Claims Advocate Jobs

Job Title Service Network & Technical Operations Manager Job Description Job title: Service Network & Technical Operations Manager Your role: • Consumer Care & Service Network Management: Manage and strengthen the consumer care and authorized service network to ensure high-quality and timely service support. New Product Introduction (NPI) Training: Plan and conduct technical training for service centre teams on new product launches, product features, repair procedures, and troubleshooting. Spare Parts Management: Ensure availability and proper management of spare parts across service centres, including forecasting, inventory monitoring, and resolution of critical shortages. Safety Case Management: Identify, monitor, investigate, and coordinate closure of product/service-related safety cases in accordance with company safety standards and escalation procedures. Technical Product Knowledge: Develop and maintain strong technical knowledge of products, including functionality, installation, troubleshooting, repair, and common failure modes. Service Centre Claim Management: Manage service centre claims related to warranty repairs, spare parts, labour, and other service activities. Ensure claims are accurately validated, processed, and resolved within defined timelines. Service Quality Improvement: Monitor service performance and identify recurring technical issues, driving corrective and preventive actions with relevant teams. Cross-functional Coordination: Coordinate with Product Development, Quality, Supply Chain, Sales, and Customer Care teams to resolve technical and service-related issues. Performance Monitoring: Track key service network KPIs such as turnaround time, first-time fix rate, repeat complaints, claim closure

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

About the Team OpenAI’s mission is to ensure that artificial general intelligence benefits all of humanity. Our Communications team supports that mission by explaining our technology, our values, and how we safely build powerful AI. We help business leaders see what AI can make possible for their organizations, show how customers use OpenAI’s products, and explain how AI is changing the way people work. About the Role We are looking for a senior product communications leader to own OpenAI’s B2B product story across business, trade, and nontraditional media. You will lead B2B communications for major product and platform moments, translate technical capabilities into clear business value, and build a sustained editorial program grounded in customer proof. Your work will help business leaders understand the problems our products solve and the outcomes they can enable using frontier intelligence. This is an exceptionally fast-paced, hands-on role that spans every altitude of communications. You will move from setting strategic positioning and shaping executive narratives to writing launch materials, developing media pitches, and delivering the details that make a story land. Working closely with Product, Research, Marketing, Sales, and our central Product Communications team, you will identify buyer needs, substantiate our claims, and carry a clear, consistent B2B story into the market. This role reports to the Head of Business Communications. In this role, you will: Set the positioning for OpenAI’s business products, connecting new capabilities to customer needs, the work they enable, and the evidence behind our claims. Lead business storytelling for priority launches across Codex, ChatGPT Work, API and developer capabilities, agents, and other enterprise products, in partnership with central Product Communications and product owners. Build a sustained editorial program between launches, using customer stories, explainers, and executive perspectives to show how our pr

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

About the role Chime’s Legal team is seeking a senior litigation paralegal to support the company’s litigation, regulatory, and employment matters. In this role, you will help manage a diverse portfolio that includes consumer litigation and arbitration, class actions, commercial disputes, regulatory inquiries and investigations, and employment matters. You will coordinate key matter workflows, manage legal records and data, support discovery and regulatory responses, and help attorneys and cross-functional partners drive matters toward resolution. You will also play an important role in advancing the team’s use of data, analytics, AI-enabled technologies, and other emerging tools. This includes developing reporting and dashboards, identifying trends across the team’s portfolio, and designing AI agents and workflows that make legal processes more efficient and scalable. Our ideal candidate is a highly organized, proactive, and technologically adept paralegal who combines strong litigation experience with analytical skills and intellectual curiosity. This is an opportunity to work on cutting-edge fintech matters at an industry-leading company while helping build the systems and processes of a modern legal function. In this role, you can expect to Provide senior-level paralegal support across consumer litigation and arbitration, class actions, commercial disputes, regulatory inquiries and investigations, and employment matters. Manage matter workflows, calendars, deadlines, legal holds, discovery, regulatory responses, and other critical litigation and regulatory processes. Maintain accurate matter records and data, coordinate with outside counsel and vendors, and support budgeting, invoice review, and related operational activities. Develop and maintain dashboards and reporting on litigation, legal spending, cycle times, filings, claims, outcomes, and emerging risk trends; analyze portfolio data and translate findings into clear, actionable insights. Design, test, doc

About us Sierra is the leading platform for customer-facing AI agents, working with many of the world's biggest brands — including The GAP, Rocket Mortgage, SoFi, Sutter Health, and SoftBank — to transform how they serve customers and grow their businesses. We are primarily an in-person company based in San Francisco, with growing offices across North America, Europe, and Asia. We are guided by a set of values that are at the core of our actions and define our culture: Trust, Customer Obsession, Craftsmanship, Intensity, and a commitment to balancing Family along the way. These values are the foundation of our work, and we are committed to upholding them in everything we do. Our co-founders are Bret Taylor and Clay Bavor . Bret currently serves as Board Chair of OpenAI. Previously, he was co-CEO of Salesforce (which had acquired the company he founded, Quip) and CTO of Facebook. Bret was also one of Google's earliest product managers and co-creator of Google Maps. Before founding Sierra, Clay spent 18 years at Google, where he most recently led Google Labs. Earlier, he started and led Google’s AR/VR effort, Project Starline, and Google Lens. Before that, Clay led the product and design teams for Google Workspace. What you'll do Coordinate a high volume of phone, onsite, and video conference interviews with speed and efficiency Leverage applicant tracking system (Ashby) to automate tasks and focus on candidate experience Improve efficiency by maintaining data accuracy and gathering metrics to help prepare reports to keep recruiters and hiring managers on target Demonstrate ability to work effectively under pressure and manage multiple tasks simultaneously Manage candidate travel arrangements and process expense claims Meet and greet candidates while they are onsite for interviews Deliver a best-in-class recruiting experience for all candidates Take on projects to impact our workflow and office experiences What you'll bring 2+ years of experience as a Recruiting Coord

About Hark Hark is an artificial intelligence company building advanced, personalized intelligence. One that is proactive, multimodal, and capable of interacting with the world through speech, text, vision, and persistent memory. We're pairing that intelligence with next-generation hardware to create a universal interface between humans and machines. While today's AI largely operates through chat boxes and decade-old devices, Hark is focused on what comes next: agentic systems that interact naturally with people and the real world. To get there, we're developing multimodal models and next-generation AI hardware together - designed from the ground up as a single, unified interface for a new era of intelligent systems. About the Role Hark is seeking a Patent Agent to build the hardware side of our patent portfolio from the ground up. This person will own invention harvesting, drafting, and prosecution across our hardware technologies, and will shape how the company decides what to protect as its products move from architecture to prototype to production. This role sits inside Legal but lives with engineering. You will be in design reviews and prototype reviews, sitting with electrical, mechanical, systems, firmware, and product design engineers, finding the inventions before anyone has thought to write them down. Then you will go draft the applications yourself. A strong portfolio is not measured by the number of patents filed. It requires knowing which technologies will matter most, anticipating how products and competitors will evolve, and obtaining claims that protect the underlying innovation rather than one implementation of it. This is a hands-on opportunity for someone who wants to author that strategy rather than inherit it. Responsibilities Build and execute the patent strategy for Hark's hardware products and platform technologies, including portfolio architecture across core, platform, and product-specific innovations Work directly with electrical, me

At Kailera, we are bold, authentic and committed to our mission of developing therapies that give people the power to transform their lives and elevate their overall health. Rooted in an entrepreneurial spirit and a team-oriented culture, we are working together to advance Kailera’s mission to advance novel therapies for obesity and related conditions. We are passionate about creating an inclusive workplace that promotes collaboration, integrity, and excellence. As we expand, we seek the most talented individuals with diverse backgrounds, cultures, perspectives, and experiences to join our team. What You’ll Do: The Associate Director, Global Regulatory Labeling and Ad Promo will be initially responsible for product labeling and non-promotional strategies to support organizational goals while maintaining regulatory compliance. This Associate Director will work on cross-functional teams, partnering with key internal/external team members. Responsibilities: Lead the development, review, and maintenance of U.S. prescribing information, patient labeling, Medication Guides, Instructions for Use (IFU), primary and secondary (carton) labeling, and promotional labeling Provide regulatory guidance to ensure compliance with regulations on product labeling throughout development, registration, launch, and post-approval lifecycle management Collaborate with clinical, CMC, medical, safety, device engineering, technical operations, and commercial teams to ensure labeling content accurately reflects available data and regulatory requirements Support labeling negotiations with FDA and manage implementation of approved labeling updates Evaluate proposed safety, efficacy, and scientific claims for consistency with approved labeling Serve as a core member of the Medical, Legal, Regulatory (MLR) review process. Collaborate with MLR process owner Ensure compliance with FDA regulations, including: FD&C Act requirements FDA advertising and promotion regulations OPDP guidance and

Who are we? Cohere is the leading security-first enterprise AI company. We build cutting-edge foundation AI models and end-to-end products that are designed to solve real-world business problems. We’re training and deploying frontier models for enterprises who are building AI systems. We believe that our work is instrumental to the widespread adoption of AI and we are looking for folks that want to be part of that. We obsess over what we build. Each one of us is responsible for contributing to increasing the capabilities of our models and the value they drive for our customers. Cohere is a team of researchers, engineers, designers, and more, who are all passionate about their craft. We are a global technology company headquartered in Toronto with key offices in London, New York City, San Francisco, Montreal, Paris, Berlin and Seoul. Join us! About the Role Are you passionate about secure-by-design software engineering? Do you want to be at the forefront of AI innovation and enterprise security? Cohere's North team is seeking a Software Engineer with a focus on security to join our mission and make a significant impact. This isn't a review-and-advise role, you'll own and ship production security features that customers rely on every day. Your Role: As a Senior Software Engineer with a security focus, you'll play a pivotal role in building and securing North's architecture. Your responsibilities will include: Software Development: Contributing to the core development of security features such as OIDC/OAuth flows and session management, ensuring North's AI agents are secure Secure Coding: Writing secure code to handle OIDC tokens, user claims, and sensitive data, adhering to best practices for JWT validation and encryption Authentication and Data Protection: Implementing authentication mechanisms including user login, token management, and authorization checks to maintain data integrity Tool Integration: Pulling in new tools to enhance North's security capabilities Dev

Who We Are At OKX, we believe that the future will be reshaped by crypto, and ultimately contribute to every individual's freedom. OKX is a leading crypto exchange, and the developer of OKX Wallet, giving millions access to crypto trading and decentralized crypto applications (dApps). OKX is also a trusted brand by hundreds of large institutions seeking access to crypto markets. We are safe and reliable, backed by our Proof of Reserves. Across our multiple offices globally, we are united by our core principles: We Before Me , Do the Right Thing , and Get Things Done . These shared values drive our culture, shape our processes, and foster a friendly, rewarding, and diverse environment for every OK-er. About the Opportunity OKX Europe is building a local influencer program from zero to hero: a curated roster of Tier 1-2 crypto, FinTech and finance voices in key European markets who drive sentiment, amplify launches, and share our brand narrative. This is a PR and amplification program, not an affiliate channel. You own the roster build, the content operations that keep it fed, and the 24 hour response system that activates it during a sentiment event. What You’ll Be Doing Map and rank Tier 1 targets per market: top voices from sectors including but not limited to crypto, Fintech, traditional finance, payment and sports, across channels including but not limited to YouTube, X, TikTok, Instagram, podcasts, and Telegram, ranked by verified follower count, excluding anyone already in the Affiliate programme Mine competitor amplifiers: identify who consistently amplifies key competitors, their launches, and track top finance/crypto podcast charts per market Run direct outreach against the mapped list, manage the inbound portal pipeline Acquire and negotiate deals with KOLs. Build and maintain brief templates per campaign type: launch, promo push, always-on education Maintain a localized asset kit per market: visuals, approved claims, risk warning language, disclosur

Hybrid - NYC Only Job Summary The Social Commerce Affiliate Intern will support the Social Commerce team in the day-to-day management and growth of the TikTok Shop affiliate creator community. This role is highly executional and creator-facing, with a focus on community communication, creator messaging, content brief review, product sample seeding, affiliate tracking, and recurring competitive reporting. The intern will help keep a high-volume creator program organized and moving quickly by responding to creator questions, tracking outreach and sample status, reviewing creator briefs and content readiness, and surfacing trends and opportunities from TikTok Shop and the competitive landscape. The ideal candidate is highly organized, detail-oriented, digitally fluent, and comfortable managing multiple priorities in a very fast-paced environment. Principal Accountabilities Affiliate Community Management & Creator Communication Support day-to-day communication with TikTok Shop affiliate creators across community channels, direct messages, email, and other approved communication tools. Respond to routine creator questions, share campaign updates, promotional opportunities, product information, and deadlines, and escalate issues when needed. Help maintain an engaged creator community through consistent communication, follow-ups, recognition, challenges, incentives, and key campaign moments. Maintain accurate creator lists and trackers, including outreach, participation, posting status, performance, and follow-up actions. Creator Brief & Campaign Support Support the preparation, review, and distribution of creator briefs for product launches, promotions, and TikTok Shop campaigns. Review creator-facing messaging and brief materials for accuracy, clarity, brand alignment, product claims, and required campaign details. Track creator deliverables and content status, follow up on open items, and flag blockers or opportunities to the Affiliate and Social Com