Claims Advocate Jobs

Become a part of our caring community The Market Finance Lead is a key member of the Gulf South Region’s finance team responsible for connecting market financial performance with operational effectiveness. This role will partner closely with Corporate Finance, Network Performance, Network Contracting, and regional Health Services teams. This individual will manage a team covering a diverse set of responsibilities around Medicare Advantage financial business operations with a heavy focus on value-based providers. This role reports to the Market Finance Director. This role analyzes financial results, claims experience, utilization trends, contract performance, membership, and provider performance data to identify opportunities, influence business decisions, and support market growth and operational improvement. The Market Finance Lead will partner closely with regional leadership, actuarial, corporate finance, clinical, risk adjustment, market operations, network performance, network contracting, sales/MarketPoint, and value-based care providers. This individual will translate complex financial and operational data into meaningful insights, recommendations, and action plans that improve performance across the market. As the Market Finance Lead, you will: Manage a team to review value-based providers’ financial performance, membership, cost and utilization trends, contractual results, and opportunities for improvement. Lead the financial portion of provider engagement prep sessions prior to joint operating committee meetings to advise the Network Performance team on contract performance and opportunities for improvement. Lead analysis and reporting related to value-based provider and contract performance, including financial results, utilization, claims experience, membership, and operational trends. Leverage data analytics, business ins

Management Consultant – Commercial & Specialty Insurance Location: London (Hybrid) | Practice Area : Insurance | Type: Permanent Deliver strategic and technology-enabled transformation across Commercial & Specialty Insurance. The Role Capco is seeking a Management Consultant with strong Commercial and Specialty Insurance expertise to join our growing Insurance practice. This role combines business analysis, operating model design, and delivery leadership across complex transformation programmes. You will partner with leading insurers across Property, Liability, Marine, Energy, and other Specialty lines to modernise underwriting and claims processes, support post-M&A integration, and drive digital platform transformation. From shaping client strategy through to implementation and benefits realisation, you will play a central role in delivering meaningful change across the commercial insurance value chain. What You’ll Do Lead and support transformation initiatives across Commercial & Specialty Insurance, from discovery through to implementation Conduct current state assessments and design target operating models across underwriting, claims, and policy administration Define and document business and functional requirements, translating strategy into structured delivery artefacts Manage workstreams, stakeholder engagement, governance, and implementation support including testing and UAT Identify opportunities for digital enablement, platform optimisation, and operational efficiency improvements What We’re Looking For Strong experience within Commercial or Specialty Insurance, including London Market or broader corporate insurance environments Knowledge of Specialty lines such as Property, Liability, Marine, or Energy Demonstrable experience delivering business-led or technology-enabled transformation programmes Ability to bridge business and technology stakeholders within complex regulatory environments Strong communication, facilitation, and structured

Become a part of our caring community The Actuarial Analyst 2, Analytics/Forecasting supports value-based initiatives within the HealthCare Economics team, partnering across actuarial, finance, analytics, and business teams to develop actionable financial insights and forecasting solutions. This role will play a key part in the design and development of a holistic modeling solution, building new methodologies and frameworks from the ground up to support performance measurement, financial reconciliation, and strategic decision-making across multiple value-based care programs. You work assignments are varied and frequently require interpretation of complex business issues, independent judgment, and the ability to recommend and execute appropriate courses of action with limited guidance. The Actuarial Analyst 2, Analytics/Forecasting will be responsible for analyzing and forecasting claims and revenue trends, developing innovative forecasting methodologies, and translating complex business requirements into scalable analytical solutions. This individual must be able to independently evaluate data, identify gaps, propose holistic approaches, and develop end-to-end solutions that integrate financial, operational, and claims-based insights. Responsibilities include designing forecasting methodologies, establishing reporting metrics, validating model results, and supporting the evolution of value-based care analytics. You will understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. You will make decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Use your skills to make an impact Required Qualifications Bachelor's Degree Successful completion of

Senior Manager, Logistics Security Description - At HP, we create technology that helps people and businesses bring their ideas to life. Our global supply chain plays a vital role in that mission, moving high-value products safely and reliably to customers around the world. We are looking for a collaborative and solutions-oriented Senior Manager, Logistics Security to help protect our logistics network, strengthen transportation risk programs, and lead efforts that reduce loss, improve carrier performance, and support a secure customer experience. Core responsibilities Own logistics security strategy for HP's transportation network. Manage loss, theft, damage, shortage and mis-delivery incidents across carriers, warehouses and distribution partners. Lead transportation claims management, including investigation, documentation, recovery and settlement. Manage relationships with major LSPs, carriers, freight forwarders and 3PLs. Investigate high-value shipment incidents and identify root causes. Develop controls to prevent cargo theft, fraud, unauthorized access and product diversion. Establish security standards for transportation lanes, warehouses and high-risk locations. Track claims and losses using KPIs such as: Claim $ / shipment Loss rate Damage rate Theft incidents Recovery % Claim cycle time Carrier performance Partner with Supply Chain, Logistics, Finance, Legal, Compliance, Security and Insurance teams. Lead corrective/preventive actions with logistics service providers. Review carrier contracts and ensure appropriate liability and insurance coverage. Establish escalation processes for major incidents. Conduct risk assessments of logistics providers and distribution locations. Use dat

Build something people love Wealthsimple is Canada’s leading financial innovator. The company offers a full suite of simple, sophisticated financial products across managed investing, do-it-yourself trading, cryptocurrency, tax filing, spending and saving. Wealthsimple currently serves more than 4 million Canadians and holds over $155 billion in assets under administration. The company was founded in 2014 by a team of financial experts and technology entrepreneurs, and is headquartered in Toronto, Canada. We're proud of what we've built — and we're just getting started. Read our Culture Manual and learn more about how we work . At Wealthsimple, we take our clients' security seriously. The Fraud Investigations team is the front line of defense within our Security & Risk group. We are looking for a sharp, detail-obsessed Fraud Investigator to specialize in Card Fraud and Disputes. You will be the detective protecting our clients' everyday spending, navigating complex card network rules, and ensuring our platform remains a safe place to build and spend wealth. This is a 9-month initial engagement with the possibility of extensions and conversions based on performance and business needs. What you will do: Investigate & Resolve: Dive into the weeds of card disputes and unauthorized transaction claims. You will evaluate transaction data, authentication methods (like 3DS, Apple Pay, or Chip & PIN), and digital footprints to confidently distinguish true fraud from friendly fraud or commercial disputes. Execute Chargebacks: Take decisive action to recover funds by navigating Visa/Mastercard dispute rules, filing accurate chargebacks, and understanding exactly when and how liability shifts apply. Guide the Client: Communicate directly with clients who are stressed about missing money. You will guide them through the dispute lifecycle, manage expectations regarding strict card network timelines, and provide updates with absolute empathy and clarity. Manage the Queu

About Us InStride Health’s mission is to deliver specialty anxiety and OCD care that works for every kid, teen, young adult, and family who needs it. Through this mission, we are expanding access to insurance-based care, increasing engagement in treatment, and improving treatment outcomes. We are doing this by combining research-backed clinical care and innovative technology to eliminate the major problems with care today: difficulty finding providers, months of waiting to be seen, arduous onboarding processes, and inconsistent use of evidence-based therapies and outcomes tracking. Our vision is to become the nation’s most trusted provider of pediatric anxiety and OCD care. Team InStride Health: Our Core Values Give Heart : We lead with heart, treating patients and their families the way we want our loved ones to be treated. Work Smart : We find smarter ways to solve hard problems and fix the broken mental health system by leveraging technology, diversity of thought, and innovation. Have Humility : We leave our egos at the door, empowering our team to collaborate, celebrate diversity, and adopt a growth mindset. Embrace Community: We all belong. We are in this together, and we never worry alone. We believe in each other and recognize that every voice matters. About the Role We are seeking a Billing Coordinator to support front-end and back-end billing operations across our fully virtual care delivery model. This role plays an important part in supporting a seamless and compliant revenue cycle by helping ensure services are accurately documented, charges are entered on time, and insurance claims are submitted, tracked, and resolved efficiently. The Billing Coordinator will support key billing activities including charge entry, claims submission and follow-up, denial resolution, patient billing, and accounts receivable monitoring. With guidance and partnership from senior team members, this role will assist in identifying patterns related to billing errors and d

The Client Services Associate is a developing professional role, fully responsible for servicing and supporting internal and/or external clients primarily through inbound and outbound phone calls and adhering to Know-Your-Customer (KYC) and Anti-Money Laundering (AML) procedures for Citi’s Investment and/or Banking clients. The ideal candidate possesses knowledge of the financial industry, with the ability to identify channel and account solutions that best meet the needs of the client, which may include digital platforms, centralized team-based advice, or in-market, dedicated advice. Responsibilities: Fully accountable for servicing and supporting Citi’s Investment and/or Banking clients. Able to clearly articulate business value proposition, matching clients with the correct set of products and services. Responsibly and professionally engage with clients to facilitate the transition of individuals whose needs are better aligned with digital solutions. Confidently articulate the value proposition for Citigold and Citi Private Client and digital programs available. Directly responsible for providing timely responses to client service requests, received via telephone or email. Provides exceptional support and issue resolution– all client issues will be owned end to end by the associate and will be treated with a closed loop process. Ensures customer claims and complaints are handled in accordance with FINRA and firm policy. Refer opportunities to segment partners where appropriate (including, but not limited to Senior Wealth Advisor, Small Business Partners, Home Lending Officer, Digital Wealth Solutions, etc.) Manage client follow-up and adhere to all Regulatory and Compliance operating procedures Ensure that KYC/AML and other compliance norms are strictly adhered to Appropriately assess risk when business decisions are made, dem

Customer Operations Intern Description - Before applying please note that, to be eligible for this position, you must be currently enrolled at a university in Spain , remain enrolled until the end of the internship, and be eligible to sign an internship agreement with your university. You must also be available to start the internship in February 2027 and continue participating in the program until June–July 2027 . The Customer Operations Intern works within a European, multicultural and fast-moving business environment, supporting HP Customers and Sales Teams within the area of Order Fulfillment. The intern is part of a central Order Management team and gains practical experience across different Customer Operations processes while supporting day-to-day operational activities. Responsibilities Backlog Support & Order Management Supports the management of customer and partner order backlogs under the guidance of experienced team members. Monitors backlog management tools (e.g., E2E Tool, FOM, or other HP tools) and assists in identifying orders at risk of missing service level agreements (SLAs). Supports backlog analysis and helps prepare reports for customers and account teams. Assists with claims, exceptions, and special customer requests following established processes and procedures. Supports the coordinati

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. We are seeking a Senior Manager, Medical Economics (IC) to provide technical and analytic leadership in support of a newly created team. We’re building something new—and this role is at the center of it. As a Senior Manager, Medical Economics , you’ll play a critical role in shaping Aetna’s newly established Finance Data Governance function. You’ll provide hands‑on technical and analytical leadership that helps modernize our finance data ecosystem and unlock high‑impact analytics, reporting, and performance measurement across the organization. This is a highly visible individual contributor role for a data‑savvy leader who thrives at the intersection of healthcare data, finance, and strategy—and who can translate complex data assets into meaningful business outcomes. What You’ll Own Support the execution of data governance activities as they relate to the Aetna Data Lakehouse assets on Google Cloud Platform. Activities will include domain ownership of Aetna claims data, data quality initiatives and best practices as well as managing the communication strategy out to our Finance colleagues. Assist the Data Governance Lead in aligning finance priorities and investments to Governance activities, communicating on how the Data Governance model aligns with our data strategy and enables the realization of new opportunities.</li

Job Title Senior Clinical Product Marketing Manager Job Description The Senior Clinical Product Marketing Manager represents the voice of the clinical end user throughout the product lifecycle, ensuring clinical validity, workflow relevance, and evidence-based decision-making across product development and post-market activities. This role leverages deep frontline clinical expertise to translate real-world clinical workflows into product requirements, validation strategies, and evidence-generation activities that strengthen the clinical value and market adoption of Philips' healthcare solutions. Working closely with Product Management, R&D, Program Management, and Medical Affairs, the role ensures Philips innovations address meaningful clinical needs and deliver measurable impact for clinicians, healthcare organizations, and patients. Your role: Serve as the clinical voice of the customer, translating frontline clinical workflows and user needs across interventional and longitudinal care settings into clear product requirements, use cases, and clinical acceptance criteria. Lead clinical validation activities for new features and solutions, ensuring they perform as intended within real-world clinical environments and support meaningful clinical outcomes. Analyze clinical department operations and procedural workflows across radiology and cardiology settings to identify opportunities for workflow optimization, efficiency improvements, and enhanced user experience. Partner with Product Managers, Technical Leaders, PDLM Project Managers, and Medical Officers to influence product strategy and ensure clinical needs are reflected throughout the development lifecycle. Provide clinical expertise and evidence to support product positioning, clinical claims development, post-market activities, and field performance moni

Job Title Strategist - Sleep & Respiratory Care (S&RC) Job Description Strategist - Sleep & Respiratory Care (S&RC), will drive strategic growth across the Sleep & Respiratory Care portfolio by identifying new market opportunities, shaping business strategies, and bringing innovative solutions to market. Your role: Market opportunity assessment Identify and develop growth opportunities across sleep and respiratory care segments, including new business models, market adjacencies, monetization strategies, and portfolio expansion opportunities. Analyzes market trends, competition, and segment technologies at an enterprise level to ensure the portfolio meets market needs and expectations, while developing and maintaining customer segmentation requirements based on global market insights and supported by Market Intelligence. Cross-segment growth initiatives and commercial strategy Lead cross-segment growth initiatives and commercial strategy, aligning portfolio plans with business objectives and market opportunities. Own the end-to-end product lifecycle, including roadmap development, business cases, value propositions , launch readiness, and commercial success, ensuring financial viability and on-time delivery. Develop and execute product and claims strategies by leveraging market insights, competitive intelligence, regulatory requirements, customer needs, and KOL partnerships. Drive new product development and launches in collaboration with Innovation, R&D, Manufacturing, Marketing, Sales, and external partners, ensuring strong market adoption and differentiation. Accountable for business case realization, commercial performance, technical simplicity, and development of clinical, economic, and technical claims roadmaps. Support regional ma

At Carbon, our mission goes beyond 3D printing. We are enabling creators everywhere to make what the world needs, right now. Our company is built on the idea that diverse fields of study must come together to solve intractable problems. We have grand ambitions to create technology that will influence industry around the world. You will be joining a diverse team with a vibrant culture, where team success is as important as celebrating individual contributions. Help us change the world and we will help you change yours. The Commercial Counsel will report to the Deputy General Counsel and serve as a Legal partner to the Company’s global sales team. The role drafts and negotiates complex sales agreements and helps close deals quickly while maintaining compliance with the law and protecting the Company’s intellectual property. It also supports vendor, consulting, resin supply, and joint development agreements, as well as marketing review, litigation support, and compliance. Primary Duties and Responsibilities Draft and negotiate complex sales agreements covering hardware, software, subscriptions, services, and materials. Build sales templates and negotiation playbooks and find solutions for automating the sales process. Draft and negotiate vendor, consulting, resin supply, and joint development agreements. Protect the Company’s patents, trade secrets, and proprietary technology in all commercial agreements. Support international operations by spotting risks early and working across teams on practical solutions. Review marketing materials and press releases, including claims substantiation. Assist with litigation support. Implement and improve compliance policies and training. Provide general legal support and handle special projects as assigned. Required Qualifications, Preferred Qualifications, and Minimum Certifications 5+ years of relevant legal experience with complex commercial transactions, preferably including at least 2 years of in-house

Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Community You Will Join: The CRM Engineering team builds world-class tools that drive growth and foster meaningful relationships between Airbnb and its community, including Hosts, Guests, Law Enforcement, Government Regulators, Local Community Leaders, and more. This team tackles some of the most challenging and unique problems faced by our business. Here are a few examples: Growth Platform: Designed to increase supply and retain existing hosts. Policy Platform: Enables Airbnb to engage with regulatory bodies across the globe regarding short-term rental regulations. This platform tracks regulations that impact the Airbnb business and provides intelligence to address unique business challenges. Community Platform: Establishes a social platform to drive community enablement, collaboration, and success. Agent Tools: Empowers agents to understand and resolve issues that customers are unable to address on their own. Aircover Claims Platform: Facilitates the processing of claims for Aircover insurance products, offering protection to both hosts and guests. The Difference You Will Make: As an Engineering Manager, you will lead and grow a high-performing team of engineers, fostering a culture of technical excellence, innovation, and craftsmanship while building scalable, reliable, and impactful systems that drive Airbnb’s growth. Our team is building an AI-driven growth platform to power Airbnb’s supply expansion by leveraging AI-driven intelligence to generate sales insights, address diverse supply needs, empower existing hosts to succeed, and attract high-quality hosts to the platform. You will partner clos

Toradex is a global company strongly focused on engineering & technology. We’re powered by a diverse & uniquely gifted workforce. We pursue the best people to propel our innovative vision of embedded computing and IoT. If you’re interested in being a driving force at an agile technology company, engineering clever computing solutions & helping other companies bring their products to life, we should talk. Position Summary The Accounting Assistant / Customer Service Representative will support Toradex's Sales and Finance operations by managing customer orders, invoicing, accounting activities, customer communication, and administrative coordination. The role requires strong attention to detail, good organizational skills, customer focus, and the ability to work independently and effectively with internal and external stakeholders. Key Responsibilities Sales & Customer Service Tasks Receive, review, and process customer Purchase Orders (POs) and sales orders. Handle order entry, invoicing, Proforma Invoices, and pre-payment requests. Coordinate with customers and Sales teams on orders, quotations, delivery status, and related queries. Maintain accurate customer records in D365 and other relevant systems. Provide timely and professional customer support. Support Sales with order administration and coordination. Monthly Physical Inventory Count. Inventory Management : Placing of intercompany orders based on incoming customer purchase orders. Accounting & Finance Tasks Process vendor invoices and vendor payments. Generate customer invoices and record customer receipts. Monitor outstanding receivables and support payment follow-up. Record bank transactions and perform bank reconciliations. Post journal entries and maintain accounting records. Review and process employee expense claims and reimbursements. Assist with month-end closing, reconciliations, accruals, prepayments, and stock count. Other Operational Tasks Prepare E-Invoices and E-Way Bills. Sup

Work Flexibility: Remote Staff Regulatory Affairs Specialist, Mako and Enabling Technologies (Remote) Join Stryker’s Ortho Tech Business and support a portfolio that spans robotics, navigation, imaging, software, and capital equipment technologies. In this role, you will provide regulatory leadership throughout the product lifecycle, partnering with cross-functional teams to support global product development, regulatory submissions, market access, and ongoing regulatory compliance across U.S. and international markets. Work Flexibility: This is a remote position, with a preference for candidates located in the U.S. Eastern Time Zone What You Will Do Develop and execute global regulatory strategies for new products, product changes, and lifecycle management activities. Participate in product development teams to ensure U.S., European, and international regulatory requirements are incorporated throughout all development phases. Evaluate product classifications, regulatory pathways, and jurisdictional requirements for medical devices and related technologies. Author and submit regulatory filings, including FDA submissions, international registrations, and supporting documentation required for product approvals. Review quality, preclinical, and clinical documentation to ensure submission readiness and regulatory compliance. Partner with global regulatory affiliates to support registrations, market expansions, and post-market regulatory activities. Lead interactions with regulatory authorities and notified bodies, including preparation of responses, submissions, and agency communications. Review product labeling, marketing materials, and product claims for compliance with applicable regulatory requirements and mentor junior regulatory team members on regulatory