Claim Benefit Specialist Jobs

Opportunity Overview: We're seeking a Senior Director, Solution Owner to join Cohere Health's PaaS Delivery organization. In this role, you will personally own the end-to-end success — business, clinical, and technical — of our most complex and highest-stakes customer implementations. You'll partner closely with Solution Architects, Forward Deployed Engineers, Platform Configuration, QA, and Technical Program Managers to set the standard for what great solution ownership looks like at Cohere, operating as a credible, executive-level counterpart to our clients' leadership. This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events. What you’ll do: Own end-to-end success — business, clinical, and technical — for Cohere's largest and most complex customer implementations Apply strategic program leadership to multi-year, multi-workstream, enterprise-scale platform deployments Drive a team of SMEs toward on-time deployments through meticulous organization, program management, and timeline tracking Serve as the escalation point and executive-level counterpart to client leadership on flagship accounts Set the standard for what excellent solution ownership looks like at Cohere, through the quality of your own account work Make the call on the highest-stakes scope, timeline, and resourcing trade-offs, with direct visibility into business risk What you’ll need: 10+ years leading large-scale, complex technology or platform deployments, with significant healthcare experience Direct experience delivering large-scope products at healthcare companies — claims systems, utilization management/prior authorization platforms, or similarly complex, mission-critical systems Demonstrated strategic program leadership — has personally owned outcomes on the scale of a multi-year, multi-million dollar enterprise implementation Executive presence — credible and effective operating as a peer with clie

About Us: Paytm is India’s leading mobile payments and financial services distribution company. A pioneer of the mobile QR payments revolution, Paytm builds technology that enables small businesses and consumers to participate in the digital economy. Our mission is to serve half a billion Indians and bring them into the mainstream economy through technology. About the role: You will own the campaigns that turn our merchant base into active borrowers. That means designing, launching and optimising multi-channel campaigns that drive loan eligibility checks, applications,disbursals and repeat borrowing among small businesses — kirana stores, retailers, restaurants and service merchants who accept payments on our platform. You will work closely with Product, Risk, Credit, Analytics, Sales to grow disbursals while keeping acquisition costs in check. What you will do: • Own the campaign calendar for merchant lending: new-to-credit acquisition, pre-approved offer activation, top-ups, renewals and win-back of dormant borrowers. • Plan and run campaigns across push notifications, SMS, WhatsApp, email, in-app banners, IVR/outbound calling and the field sales force. • Build merchant segments using transaction volumes, tenure, category, geography and eligibility, and tailor offers and messaging to each. • Design and run A/B tests on creatives, copy, offer framing, timing and channel mix; scale what works and kill what doesn't. • Track the full funnel — reach, click, eligibility check, application, KYC, sanction, disbursal — and fix the biggest drop-offs with Product and Ops. • Manage campaign budgets and incentives (cashback, fee waivers, interest-rate offers) against clear CAC and ROI targets. • Coordinate with lending partners on offer constructs, approved bases and co-branded communication. • Ensure every communication complies with RBI Digital Lending Guidelines, fair-practice codes and partner brand rules (KFS, APR disclosure, no misleading claims). • Run festive and se

POSITION SUMMARY Title: Regulatory Advisor - FDA Pharma & IVDR Natera is a clinical genetic testing company specializing in non-invasive, cell-free DNA (cfDNA) and liquid biopsy testing . The Regulatory Advisor plays a key role in developing and driving regulatory strategy on behalf of the regulatory affairs (RA) team, specifically focusing on FDA Pharma and IVDR initiatives. At Natera, we remember there is a person behind every sample . This role combines strong technical knowledge and an understanding of regulatory requirements (US FDA, CAP/CLIA/NYS, EU, or Japan) to support the approval and registration of products that proactively inform disease management . You will represent the RA team to internal and external stakeholders through written and verbal communication. This role maintains product registrations, change assessments, post-market surveillance reports, and records of communication with regulatory authorities. You will support the overall effectiveness of the RA team through contributions to staff development, process improvements, and maintaining a deep understanding of current regulatory requirements in the evolving diagnostics landscape. PRIMARY RESPONSIBILITIES Represent the regulatory function on designated cross-functional teams. Conduct business interactions with customers and regulatory authorities regarding regulatory pathways, performance claims, supporting data, and labeling in the context of submissions or registrations. Build and execute bold, practical regulatory strategies for complex regulatory affairs programs, with a heavy emphasis on FDA Pharma, IVDR, and In Vitro Diagnostic (IVD) systems. Advocate for the least burdensome approaches to product clearance and approval while strictly interpreting and adhering to regulatory requirements. Coordinate and prepare regulatory submissions with minimal supervision, including EU/IVD/IVDR Technical Documentation, classification requests, pre-submissions, 510(k) premarket notifications,

KJUS is dedicated to amplifying the world's most exhilarating golf and ski experiences. We achieve this through miraculous technology that goes beyond innovation, setting entirely new standards for performance, comfort, and protection. Our shared passion for golf and ski drives us to create incredible products that empower our loyal customers to fully enjoy their passions. For us, it’s not just a job—it’s a joyful obsession. As a result, KJUS products are found in the most remarkable ski and golf destinations worldwide. The KJUS headquarters are in Boulder, Colorado, with satellite offices in Switzerland and Scotland. Our showrooms can be found worldwide. In 2019, Acushnet Company partnered with KJUS, joining our brand with other fantastic labels like Titleist, FootJoy, Scotty Cameron, and Vokey We are currently seeking a dedicated and experienced Customer Service Representative to join our UK team and play a key role in delivering outstanding customer support. Responsibilities: Expert in answering phone calls and customer emails to address customer concerns in a professional, efficient, and caring manner. Evaluate, process, and complete warranty claims with professionalism and superior customer service. Account Invoicing. Support in managing the accuracy, availability, and data integrity of inventory (including salesman samples) across all business systems. Maintain customer files, orders, correspondence, invoices, payments. Enter & process pre book orders. Consistent communication with Operations Manager and Logistics Team. Prepare sales statistics and reports to support sales team. Retain a vast understanding of product lines. Maintain working knowledge of company policy with regards to products and se

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 is looking for a Customer Marketing Manager to make sure our most important messages are backed by customers who can speak to them. This role works across regions and customer segments on special projects tied to the company's top priorities. When we launch a new model, feature, or initiative, you'll find the customers who can speak to it and get them on the record. We're looking for an excellent communicator who can turn customer stories into multiple formats that flex across channels. This often means working under compressed timelines and leading customer storytelling on some of the most important projects at Anthropic. You'll work closely with Product Marketing, Sales, Brand, Comms, Customer Marketing segment leads, and the writers on our team. The right person has done both product marketing and customer marketing, and has a reporter's nose for a good story. Key responsibilities Own the customer evidence strategy for the company's top priorities, deciding which claims need customer proof, which customers are best placed to back them up, and where we have gaps to close Bring what customers are telling us back to Product Marketing and Sales, so our messaging reflects what lands with buyers Stand up new programs as company priorities shift, setting the scope, the customer list, and the plan to ship quickly Lead the customer plan for major model and product launches, from which customers we engage with to how their voices show up in the announcement Partner with Brand and Creative on which customer stories anchor our campaigns and how we tell them Build proof point libraries and enablement around

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 As a Repairs Lead within the Data Center Infrastructure organization, you will define and manage the end-to-end hardware repair program across Anthropic's growing fleet of data centers. You will be accountable for repair turnaround time and the compute returned to service across every site, covering server, GPU/accelerator, network, and optics break-fix, RMA and reverse logistics with OEMs and ODMs, and the spares and repair inventory that keeps repair SLAs achievable. As a subject matter expert in hardware operations, you will develop scalable repair processes and quality targets, set the standards that site operations partners and repair vendors execute against, and turn failure trends into fixes which are driven upstream with engineering and equipment partners. If you are experienced in at-scale datacenter hardware operations, are passionate about HPC data centers, & enjoy working in complex, fast-paced environments, we welcome you to apply. Responsibilities Include: Define the global repair strategy including repair SLAs, prioritization rules, escalation paths, and reporting methods, and drive standardization across all sites. Own repair turnaround time and repair backlog across the fleet evidenced by Anthropic-owned ticket and telemetry dashboards you help develop. Author and improve procedures for triage, break-fix, return-to-service validation, and train site operations partners on how to execute them. Manage RMA and reverse logistics programs with OEMs, ODMs, and depot repair vendors, including warranty claims, return cycle times, and failure analysis feedback. Set spares pool sizing and stocking levels by s

About the Team OpenAI's Legal team plays a crucial role in furthering OpenAI's mission by tackling innovative, fundamental legal issues in AI. If you're passionate about doing significant and unique work as a technology lawyer, this team is for you. The team comprises professionals from diverse fields, including technology, AI, privacy, IP, corporate, employment, tax law, regulatory, and litigation. About the Role As a member of our Product Counsel team, you will advise on a broad range of issues arising from hardware products and technologies, with a focus on software that power them. You’ll work closely with software engineering, product, design, and business teams from development through launch and ongoing support. This is a unique opportunity to engage directly with the forefront of AI legal issues. This role reports to our DGC of Hardware. This role is based in San Francisco, CA. We use a hybrid work model of 3 days in the office per week and offer relocation assistance to new employees. In this role, you will: Work closely with product and engineering teams, participate in architecture and product reviews, and advise throughout development, launch, and ongoing support. Support software and firmware licensing, open-source, compatibility and ongoing device support. Provide broad product counseling on consumer experiences, user terms, disclosures, marketing claims, consumer protection and regulatory requirements. Advise and coordinate on product, commercial, IP, privacy, security, competition, and regulatory legal issues so product decisions and external commitments are consistent. Build practical guidance and review processes, adapt support to changing priorities, and take ownership of emerging issues across teams. You might thrive in this role if you: Have 8+ years of relevant legal experience, including substantial product counseling for consumer devices, software embedded in hardware, gained in-house, at a technology-focused law firm, or both. Can work with

About the Team OpenAI's Legal team plays a crucial role in furthering OpenAI's mission by tackling innovative, fundamental legal issues in AI. If you're passionate about doing significant and unique work as a technology lawyer, this team is for you. The team comprises professionals from diverse fields, including technology, AI, privacy, IP, corporate, employment, tax law, regulatory, and litigation. About the Role As a member of our Product Counsel team, you will advise on a broad range of issues arising from hardware products and technologies, with a focus on software that power them. You’ll work closely with software engineering, product, design, and business teams from development through launch and ongoing support. This is a unique opportunity to engage directly with the forefront of AI legal issues. This role reports to our DGC of Hardware. This role is based in San Francisco, CA. We use a hybrid work model of 3 days in the office per week and offer relocation assistance to new employees. In this role, you will: Work closely with product and engineering teams, participate in architecture and product reviews, and advise throughout development, launch, and ongoing support. Support software and firmware licensing, open-source, compatibility and ongoing device support. Provide broad product counseling on consumer experiences, user terms, disclosures, marketing claims, consumer protection and regulatory requirements. Advise and coordinate on product, commercial, IP, privacy, security, competition, and regulatory legal issues so product decisions and external commitments are consistent. Build practical guidance and review processes, adapt support to changing priorities, and take ownership of emerging issues across teams. You might thrive in this role if you: Have 8+ years of relevant legal experience, including substantial product counseling for consumer devices, software embedded in hardware, gained in-house, at a technology-focused law firm, or both. Can work with

JOIN OUR TEAM As a Customer Care Back Office Advisor , you are part of the team that supports the everyday customer experience at Westwing. You will work behind the scenes to support customer inquiries, resolve issues, and make sure every customer receives efficient, helpful, and solution-oriented support throughout their journey. Your day-to-day work covers a wide range of customer care topics across the different markets in which Westwing operates, from product and payment-related questions to delivery topics, returns, and collections. You will work closely with our Front Office team and external partners to coordinate solutions, ensure customer concerns are addressed effectively, and help deliver the best possible outcome in a timely manner. Bringing reliability, empathy and a strong solution-oriented mindset to every interaction, you will play a key role in strengthening customer loyalty and reflecting our brand values at every customer touchpoint. This position is unlimited and based in Munich. WHAT YOU'LL DO Support the management and resolution of customer issues by coordinating with external partners, including suppliers, carriers, and warehouses Assist the Front Office team with customer claims and escalations, ensuring timely and effective resolutions Monitor and document issues and process gaps throughout the customer journey, from purchase to delivery Collaborate closely with Logistics Operations, Finance, Quality, Supply Chain, and other internal stakeholders to resolve cases and improve processes Identify recurring customer needs and contribute to continuous service and process improvements Ensure a high standard of quality, accuracy, and professionalism across all customer-related communications and case management activities YOU COME WITH Experience in Customer Service, Customer Support, or a similar customer-facing role Strong organisational skills with the ability to prioritise effectively in a fast-paced environment Ability to collaborate confiden

SOBRE A CAPCO A Capco é uma consultoria global de tecnologia e negócios, focada no setor de serviços financeiros e energia, somos apaixonados por ajudar nossos clientes, temos 40 escritórios nas Américas, Europa e Ásia-Pacífico! Se criatividade e inovação são sua paixão, a Capco é ideal para você. Vamos te apoiar e ajudar a acelerar sua carreira! A equipe Offshore de Trade Support é responsável pela execução de processos ponta a ponta (end-to-end) de suporte a operações para produtos de Bonds (títulos de dívida) e Term Loans (empréstimos a prazo) nos mercados dos Estados Unidos e EMEA (Europa, Oriente Médio e África) . A equipe oferece suporte às funções de Middle Office e Back Office onshore , realizando atividades como registro das operações ( trade booking ), confirmação, preparação para liquidação ( settlement ) e atividades pós-liquidação, de acordo com procedimentos documentados, acordos de nível de serviço ( SLAs ) e padrões internos de controle. As atividades de liquidação são realizadas por meio das principais infraestruturas de clearing e settlement do mercado, incluindo DTC, FED, Euroclear, CEDEL e ClearPar (para Term Loans). A equipe offshore desempenha um papel fundamental para garantir a execução correta das operações do dia a dia, além de identificar e escalar exceções, riscos e violações para as equipes onshore de Trade Support e liderança de Operações dentro dos prazos adequados. A equipe também é responsável por atividades específicas de pós-liquidação, incluindo investigação de operações que não foram liquidadas ( failed trades ), processamento de claims e conciliação de confirmações, com foco na redução do risco de liquidação e no aumento das taxas de processamento automatizado ( Straight-Through Processing – STP ). Descrição da Vaga • Executar os processos de Trade Support atribuídos de acordo com os procedimentos aprovados, frameworks de controle e SLAs estabelecidos no modelo operacional offshore. • Realizar o registro ( tr

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 Aetna Better Health is Aetna’s Medicaid managed care plan. Backed by over 30 years of experience managing the care of those with a broad array of health care needs, our Medicaid plans have demonstrated that getting the right help when you need it is essential to better health. That’s why Aetna® Medicaid plans include the guidance and support needed to connect our members with the right coverage, resources, and care. We are focused on enhancing quality and population health outcomes while integrating CVS assets to bring accessible healthcare to our members. Aetna Better Health of Maryland is seeking an experience leader with vast operational knowledge of Medicaid for its state-wide managed Medicaid business in the role of Chief Operations Officer (COO). The COO role will be strategic and committed to developing colleagues as well as relentlessly pursuing change that is best for the organization and its customers. The COO role will collaborate with the CEO to develop the strategic vision of the Health Plan, policies & procedures, and operational objectives including leading RFP readiness efforts. The COO will oversee high level strategic and operational activities of various plan functional areas which include traditional service operations (Claims, Provider Services, Information Technology, Grievance & Appeals and Member Services) as well as Medical Management (Quality, Netw

Secure Every Identity, from AI to Human Identity is the key to unlocking the potential of AI. Okta secures AI by building the trusted, neutral infrastructure that enables organizations to safely embrace this new era. This work requires a relentless drive to solve complex challenges with real-world stakes. We are looking for builders and owners who operate with speed and urgency and execute with excellence. This is an opportunity to do career-defining work. We're all in on this mission. If you are too, let's talk. Based in our Dublin, Ireland office and reporting directly to the Director of Global Security & Safety , the Global Health & Safety Manager will own the design, execution, governance, and continuous enhancement of Okta’s global health, safety, and occupational wellness framework. While anchored in Dublin, this is a broad, truly global leadership role . Because Okta operates dynamic, distributed workplaces across multiple international jurisdictions, the Global Health & Safety Manager will scale operations by directing an extensive network of specialized third-party vendors, global EHS consultants, and local practitioners. In addition to overarching workplace safety, this leader serves as the global program owner for Okta’s Workers’ Compensation and Occupational Injury/Illness Claims Management . Key Responsibilities 1. 3rd-Party Vendor Management & Global Partner Ecosystem Serve as the principal manager and strategic owner of Okta’s global health and safety vendor ecosystem, including multinational EHS environmental/safety consulting firms, localized safety practitioners, and specialized service partners. Develop Statements of Work (SOWs), key performance indicators (KPIs), and service level agreements (SLAs) for external EHS partners supporting regional risk assessments, statutory testing, and compliance filings. Manage vendor procurement, contract evaluations, invoicing, and quarterly business reviews (QBRs) to ensure cost-efficienc

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 Lead, Senior Decision Scientist serves as a strategic analytics and ideation leader supporting Payment Integrity Affordability initiatives with a primary focus on Fraud, Waste & Error (FWE) and Special Investigations Unit (SIU) programs. This role provides leadership and guidance to a team of Decision Scientists while driving the development, evaluation, and implementation of innovative opportunities that improve affordability outcomes and strengthen Payment Integrity capabilities. The Lead Decision Scientist is responsible for establishing analytical frameworks, managing ideation pipelines, defining success metrics, and identifying cross-functional opportunities that create enterprise value across Payment Integrity programs. Required Qualifications 7+ years of experience in healthcare analytics, Payment Integrity, Fraud, Waste & Error (FWE), Special Investigations, or related healthcare operations. 5+ years of experience leading analytical projects or providing technical leadership within a healthcare environment. Demonstrated experience working with healthcare claims platforms including ACAS, QNXT, HRP, or comparable systems. Experience using SAS, SQL, Python, R, or other analytical and statistical programming languages. Experience performing advanced data analysis, opportunity identification, trend analy

Job Title Product Manager, G&B Digital Products, PHDSI Job Description Job title: Product Manager , G&B Digital Products, PHDSI Your role: The Product Manager will be responsible for driving the product management activities for digital propositions within Grooming & Beauty, with an initial focus on the Lumea program. The role will work closely with Business, R&D, Digital, UX, Data/AI, Marketing, Regions and Platform teams to ensure strong product definition, roadmap alignment, business value realization and successful delivery of digital experiences. The role requires a strong balance of business understanding, digital product thinking, stakeholder management and execution focus. Own and drive Product Management activities for assigned G&B digital propositions, ensuring alignment with business strategy, consumer needs, market priorities and portfolio direction. Define and maintain the product roadmap, including value proposition, feature priorities, release scope, claims, business case inputs and market readiness needs. Translate business and consumer needs into clear product requirements, working closely with Product Owners, UX, architects, engineering teams, data/AI teams and marketing stakeholders. Ensure strong connection between upstream product strategy and downstream execution across app, cloud, data, AI and connected propositions. Drive prioritization of features and capabilities based on consumer value, business impact, technical feasibility, regulatory needs, cost, performance and delivery timelines. Support development and realization of the business case, including value creation, adoption, engagement, proposition performance and contribution to business outcomes. Lead cross-funct

We are looking for a Senior Partner Solutions Architect to lead technical engagement with independent software vendors (ISVs) and strategic technology partners. You will help partners build, embed, deploy, validate, and go to market with MongoDB-based solutions that create repeatable customer value and accelerate MongoDB adoption. This role combines enterprise architecture, partner engineering, technical pre-sales, solution assurance, and go-to-market enablement. You will work across the complete partner lifecycle—from opportunity discovery and business-value alignment through architecture, validation, design wins, launch readiness, and post-launch reuse. You will be successful in this role if you can move fluidly between a partner’s product architecture, a customer’s business problem, MongoDB’s technical capabilities, and the field motion needed to scale the outcome. We're looking to speak with candidates based in Mexico City for our hybrid working model. What you will do Serve as the senior technical advisor for strategic ISV and technology-partner engagements, including embedded software, SaaS, BYOA/BYO-EA, AI, and agent products Lead technical discovery and architecture reviews that clarify the partner’s workload, adoption path, deployment model, customer segment, success criteria, and MongoDB value proposition Guide partners through a repeatable technical validation and solution-assurance process covering architecture, deployment, security, compliance, performance, scale, resilience, operability, upgrades, support ownership, and lifecycle management Establish evidence-based readiness gates and partner maturity assessments; distinguish clearly between tested, supported, recommended, and go-to-market-approved claims Design reference architectures, integration patterns, sizing guidance, deployment blueprints, quickstarts, demos, troubleshooting guidance, and partner-facing documentation Help partners build MongoDB into shipped products, SaaS platforms, AI applicat