Claim Benefit Specialist Jobs

About Mach Industries Founded in 2023, Mach Industries is a rapidly growing defense technology company focused on developing next-generation autonomous defense platforms. At the core of our mission is the commitment to delivering scalable, decentralized defense systems that enhance the strategic capabilities of the United States and its allies. With a workforce of approximately 350 employees, we operate with startup agility and ambition. Our vision is to redefine the future of warfare through cutting-edge manufacturing, innovation at speed, and unwavering focus on national security. We are dedicated to solving the next generation of warfare with lethal systems that deter kinetic conflict and protect global security. The Role Mach Industries is seeking a Senior Operational Performance Engineer to track vehicle performance and uncertainty from conceptual design through production and to lead the evidence strategy that closes the gaps. You will maintain the vehicle-level picture of predicted performance, measured performance, and the confidence each claim deserves. You will define the engineering questions that matter most, determine what analysis and test evidence is needed to answer them, and drive measured-data insights back into the conceptual design and MDAO tools that generate the next prediction. This is a vehicle-level engineering role. You will work across Conceptual Design, MDAO, GNC, Propulsion, Mechanical, Flight Test, and other engineering teams to track performance, identify risks, define evidence requirements, establish assessment criteria, and drive uncertainties toward closure. You will work closely with the Mass Properties and Vehicle Performance engineer, whose records and baselines feed your tracking and assessment work. This role is part of Operational Performance within Mach's Vehicle Design and Performance organization, alongside Conceptual Design and MDAO. Conceptual Design creates, MDAO enables, and Operational Performance assesses and closes t

Location: Remote 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 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. Every claim tells a story — and you know how to uncover the truth behind it. With sharp investigative skills and clear, compassionate communication, you guide small business owners through moments that matter. If you can connect the dots and connect with people, this role is made for you. What You’ll Do: Investigate, evaluate, and resolve General Liability Bodily Injury, Property Damage, as well as Professional Liability claims, both with and without attorney involvement. Analyze coverage, liability, and damages based on policy terms, claim reports, statutes, and case law to determine appropriate claim handling. Communicate effectively with policyholders, claimants, and witnesses to gather information, provide updates, and guide the claims process. Identify and refer potentially fraudulent claims to SIU and pursue third-party subrogation opportunities where applicable. Ensure compliance with all relevant statutory and regulatory requirements across jurisdictions. Demonstrate strong customer service skills with empathy, clear communication, and a focus on resolution. What We Need: 5-10+ years experience handling liability claims involving bodily injury, including coverage analysis, investigation, and compliance-focused claims handling. Demonstrated history of thorough Injury Evaluation and Negotiation Skills Strong writ

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. As the Team Lead, Collections, you own the end-to-end process for past-due receivable collections — installment payments, short-rated policies, claim deductibles, audit surcharge fees, and additional premium from mid-term endorsements or end-of-policy audits. You are accountable for Pie's overall bad debt recovery rate and for driving collection, litigation, and settlement outcomes against internal targets. You lead a team of individual contributors alongside BPO and offshore partners, set the strategy for how every dollar of exposure gets pursued, and continuously find upstream improvements that reduce Pie's exposure before receivables ever reach collections. You set and enforce service-level agreements across the collection lifecycle and are accountable for the performance of your team, your vendors, and your BPO and offshore partners against defined KPIs. You partner with Accounting to establish and maintain allowance processes and month-end financial close recommendations and documentation. You are the decision-maker for collection referrals and vendor preference, and you make sure collection progress is visible and tracked across Pie's systems and vendor systems. This is a role for someone who wants to own a function, build it, and be measured on results. How You’ll Do It Own recovery outcomes across every policy in collections Own Pie's bad debt recovery rate. You're accountable for driving collection success against internal collection-rate and recovery targets, and for the outcomes of litigation and settlement. Set and enforce service-level agr

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. Lyft is looking to add a Claims Operations Specialists to its growing Risk Team. The Operations Specialist position is an integral role assisting with the processing of claims and responding to inquiries to expedite the handling of claims. The focus of these roles will be cross-functional collaboration and enhanced customer communication focused on the best claims experience for our users. You’ll balance day-to-day responsibilities between independent claims processing and working with our cross-functional teams with a focus on customer obsession and operational excellence. Responsibilities: Create initial loss reports and assist with overall processes for Lyft Healthcare, as well as Lyft Bikes and Scooters Respond and assist with customer inquiries relating to claims Requests additional information, where necessary, for completion of claim processing Manages and coordinates next steps for Accidents; including missing claim searches, adjuster contacts, and enhanced customer experience Coordinate with cross functional teams regarding claims processes, system updates, and customer experience Gathers investigative material and general support to assist adjusters and internal claims teams Develops and delivers effective written and oral communications/reports to management Supports various Risk, Safety, Bikes & Scooters, Express Drive, Legal, Lyft Rentals, and Finance Teams regarding all aspects of insurance claims Supports and facilitates a team environment of continuous feedback and idea sharing with all team members and stakeholders Assist with special projects, including and not limited to auditing and data reconciliation Seeks out opportunities to gain broader insurance knowledge and cross-training Experience: 2+ years experience handling and solving customer support issues - ideally in a

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. As the Vice President of Claims Adjudication, reporting to the Chief Claims Officer, your purpose will be to collaborate in the design and execution of Pie's claims strategy and programs. In this role, you will lead Pie's claims adjudication function, ensuring the delivery of optimal claim outcomes and exceptional customer experiences. You are responsible for strategically building and leading a claims adjudication organization that executes on the overall claims strategies. You will be fostering relationships at every level both internally with team members and other senior leaders, as well as externally, working to build relationships with key partners in the industry. How You'll Do It Claims Adjudication Leadership Lead and oversee Pie's claims adjudication function across all jurisdictions. Plan and direct all aspects of claims adjudication operations, overseeing daily and long-term activities. Responsible for implementing claims programs for workers' compensation. Serve as the lead claims adjudication authority, bringing expert claims experience to the Pie Executive Team. Direct the quarterly review and settlement of large loss and catastrophe claims. Develop and guide claims adjudication procedures and policies to enhance the processing, investigation, and settlement of claims. Claims Strategy Collaboration Collaborate with the Chief Claims Officer in the design and execution of Pie's overall claims strategy. Contribute claims adjudication expertise and insights to inform enterprise-wide claims initiatives. Partner with Claims leadership on strat

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 ● 3–6 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 Group: 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 Key Responsibilities - Assist product managers in defining product roadmaps, requirements, and user stories. - Conduct market and competitor research to identify trends and new product opportunities. - Collaborate with design and tech teams to support feature development and testing cycles. - Analyze user behavior, feedback, and data to help improve product performance and user journeys. - Participate in product reviews, sprint planning, and stand-up meetings. - Prepare reports, dashboards, and documentation to support decision-making. - Assist in market research and competitive analysis. - Support cross-functional teams in product-related initiatives. What We’re Looking For - Students or recent graduates (preferably from Engineering or related fields). - Strong analytical and problem-solving abilities with an eye for detail. - Excellent communication and collaboration skills. - Passion for technology, product thinking, and user experience design. - Basic understanding of product management tools (e.g., Jira, Figma, Notion) and analytics tools (Google Analytics, Mixpanel, etc.) is a plus. Why join us? A collaborative output driven program that brings cohesiveness across businesses through technology Impr

GitLab is the intelligent orchestration platform for DevSecOps. GitLab enables organizations to increase developer productivity, improve operational efficiency, reduce security and compliance risk, and accelerate digital transformation. More than 50 million registered users and more than 50% of the Fortune 100* trust GitLab to ship better, more secure software faster. The same principles built into our products are reflected in how our team works: we embrace AI as a core productivity multiplier, with all team members expected to incorporate AI into their daily workflows to drive efficiency, innovation, and impact. GitLab is where careers accelerate, innovation flourishes, and every voice is valued. Our high-performance culture is driven by our values and continuous knowledge exchange, enabling our team members to reach their full potential while collaborating with industry leaders to solve complex problems. Co-create the future with us as we build technology that transforms how the world develops software. * Fortune 500® is a registered trademark of Fortune Media IP Limited, used under license. Claim based on GitLab data. Fortune 100 refers to the top 20% ranked companies in the 2025 Fortune 500 list, published in June 2025. Fortune and Fortune Media IP Limited are not affiliated with, and do not endorse products or services of GitLab. About the role We are looking for a Principal Engineer to help define and drive the next generation of GitLab’s Fulfillment platform. Fulfillment ensures that customers receive the right product access and can manage seats, usage, and spend across GitLab.com, Self-Managed, Dedicated, and other deployment models. Its core areas include entitlements, licensing and provisioning, seat management, usage visibility, and cost management. The existing platform has served GitLab for approximately a decade and now faces significant challenges in scale, maintainability, and architectural complexity. This role will help us understand where w

GitLab is the intelligent orchestration platform for DevSecOps. GitLab enables organizations to increase developer productivity, improve operational efficiency, reduce security and compliance risk, and accelerate digital transformation. More than 50 million registered users and more than 50% of the Fortune 100* trust GitLab to ship better, more secure software faster. The same principles built into our products are reflected in how our team works: we embrace AI as a core productivity multiplier, with all team members expected to incorporate AI into their daily workflows to drive efficiency, innovation, and impact. GitLab is where careers accelerate, innovation flourishes, and every voice is valued. Our high-performance culture is driven by our values and continuous knowledge exchange, enabling our team members to reach their full potential while collaborating with industry leaders to solve complex problems. Co-create the future with us as we build technology that transforms how the world develops software. * Fortune 500® is a registered trademark of Fortune Media IP Limited, used under license. Claim based on GitLab data. Fortune 100 refers to the top 20% ranked companies in the 2025 Fortune 500 list, published in June 2025. Fortune and Fortune Media IP Limited are not affiliated with, and do not endorse products or services of GitLab. An overview of this role We are looking for a Backend Engineer to join our Change Record team within GitLab’s Source Code stage . As AI agents increasingly write code alongside people, every change needs a clear, trustworthy record of what changed, why, and who or what made it. You’ll build that record into GitLab’s source code experience, for humans and agents alike. This is a backend-focused role for an engineer with full-stack experience who enjoys balancing work on existing systems with new product development. That work happens in one of GitLab’s oldest and most complex product areas, where you’ll use Ruby on Rails to improv

GitLab is the intelligent orchestration platform for DevSecOps. GitLab enables organizations to increase developer productivity, improve operational efficiency, reduce security and compliance risk, and accelerate digital transformation. More than 50 million registered users and more than 50% of the Fortune 100* trust GitLab to ship better, more secure software faster. The same principles built into our products are reflected in how our team works: we embrace AI as a core productivity multiplier, with all team members expected to incorporate AI into their daily workflows to drive efficiency, innovation, and impact. GitLab is where careers accelerate, innovation flourishes, and every voice is valued. Our high-performance culture is driven by our values and continuous knowledge exchange, enabling our team members to reach their full potential while collaborating with industry leaders to solve complex problems. Co-create the future with us as we build technology that transforms how the world develops software. * Fortune 500® is a registered trademark of Fortune Media IP Limited, used under license. Claim based on GitLab data. Fortune 100 refers to the top 20% ranked companies in the 2025 Fortune 500 list, published in June 2025. Fortune and Fortune Media IP Limited are not affiliated with, and do not endorse products or services of GitLab. An overview of this role As a Strategic Account Executive for the Northeast region, you'll drive GitLab's enterprise growth by helping some of the area's most influential organizations adopt, implement, and expand their use of our AI-powered DevSecOps platform. You'll focus on strategic enterprise accounts, guiding customers through complex digital and DevSecOps transformations and driving pipeline generation that translates into measurable Net ARR and long-term expansion. In this role, you'll act as a key connector between customer stakeholders and GitLab's field organization so GitLab is seen as a trusted, long-term partner acr

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: This is a remote based (work from home) role preferably resides in Florida and can be licensed anywhere in the United States. Aetna, a CVS Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. In the Medical Director role you will: Provide oversight for medical policy implementation. You will participate in the development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum of care. You will support the Medical Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will: Focus primarily on overseeing utilization review / quality assurance and be responsible for predetermination reviews and reviews of claim determinations. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement

Specialist - Insurance - P&C Underwriting Ready to turn bold ideas into real-world impact? At Genpact, we don’t just adapt to change, we lead it. AI and digital innovation are transforming the way businesses work, and we’re at the forefront of it. Genpact’s AI Gigafactory , our industry-first accelerator, exemplifies how we scale advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. Whether tackling complex challenges through large-scale models or agentic AI , our breakthrough solutions tackle companies’ most complex challenges. If you thrive in a fast-moving, innovation-driven environment, love building and deploying cutting-edge AI solutions, and want to push the boundaries of what’s possible, this is your moment. Genpact (NYSE: G) is an agentic and advanced technology solutions company. We leverage process intelligence and artificial intelligence to deliver measurable outcomes. With a strong partner ecosystem and decades of client trust, we provide innovative solutions that transform how businesses run. Powered by a team with an active learning mindset and client centricity at its core, we deliver lasting value for the world’s leading enterprises. Get to know us at genpact.com and on LinkedIn , YouTube , X , and Facebook . Job Description Responsibilities: Review and verify the accuracy and completeness of claim informat

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. CVS Health Specialty Pharmacy has an opportunity available for a full-time Medical Billing & Accounts Receivable Representative. As a Medical Billing & Accounts Receivable Representative, you will ensure timely and accurate billing and follow-up for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing to insurance providers. We will support you by offering all the tools and resources you need to be successful in a collaborative team based environment. The key responsibilities of the Medical Billing & Accounts Receivable Representative are: Creating and submitting medical claims to insurance companies within timely filing and ensuring accuracy within payer guidelines and preferred bill methods (i.e., 837, website, spreadsheets, and CMS-1500). Validating coverage and eligibility prior to claim billing. Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors. Maintaining supporting and chronological notes that detail action taken to resolve billing edits. Maintain updated information within the necessary AR/CVS

GitLab is the intelligent orchestration platform for DevSecOps. GitLab enables organizations to increase developer productivity, improve operational efficiency, reduce security and compliance risk, and accelerate digital transformation. More than 50 million registered users and more than 50% of the Fortune 100* trust GitLab to ship better, more secure software faster. The same principles built into our products are reflected in how our team works: we embrace AI as a core productivity multiplier, with all team members expected to incorporate AI into their daily workflows to drive efficiency, innovation, and impact. GitLab is where careers accelerate, innovation flourishes, and every voice is valued. Our high-performance culture is driven by our values and continuous knowledge exchange, enabling our team members to reach their full potential while collaborating with industry leaders to solve complex problems. Co-create the future with us as we build technology that transforms how the world develops software. * Fortune 500® is a registered trademark of Fortune Media IP Limited, used under license. Claim based on GitLab data. Fortune 100 refers to the top 20% ranked companies in the 2025 Fortune 500 list, published in June 2025. Fortune and Fortune Media IP Limited are not affiliated with, and do not endorse products or services of GitLab. As a Manager, Customer Success , you will lead a North America-based team that helps customers realize value from GitLab through strong adoption, measurable outcomes, and trusted partnership. You will partner closely with both executive sponsors and day-to-day end users/practitioners to drive adoption and measurable outcomes. Reporting to the Director of Customer Success, , you will coach Customer Success Managers and Customer Success Architects to support account health across onboarding, adoption stages, executive business reviews, and renewals, while also improving how the team works. This is a people leadership role with broa

GitLab is the intelligent orchestration platform for DevSecOps. GitLab enables organizations to increase developer productivity, improve operational efficiency, reduce security and compliance risk, and accelerate digital transformation. More than 50 million registered users and more than 50% of the Fortune 100* trust GitLab to ship better, more secure software faster. The same principles built into our products are reflected in how our team works: we embrace AI as a core productivity multiplier, with all team members expected to incorporate AI into their daily workflows to drive efficiency, innovation, and impact. GitLab is where careers accelerate, innovation flourishes, and every voice is valued. Our high-performance culture is driven by our values and continuous knowledge exchange, enabling our team members to reach their full potential while collaborating with industry leaders to solve complex problems. Co-create the future with us as we build technology that transforms how the world develops software. * Fortune 500® is a registered trademark of Fortune Media IP Limited, used under license. Claim based on GitLab data. Fortune 100 refers to the top 20% ranked companies in the 2025 Fortune 500 list, published in June 2025. Fortune and Fortune Media IP Limited are not affiliated with, and do not endorse products or services of GitLab. An overview of this role As an Strategic Account Executive , you’ll help expand GitLab’s presence across the Public Sector in Brazil by building trusted relationships with senior leaders at large organizations and guiding them through complex platform decisions. You’ll use a consultative sales approach to connect customer business needs with our AI-powered DevSecOps platform, helping teams improve developer productivity, reduce security and compliance risk, and move software delivery forward with more confidence. In this role, you’ll support strategic accounts across the full customer journey, from early conversations through ado