase, organizations bring their data to life, launching game‑changing customer experiences, exploring the limitless potential of AI, and seamlessly extending applications from the cloud to the edge and beyond. Couchbase’s AI‑ready technology and enterprise partnership model eliminate complexity and reduce total cost of ownership, enabling teams to stay agile, innovative and secure. Couchbase believes data should never slow you down, but act as the foundation for your next breakthrough. Discover why Couchbase is trusted to help the world’s biggest players scale, move fast and stay resilient, no matter what’s next on their roadmap. Visit couchbase.com and follow us on LinkedIn and X. Want to be part of our story? Apply today! Job Title: Accounting Analyst Responsibilities: The Accounting Analyst will be involved in the accounting operations of the company, assisting in periodic financial reports, maintenance of an adequate system of accounting records, and ensuring that reported results comply with generally accepted accounting principles or international financial reporting standards. - Involved in the day-to-day finance and accounting operations. - Involved in General Accounting, which includes reconciliations, preparation of financial statements, analysis and reporting. - To co-ordinate all accounting activities associated with the General Ledger, particularly journal entries, prepaid, fixed assets, inter-company, cash and bank. - Manage Accounts Payable invoicing and employee claims. - Help with the timely and accurate exec

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Commercial Lines Account Manager to their Acentria team. Location: Remote-must reside in EST or CST timezone. Job Summary: The Commercial Insurance Account Manager is responsible for the day-to-day management, marketing, renewal, and servicing of a complex book of business focused on apartment communities, multifamily housing, and other habitational risks. This role partners closely with the Producer and a collaborative service team to deliver responsive client service, maintain strong carrier relationships, and support timely, accurate execution across large and demanding accounts. Essential Functions: Manage and service an assigned book of commercial insurance business concentrated in apartment communities, multifamily housing, and habitational risks. Lead the renewal process with the Producer and service team, including renewal strategy, exposure collection, application completion, loss-run review, submission preparation, marketing, proposal development, binding, and post-bind follow-up. Gather, validate, and analyze client information such as statements of values, property schedules, unit counts, construction details, occupancy, loss history, inspections, applications, and supplemental underwriting data. Identify material exposures and coverage considerations commonly associated with habitational accounts, including property, general liability, umbrella/excess, workers compensation, commercial auto, crime, cyber, equipment breakdown, flood, and other applicable coverages. Market accounts to carriers and wholesalers, respond to underwriting questions, compare coverage and pricing alternatives, and support negotiations on terms, conditions, deductibles, and premiums. Independently handle routine placement and servicing responsibilities while escalating significant coverage, pricing, claims, or relationship concerns to the Producer and appropriate t