Claim Benefit Specialist Jobs

The Lead – Contract Administration supports the strategic and operational activities of the contract management function across NMDPL’s urban redevelopment and infrastructure projects. This role is responsible for day-to-day contract administration, claim support, risk flagging, and coordination with contractors, consultants, and internal stakeholders. The position ensures timely documentation, assists in dispute resolution processes, and promotes contractual discipline across project sites. Source: Adani Group | Job ID: 52537

The Lead – Contract Administration supports the strategic and operational activities of the contract management function across NMDPL’s urban redevelopment and infrastructure projects. This role is responsible for day-to-day contract administration, claim support, risk flagging, and coordination with contractors, consultants, and internal stakeholders. The position ensures timely documentation, assists in dispute resolution processes, and promotes contractual discipline across project sites. Source: Adani Group | Job ID: 52539

The Lead – Contract Administration supports the strategic and operational activities of the contract management function across NMDPL’s urban redevelopment and infrastructure projects. This role is responsible for day-to-day contract administration, claim support, risk flagging, and coordination with contractors, consultants, and internal stakeholders. The position ensures timely documentation, assists in dispute resolution processes, and promotes contractual discipline across project sites. Source: Adani Group | Job ID: 52542

Location: Remote ERGO NEXT’s mission is to help entrepreneurs thrive. We’re doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience. Simply put, wherever you find small businesses, you’ll find ERGO NEXT. Since 2016, we’ve helped hundreds of thousands of small business customers across the United States get fast, customized and affordable coverage. We’re backed by industry leaders in insurance and tech, and we still have room to grow — that’s where you come in. This is a full-time hybrid position within the Claims Department. The primary focus of the role is training delivery and content development but the secondary focus will be claim handling and related duties. During training downtime, this position will support the department in other capacities, which may include administrative work and/or handling claim files. As training demand grows, responsibilities will shift increasingly toward dedicated training work. What You’ll Do: Assist with the development of Claims Department training curriculum Plan, prioritize and identify training needs for new projects, initiatives and change, including preparation of communication tools Participate in delivering training sessions to the Claims department on policies, procedures and Best Practices Create and maintain training content, job aids, and reference materials for the Claims team Partner with Claims Leadership in ensuring that the Department meets its objectives and goals Lead people to change, moderating discussions, building moments of reflection, being an expert and sharing his/her expertise, presenting, mentoring, etc Assist with identifying knowledge gaps, creating and implementing solutions to improve employee performance Provide administrative support to the Claims Department during training downtime Handle or assist with claim files du

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 Claims Team Lead is responsible for leading a team of Adjusters and Specialists by monitoring their workloads, providing supervisory oversight for individual claim activities, and providing technical and jurisdictional direction on claims adjudication to ensure Pie is providing optimal claim outcomes and experiences for our clients. Additionally, this role is responsible for performance management and development of direct reports. The Team Lead will report to and work directly with the Claims Manager to achieve team and departmental goals. The Team Lead will need to be able and pivot quickly in a fast growing company and department. How You’ll Do It Claims Technical Oversight: Review and approve claim denials, payments, settlements, trials, and reserve requests. Perform claim audits to ensure consistency and accuracy in statutory/regulatory compliance, internal procedures and guidelines, and quality expectations. Ensure reserves are adequately set for the ultimate probable outcome of the claim Perform regular leader reviews and provide feedback and recommendations for individual claims files. Operational Management: Resolve escalated agent, broker, policyholder complaints and/or concerns. Identify trends that could be problematic and take steps to develop processes to correct. Additional project assignments at manager's discretion. People Management: Develop & lead a team of adjusters by ensuring the quality, accuracy, and timely resolution of claims that may include high exposure/complex cases. Oversee of all cla

The Best Players Need the Best People. This position is responsible for managing the PGA Tour’s claims management function and supporting the company’s risk, insurance and safety operations through risk management principles and best practices and by promoting broader risk management and insurance activities to ensure a reduction in loss exposure. The role oversees complex claims across liability, workers’ compensation, auto, and property lines; analyzes claims and incident trends, supports accident prevention efforts, assists with the Tour’s insurance program and provides risk management guidance across the business. Thie role manages the Tour’s claim program from initial reporting through resolution, partnering with insurance carriers and adjusters to improve claim outcomes; reviews contracts for risk transfer and insurance compliance; and partners closely with Talent & Culture, Safety, Legal, Operations and Finance to strengthen risk mitigation practices and improve incident outcomes. Qualifications Bachelor’s degree in Risk Management, Finance, Business or related discipline preferred. Professional insurance and claims designation or licenses a plus. <li style="color:black !import

Position Summary : Undertaking all aspects of Transactional Accounting Matters, focusing on 1)Procurement to Payment, 2)Direct Goods Receipts to IC Payment, and 3)Order to Cash Collection process cycles, under the supervision of Accounting/Treasury Director. Responsible for daily related work in line with internal control policies and procedures, and develop good working relationship with Japan Finance members as well as operational departments. Optimize accounting systems and procedures while enhancing compliance with the local/global regulations. This position leads and conducts the day-to-day operations as well as drives continued process improvement in scope. . Essential Functions and Key Responsibilities: Lead and conduct day-to-day operations of indirect vendor invoice to pay as well as employee expense claim to pay, including 1) review of appropriate internal pre-approval, 2) judge timely goods receipts and the related accrued accounting, 3) perform proper accounting and tax treatment, and 4) prepare periodical payment proposals Manage timely and accurate customer invoice issuance, review and revaluate receivable registers to validate receipts of payments, monitor account aging reports, identify delinquent accounts and refer to collection agencies. Verifies customer credit limits and applicable payment terms. Lead and conduct monthly accounting closing processes, including sales/revenue cutoff reviews as well as inventory/cost accounting recognitions. Review direct purchasing invoices, verify related party transactions, and monitor overdue IC Payable/Receivable balances. Supervise and mentor Accounting team, fostering a collaborative and high-performance work environment Act as the primary contact for all transactional accounting in scope, and lead resolution of inquiries from internal departments Support for external / internal audit requirements <

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 Supervisor of Service Operations will maintain oversight of a team of claim processors and all claim related functions for Medicaid Claim Operations. We are seeking a highly motivated individual who will establish a clear vision aligned with company values and team goals. The claim Supervisor works with staff to align daily processing activities to successfully meet Health Plan metrics. Responsibilities will include: Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics. Manage employee performance and development. Identifies risks and barriers and collaborates with business partners to improve processes. Coaches and mentors team members, assisting with complex questions and customer interactions. Acts as liaison between staff and other areas, communicating workflow results, ideas, and solutions. Completes various business reports, including tracking, trending and results. Works with the Medicaid leadership team to allocate resources to meet volume and performance standards. Builds a cohesive team through collaboration, inclusion, and diverse thinking. Ability to work in a fast-paced production environment. Required Qualific

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 Waste & Error Certified Coding Manager is responsible for leading the Certified Coding Analyst and W&E Team Lead roles that conduct medical claim reviews and coding audits to identify billing errors, waste, abuse, fraud, and payment integrity opportunities. The Manager provides direct people leadership, establishes operational priorities, ensures consistent application of coding and billing requirements, and is accountable for team productivity, quality, service levels, compliance, and employee development. This role partners closely with the W&E team lead, who provides day-to-day technical guidance and subject matter support to the coding team. The Manager retains accountability for staffing, performance management, workload oversight, escalations, audit readiness, process improvement, and delivery of business outcomes. The position also represents the team in discussions with senior leadership, Medical Directors, Legal, Compliance, Analytics, Operations, and other Payment Integrity partners. Primary Responsibilities People Leadership & Team Development Lead, coach, and develop a team of Certified Coding Analysts and Senior Certified Coding Analysts. Establish clear role expectations, performance goals, productivity standards, quality requirements, and accountability measures. Conduct regular perfor

At Lyft, our purpose is to serve and connect. We aim to achieve this by cultivating a work environment where all team members belong and have the opportunity to thrive. The Risk Tech engineering organization is committed to tangibly reducing accident frequency, saving lives, and managing costs to enhance the safety and affordability of rides. Claim Management is a core financial function for Lyft. Each claim touches complex workflows, multiple stakeholders, sensitive data, financial reserves, regulatory processes, and significant financial liabilities. This role offers the opportunity to define a leading claims management system for the industry. Our vision is to establish a single, Unified Risk Platform where comprehensive claims workflows across all business lines are efficiently administered, communications are consolidated, and data is structured to facilitate data-driven insights and decisions. This enables cost-efficient claims operations, mitigates risks and expenses as Lyft scales, and ensures people receive assistance proactively and accurately. We are seeking a Senior Software Engineer to contribute to the technical direction, drive architectural decisions, and lead the development of a highly reliable, scalable, and intelligent Risk Management Information System that powers our insurance platform. You will collaborate with passionate colleagues from Engineering, Data Science, Product and Claim Operations to deliver end-to-end solutions. Responsibilities: Define and drive the long-term technical roadmap for claims management systems, aligning priorities with Product, Claim Operations, Data Science, and other stakeholders. Provide architectural leadership, make informed design tradeoffs, and guide strategic decisions across multiple engineering teams. Understand claim handling workflows, identify bottlenecks and multiply their productivity by driving platform innovations and resolving pain points with AI automation solutions Deliver scalable, reliable

At Lyft, our purpose is to serve and connect. We aim to achieve this by cultivating a work environment where all team members belong and have the opportunity to thrive. The Risk Tech engineering organization is committed to tangibly reducing accident frequency, saving lives, and managing costs to enhance the safety and affordability of rides. Claim Management is a core financial function for Lyft. Each claim touches complex workflows, multiple stakeholders, sensitive data, financial reserves, regulatory processes, and significant financial liabilities. This role offers the opportunity to define a leading claims management system for the industry. Our vision is to establish a single, Unified Risk Platform where comprehensive claims workflows across all business lines are efficiently administered, communications are consolidated, and data is structured to facilitate data-driven insights and decisions. This enables cost-efficient claims operations, mitigates risks and expenses as Lyft scales, and ensures people receive assistance proactively and accurately. We are seeking a Senior Software Engineer to contribute to the technical direction, drive architectural decisions, and lead the development of a highly reliable, scalable, and intelligent Risk Management Information System that powers our insurance platform. You will collaborate with passionate colleagues from Engineering, Data Science, Product and Claim Operations to deliver end-to-end solutions. Responsibilities: Define and drive the long-term technical roadmap for claims management systems, aligning priorities with Product, Claim Operations, Data Science, and other stakeholders. Provide architectural leadership, make informed design tradeoffs, and guide strategic decisions across multiple engineering teams. Understand claim handling workflows, identify bottlenecks and multiply their productivity by driving platform innovations and resolving pain points with AI automation solutions Deliver scalable, reliable

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 Complex Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience, by providing hands-on adjudication of catastrophic and large loss claims. This will be completed by adhering to Pie’s Claims Best Practices, complying with regulatory and statutory requirements, and applying advanced knowledge and experience with complex negotiation strategies, structured settlements, Medicare Set-Aside requirements, and overall risk evaluation and mitigation. 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. Additionally, the Complex Claims Adjuster will collaborate with the Complex Claims Practices Consultant and Claims leadership to continually seek out ways in which to improve claims processes and protocols. How You’ll Do It Claims Technical Management: Independently handle all aspects of catastrophic and large loss workers’ compensation claims from set-up to closure. Conduct timely 3-point contact investigation, with focus on continued investigation as facts of the case change. 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. Ability to present claims to senior management, internal and external

About Paytm Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytm’s mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. About the team: Headquartered in Noida, India, Paytm Insurance Broking Private Limited (PIBPL), a wholly owned subsidiary of One97 Communications (OCL) is an online insurance market place, that offers insurance products across all leading insurance companies, with products across auto, life and health insurance and provide policy management and claim services for our customers. About the role We're looking for product managers who think deeply about consumers and move fast. You'll own a meaningful area of product used by a large and diverse set of Indian consumers, making decisions that show up in people's hands within weeks. This is a role for builders who treat ambiguity as opportunity. What you'll do You'll own the strategy and execution for your product area end to end — from identifying the right problem to shipping and iterating. You'll spend real time understanding users (not just reading research decks), translate insight into crisp product bets, and partner closely with design, engineering, and business to ship. You'll be measured on outcomes, not output, and you'll be expected to drive your area with minimal hand-holding. What we're looking for ● 6–8 years of experience, ideally in entrepreneurship, building consumer products or top-tier consulting. ● Strong consumer intuition — you have opinions about why products work, and you can defend them with both logic and evidence. ● High agency. You define the problem, find the path, and get it done without waiting for permission. ● Sharp analytical and structured thinking, balanced with a bias for action. ● Comfort operating in a fast

About Paytm Paytm is a pioneer of digital payments in India, serving over 450 million consumers and 45 million merchants across payments, financial services, and commerce. Over the years, Paytm has built deep in-house capabilities across technology, data, and operations to operate at scale with high reliability. About the team: Headquartered in Noida, India, Paytm Insurance Broking Private Limited (PIBPL), a wholly owned subsidiary of One97 Communications (OCL) is an online insurance market place, that offers insurance products across all leading insurance companies, with products across auto, life and health insurance and provide policy management and claim services for our customers. About the role We're looking for product managers who think deeply about consumers and move fast. You'll own a meaningful area of product used by a large and diverse set of Indian consumers, making decisions that show up in people's hands within weeks. This is a role for builders who treat ambiguity as opportunity. What you'll do You'll own the strategy and execution for your product area end to end — from identifying the right problem to shipping and iterating. You'll spend real time understanding users (not just reading research decks), translate insight into crisp product bets, and partner closely with design, engineering, and business to ship. You'll be measured on outcomes, not output, and you'll be expected to drive your area with minimal hand-holding. What we're looking for ● 6–8 years of experience, ideally in entrepreneurship, building consumer products or top-tier consulting. ● Strong consumer intuition — you have opinions about why products work, and you can defend them with both logic and evidence. ● High agency. You define the problem, find the path, and get it done without waiting for permission. ● Sharp analytical and structured thinking, balanced with a bias for action. ● Comfort operating in a fast-paced, high-ownership environmen

We're looking for a Social Media Lead to own Asana's voice across every channel our audience shows up in. We don't see social as a supporting channel; it's a direct lever for business impact. This is a builder's role — hands-on and video-first. You'll set strategy, write briefs, and partner with our creative team. But you’ll also pick up a camera and design tools yourself, owning content creation, not just the calendar and the caption. You'll know the difference between a platform best practice and a genuine cultural moment, and you'll help define how Asana talks and shows up in storytelling as we evolve our narrative and stake our claim in the future-of-work conversation. You'll be a strategic, thoughtful partner to peers across Marketing, Product, Comms, R&D, and our executive team, bringing your own point of view on what social should do next. That takes judgment: balancing a lot of competing asks while staying anchored to what's actually driving impact. This role reports to the Head of Global Communications. This role is based in our Vancouver office with an office-centric hybrid schedule. The standard in-office days are Monday, Tuesday, and Thursday. Most Asanas have the option to work from home on Wednesdays. Working from home on Fridays depends on the type of work you do and the teams with which you partner. If you're interviewing for this role, your recruiter will share more about the in-office requirements. What you’ll achieve Own Asana's social presence across LinkedIn, X, YouTube, Instagram, TikTok, and Reddit — developing and executing a content calendar that builds brand awareness, drives engagement, and supports pipeline and business goals. Create and produce original content, video-first — short-form video, photography, graphics, and written copy — using AI tools as part of your own process for scripting, shooting, creating, and editing. Partner with our creative team on bigger productions, but be able to go from idea to a published video yourself