About the Team Governance, Risk, and Compliance (GRC) is foundational to Security delivering mission outcomes at OpenAI. The GRC team provides security assurances and builds compliance for OpenAI’s technology, people, and products. We are technical in what we build but operational in how we do our work, and we partner deeply with Product, Security, Legal, Privacy, GTM, and Field Security to help OpenAI move quickly while maintaining trust with customers, auditors, regulators, and the public. About the Role We are looking for an experienced Product Lifecycle Assurance IC to help scale OpenAI’s GRC function across our product stack to ensure products address customer and regulatory compliance requirements at launch and regressions are detected promptly and corrected. You will partner closely with Product, Security, Legal, and Privacy teams to make sure OpenAI can move quickly while maintaining our security, privacy and compliance claims and giving customers, auditors, and regulators assurance about how OpenAI handles user data. You are responsible for product assurance end-to-end from inception to post-launch (continuous) monitoring. You leverage existing workflows, reviews, and data and enhance, augment and build the components needed to create an end-to-end product assurance program. This role is not about supporting SOC or ISO audits; it's a highly cross-functional and deeply technical operations role to ensure that OAI products meet the compliance bar at launch, regressions are prevented and detected, and our compliance state can be evidenced. This role also helps ensure that our product launch governance program operates effectively across key safety, privacy, legal and security stakeholders and lessons-learned from incidents and regressions are used to improve the program. You or in partnership with engineering teams, build key controls in our infrastructure stack, developer workflows and launch tooling to provide developers with guardrails, perform CI/CD confor
Jobs in United States
Claims Auditor in United States
15 active opportunities · Updated September 2026
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15 jobs
Explore current claims auditor jobs across United States. Filter by work mode, employment type, experience, department, date posted and distance.
From $86.4K/yr
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 Senior Internal Auditor reporting to the Senior Manager, Technology Internal Audit, you’ll help GitLab assess risk and strengthen controls across a technology landscape that includes multi-cloud infrastructure, artificial intelligence and machine learning systems, and modern development practices. This USA-based role supports our Sarbanes-Oxley Act (SOX) program while partnering with Engineering, IT Operations, Security, and business teams to build controls that work in practice, not just on paper. You’ll execute technology audits, turn findings into practical improvements, and use data analytics, au
From $1.2M/yr
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 AirCover team is charged with ideating, building, launching, and managing the AirCover business inside of Airbnb. We have a huge responsibility to our community of Hosts and guests to be there when things don’t go exactly as planned with their reservations. We have a lot of work to do in the coming years and we are looking for someone who will help us manage all of the things that need to be done to deliver best-in-class services to our community. The Difference You Will Make: As a Complex Claims Manager in the Complex Claims, you will play a vital role in safeguarding the integrity of our Aircover platform by effectively identifying, investigating, and managing the risk and mitigation strategies in resolution of Complex and Large Loss claims. You'll manage partners to influence prioritization, drive accountability, deliver improvements, and scale changes on claims which impact Airbnb. You'll work with internal and external partners to influence prioritization, drive accountability, and deliver improvements. You will work closely with cross-functional teams to manage emerging risks / threats while enabling business growth in various markets. Philosophy will be to identify intelligence / risk gaps and work with other internal risk management teams (such as Trust team, and Safety team), third party adjusters, our partners, Platform Product Management, Global Crisis Management, Community support, Policy, Privacy Legal teams to strengthen Airbnb’s platform. You will be reporting at Monthly, Quarterly and Annual Business Reviews for your area. Yo
Front Line Manager - Insurance - P&C Claims 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: ·
From $156K/yr
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 AirCover team is charged with managing and growing the AirCover business inside of Airbnb. We have a responsibility to our community of Hosts and guests to be there when things don’t go exactly as planned with their reservations. We have a lot of work to do in the coming years and we are looking for someone who will help us manage all of the things that need to be done to deliver best-in-class services to our community. The Difference You Will Make: As a Vendor Manager focused on operational vendor support, you will own the end-to-end management and performance of a portfolio of third-party partners that deliver critical operational services (e.g., third-party claims adjusting). Applying deep expertise in vendor management, SLA frameworks, and operational risk, you will exercise independent judgment across multiple sources of data to structure trade-off decisions, resolve complex and ambiguous problems, and hold vendors accountable to service, delivery, and cost outcomes for guests and hosts. You will operate with minimal oversight, act as a trusted advisor and resource to less experienced colleagues and internal stakeholders, and may lead vendor management projects or programs that shape how the broader function operates. A Typical Day: Own the day-to-day management and performance oversight of an assigned portfolio of vendors within established team strategy and governance. Lead daily/weekly performance forums, synthesizing multiple sources of operational and financial data to diagnose root causes, structure trade-off decisions, and drive action plannin
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 Senior Manager, Project Management is responsible for leading and overseeing Coordination of Benefits projects and operational initiatives that improve payment accuracy, reduce overpayments, enhance compliance, and drive process efficiency across the organization. This role manages a portfolio of complex, cross-functional projects and collaborates with stakeholders across Claims, Enrollment, Provider Services, Operations, Technology, Analytics, and Vendor Management to ensure successful delivery of strategic business objectives. The Senior Manager is accountable for defining project scope, objectives, timelines, resource requirements, and success measures while ensuring initiatives are delivered on time, within budget, and aligned with organizational goals. This role leverages data analytics and business intelligence to identify trends, assess risks, develop solutions, and implement process improvements that enhance operational performance and the provider and member experience. In addition to project leadership, the Senior Manager directly manages staff, providing day-to-day leadership, coaching, performance management, and professional development. Responsibilities include establishing team priorities, allocating resources, managing workload distribution, fostering collaboration, and creating a culture of accountability, innovation, and continuous improvement. The role
The Ops Sup Lead Analyst is a senior-level operations professional responsible for managing transaction exception processing, including payment network claims, adjustments, disputes, settlement exceptions, and reconciliation activities for internal Citi business partners. The role is accountable for ensuring the accurate and timely resolution of operational exceptions, maintaining a strong control environment, and overseeing third-party vendors that support these functions. This individual serves as the primary liaison between Operations, Business, Technology, Risk & Control partners, payment networks, and external vendors to ensure operational issues are resolved effectively, controls are maintained, and processes continue to evolve to support business growth and regulatory expectations. The successful candidate will act as a subject matter expert in payment network operations, transaction routing, settlements, reconciliations, and exception management. Responsibilities Lead the end-to-end management and resolution of transaction exceptions, including payment network claims, adjustments, disputes, settlement discrepancies, and other operational exceptions. Oversee settlement and reconciliation processes to ensure the timely identification, investigation, and resolution of breaks, variances, and outstanding items. Monitor operational performance and service level adherence, ensuring all activities are completed accurately, timely, and in compliance with applicable policies and procedures. Serve as the primary operational liaison with internal Citi business partners, Technology, Risk & Control, Compliance, Finance, payment networks, and third-party vendors. Manage vendor relationships supporting claims, adjustments, settlement, and reconciliation functions, including performance monitoring, issue escalation, service delivery oversight, and process improvements. Act as the b
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. A Brief Overview Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims. Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution. Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims.</sp
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. A Brief Overview Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims. Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution. Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims.</sp
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. Job Description Summary The Application Developer is responsible for designing, building, and maintaining automation solutions that support claims processing workflows within the Rocket Automation platform. This role partners closely with business, governance, and operations teams to translate defined requirements into scalable, reliable automation capabilities. The Developer serves as a technical expert, ensuring solutions are built to enterprise standards and operate efficiently in production, while supporting continuous improvement of automation performance and stability. Key Responsibilities Design, develop, and enhance automation solutions based on clearly defined business requirements and processing rules Translate functional requirements into technical logic, ensuring accuracy and scalability of automation workflows Perform unit testing, system testing, and validation of automation solutions prior to deployment Support production deployments, including release readiness, implementation, and post-production monitoring Troubleshoot and resolve defects, errors, and performance issues in production automation processes Maintain and enhance existing automation solutions to improve efficiency, accuracy, and throughput Monitor automation performance and system health, identifying opportunities for optimization and i
Be at the forefront of innovation with NVIDIA! Our CUDA Libraries & Frameworks Product Marketing Manager role offers an outstanding opportunity to build the future of accelerated computing. This is your chance to join an elite team in Santa Clara, where your contributions will have a lasting impact on technology and society! We are looking for a technical, AI-first CUDA Product Marketing Manager. This is a hands-on PMM role for someone who uses AI coding agents and automation as part of daily execution, not as an occasional productivity aid. Come help craft the story for CUDA, core NVIDIA acceleration libraries like cuDNN, NCCL, NIXL, and AI frameworks like PyTorch, JAX, vLLM, and SGLang. What you'll be doing: Own positioning and messaging for CUDA as a developer platform, including the CUDA programming model, compilers, and core libraries. Make technical capabilities clear, credible, and useful for developers and technical decision-makers. Translate technical features for core libraries such as cuDNN, NCCL, CUTLASS, and TensorRT-LLM into data-driven developer narratives, release messages, proof points, ecosystem informed claims, and field-ready assets. Describe how NVIDIA speeds up AI frameworks and runtimes such as PyTorch, JAX, vLLM, and SGLang, linking low-level platform features to benefits for developers. Use AI coding agents daily to build PMM operating systems: competitive-intelligence agents, automated research pipelines, content auditing, reporting, and partner mapping. Turn documentation, performance benchmarks, GitHub issues, customer signals, and roadmap updates, into messaging assets. Lead go-to-market execution for CUDA launches and core library releases. What we need to see: Bachelor's degree in Computer Science or relevant field (or equivalent experience).
$116.2K – $182.4K/yr
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
Replit is the agentic software creation platform that enables anyone to build applications using natural language. With millions of users worldwide, Replit is democratizing software development by removing traditional barriers to application creation. Role Summary Replit is the agentic software creation platform that enables anyone to build applications using natural language. With millions of users worldwide, Replit is democratizing software development by removing traditional barriers to application creation. As a Disputes and Chargeback Program Manager at Replit, you’ll be part of our Trust and Safety Operations team, who owns customer-facing workflows that handle sensitive and policy-driven interactions across the Support organization. This includes areas such as privacy requests, DMCA and intellectual property claims, law enforcement requests, and abuse appeals. You'll own Replit's disputes and chargeback function end-to-end: from the individual case in front of you to the policies, playbooks, and automation that let it hold up as we scale to millions of users. This role combines strategic ownership with hands-on execution: you'll determine dispute and chargeback strategy, and build the systems that make those decisions repeatable at scale, working closely with Engineering, Legal and Finance. In this role you will… Own the full dispute lifecycle: investigate incoming chargebacks and disputes, decide whether and how to represent, gather evidence, and respond within network deadlines. Design and maintain the policies, decision trees, and SOPs that govern how disputes and chargebacks are handled. Define the key metrics, health targets, and goals for the disputes program and track performance against them, reporting to leadership. Monitor chargeback rates and dispute trends to identify the underlying drivers of volume, and partner with Engineering and Finance to address root causes. Partner with Engineering and Support Operations to automate manual parts of the wor
From $220K/yr
About the role: Datadog is building a product-led Competitive Intelligence function to help inform product strategy, roadmap prioritization, positioning, and competitive readiness. As the Head of Competitive Intelligence you will build and lead the CompIntel function across priority competitors and adjacent market opportunities. You will translate competitor product evolution, technical capabilities, launches, pricing value, customer sentiment, analyst narratives, and ecosystem shifts into actionable insights for Product, GTM, Sales Engineering, Customer Success, Technical Advocacy, and leadership. In this highly technical, hands-on leadership role, you should understand how observability products are implemented, where workflows differ, what technical claims are credible, and how product gaps translate into customer impact. What You'll Do: Own the recurring competitive radar for Datadog’s priority competitor set, including taxonomy, source standards, evidence quality, and update cadence. Produce competitive deep dives, feature-gap analyses, early-warning briefs, and opportunity assessments tied to specific product domains and leadership questions. Translate CompIntel findings into roadmap recommendations, product differentiation hypotheses, and Product-facing decision guidance. Build and maintain a central CompIntel repository with competitor profiles, source notes, comparison frameworks, evidence logs, and decision-ready briefs. Convert validated findings into GTM-ready handoffs for battlecards, objection handling, strategic deal narratives, and field enablement. Synthesize signals from Product, Engineering, Sales Engineering, Customer Success, field teams, technical communities, Advocacy programs, win/loss, customer feedback, analyst research, public competitor materials, and CABs. Partner with Product Management to frame competitive questions, identify decision criteria, and connect findings to roadmap and prioritization discussions. Partner with Tec
From $168K/yr
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 Community Support org handles tens of millions of interactions yearly, engaging with Airbnb customers by phone, messaging, chat, or social media channels. The group handles hundreds of issues across categories including Cancellations, Account Issues, Refunds, Payments, Reservations, Extenuating Circumstances, Booking & Listing issues, Safety & Claims. The organization is globally distributed with offices in San Francisco, Dublin, Montreal, Seattle, Singapore, Manila, Gurgaon and an extensive partner network serving all regions. The Difference You Will Make: We are looking for a seasoned Forecasting and Demand Planning Analyst on our Community Support (CS) team. This individual is responsible for demand forecasting and long-term planning across multi-channel contact center operations for our Global Operations team. This role ensures the organization has the right resources, at the right time, with the right skills to meet service level objectives while optimizing cost and productivity. The role combines planning, advanced analytics and business partnership to drive scalable, data-driven workforce decisions in a complex, fast-changing environment. A Typical Day: Demand Forecasting & Statistical Modeling Own short-term, mid-term, and long-term demand forecasting across all Global Operations teams and channels (phone, messaging, email, back-office etc.). Design, develop, and maintain statistically robust demand forecasting models using time series and machine learning techniques (e.g., exponential smoothing, ARIMA, regression-based models etc.). Perform trend
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