Claims Specialist Jobs

Ready to do the most impactful work of your career? At Coinbase , we are uncompromising on our mission to increase economic freedom. The bar is high, the environment is intense, and we like it that way. This isn't a place for complacency, it’s a place to be pushed past your perceived limits. If you're ready to build the future of finance alongside people who refuse to settle for "good enough," you belong here. Coinbase is a remote-first, but not remote-only company. Expect to get together quarterly for intense in-person working sessions called “surges.” learn more about working at Coinbase . As a Senior Counsel, Shareholder Litigation on the Litigation team, you'll manage and drive Coinbase's defense across securities class actions, shareholder derivative suits, and related complex civil litigation. This team sits within Legal - Litigation and handles some of the highest-stakes disputes the company faces, from federal securities claims to corporate governance disputes. You'll serve as the primary in-house point of contact for these proceedings, shaping strategy from pleadings through resolution and advising senior leadership and the board on litigation risk. What you'll do: Own the day-to-day management of securities class actions brought under the Securities Act of 1933 and the Securities Exchange Act of 1934, including pleadings strategy, discovery, motions practice, expert work, and settlement negotiations. Lead the defense of shareholder derivative litigation, including pre-suit demand letters and attendant matters. Partner cross-functionally with corporate and commercial legal teams on a variety of issues including public company filings. Manage and direct outside litigation counsel from case inception through resolution, including pleadings strategy, discovery, motions practice, expert work, and settlement negotiations. Monitor developments in corporate law and other relevant jurisdictions and proactively advise on how emerging case law may affect

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 for a Litigation Paralegal to join our Legal team. Working closely with Lyft’s in-house litigation team, you will be responsible for conducting investigations, working with cross-functional partners, and helping keep Lyft’s legal operations efficient and organized. You should be a self-starter with a positive attitude who takes ownership of projects and works collaboratively with others. Responsibilities: Assist in-house counsel with administrative tasks, pre-litigation and litigation matters, and responding to legal requests Conduct fact investigations related to pre-litigation matters and filed lawsuits, and assist with corresponding document collection Prepare memoranda and summaries of factual research and make recommendations to supervising attorneys Work cross-functionally with partners outside of Legal to gather facts and information and improve processes Liaise with internal and external counsel on a day-to-day basis Organize and maintain a variety of legal files and information Additional responsibilities may include responding to consumer complaints, managing small claims court cases, and handling diverse special projects for in-house attorneys Experience: Bachelor’s degree and 3+ years relevant legal experience -- administrative, legal, operations, project management A JD or Paralegal certificate is not required for this position Strong oral and written communication skills Collaborative, with ability to cultivate cross-functional relationships Exceptionally organized, efficient, detail-oriented, and articulate Ability to receive general direction and run projects independently Ability to operate in a fast-paced, high volume environment Ability to prioritize competing demands and deadlines Generally comfortable utilizing new technology Proficiency working

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 compl

At Snowflake, we are powering the era of the agentic enterprise. To usher in this new era, we seek AI-native thinkers across every function who are energized by the opportunity to reinvent how they work. You don’t just use tools; you possess an innate curiosity, treating AI as a high-trust collaborator that is core to how you solve problems and accelerate your impact. We look for low-ego individuals who thrive in dynamic and fast-moving environments and move with an experimental mindset — who rapidly test emerging capabilities to discover simpler, more powerful ways to deliver results. At Snowflake, your role isn't just to execute a function, but to help redefine the future of how work gets done. Snowflake product marketers develop and execute go-to-market strategies for the most strategic areas of the business. We are looking for a highly technical, driven, and self-motivated Product Marketing Engineer to lead competitive benchmarking for Snowflake’s Analytics portfolio. This role will own the end-to-end benchmarking process, from defining the testing strategy and designing the benchmarking architecture to executing workloads, validating results, and communicating the outcomes. You will partner closely with Product Management and Engineering to evaluate Snowflake products against competitive offerings using rigorous, repeatable, and defensible methodologies. You will translate technical benchmark results into meaningful customer outcomes and compelling market-facing narratives. Your work will appear across Snowflake blogs, partner publications, technical papers, presentations, demos, and videos. You will also closely monitor competitive products, technical claims, and published benchmarks, helping Snowflake respond quickly, credibly, and strategically. The role will support Snowflake’s broader Analytics portfolio, including Interactive Analytics for real-time use cases, Business Intelligence, Semantic Views, Ontologies, context for AI-powered applications, and core

Medical Claim Analyst — TX - Work from home. Apply via Workday.

The Lead – Contract Administration supports the strategic and operational activities of the contract management function across NMDPL’s urban redevelopment and infrastructure projects. This role is responsible for day-to-day contract administration, claim support, risk flagging, and coordination with contractors, consultants, and internal stakeholders. The position ensures timely documentation, assists in dispute resolution processes, and promotes contractual discipline across project sites. Source: Adani Group | Job ID: 58404

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

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

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

The Lead – Contract Administration supports the strategic and operational activities of the contract management function across NMDPL’s urban redevelopment and infrastructure projects. This role is responsible for day-to-day contract administration, claim support, risk flagging, and coordination with contractors, consultants, and internal stakeholders. The position ensures timely documentation, assists in dispute resolution processes, and promotes contractual discipline across project sites. Source: Adani Group | Job ID: 54249

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Supervisor of Service Operations will maintain oversight of a team of claim processors and all claim related functions for Medicaid Claim Operations. We are seeking a highly motivated individual who will establish a clear vision aligned with company values and team goals. The claim Supervisor works with staff to align daily processing activities to successfully meet Health Plan metrics. Responsibilities will include: Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics. Manage employee performance and development. Identifies risks and barriers and collaborates with business partners to improve processes. Coaches and mentors team members, assisting with complex questions and customer interactions. Acts as liaison between staff and other areas, communicating workflow results, ideas, and solutions. Completes various business reports, including tracking, trending and results. Works with the Medicaid leadership team to allocate resources to meet volume and performance standards. Builds a cohesive team through collaboration, inclusion, and diverse thinking. Ability to work in a fast-paced production environment. Required Qualific

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates electronic transfer of eligibility data. Responds, researches, and resolves eligibility and other enrollment related issues involving member specific information; works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes. Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters. Develops tools, and provides coding supplements, tape specifications and error listing to clients/vendors. Acts as the liaison between clients, vendors, and the IT department with defining business requirements associated with non-standard reporting; identifies potential solutions and approves programming specifications required for testing any non-standard arrangements. Ensures all transactions interface accordingly with downstream systems; tests and validates data files for new or existing clients using system tools and tracks results to avoid

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Waste & Error Certified Coding Manager is responsible for leading the Certified Coding Analyst and W&E Team Lead roles that conduct medical claim reviews and coding audits to identify billing errors, waste, abuse, fraud, and payment integrity opportunities. The Manager provides direct people leadership, establishes operational priorities, ensures consistent application of coding and billing requirements, and is accountable for team productivity, quality, service levels, compliance, and employee development. This role partners closely with the W&E team lead, who provides day-to-day technical guidance and subject matter support to the coding team. The Manager retains accountability for staffing, performance management, workload oversight, escalations, audit readiness, process improvement, and delivery of business outcomes. The position also represents the team in discussions with senior leadership, Medical Directors, Legal, Compliance, Analytics, Operations, and other Payment Integrity partners. Primary Responsibilities People Leadership & Team Development Lead, coach, and develop a team of Certified Coding Analysts and Senior Certified Coding Analysts. Establish clear role expectations, performance goals, productivity standards, quality requirements, and accountability measures. Conduct regular perfor

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

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: This Senior Quality Lead will own the quality program for AirCover. AirCover is Airbnb's host protection and property damage insurance product, handling claim reviews at global scale with direct financial exposure in every case. The Difference You Will Make: This function requires a quality leader who can operate rigorously in environments where the stakes of a wrong answer are high, the workflows are complex, and quality measurement must go beyond behavioral compliance to evaluate decision accuracy and defensibility. A Typical Day: Strategic Leadership & Program Ownership Own and execute the quality strategy for AirCover, aligned to the evolving needs of the business. Serve as the single accountable Quality leader for AirCover. Establish and optimize operating models and frameworks that are COPC-aligned. Represent quality in WBRs, MBRs, QBRs, and executive reviews; deliver a proactive narrative that surfaces emerging risks. Measurement & Quality Execution Oversee QA evaluation execution across AirCover, internally and at BPO partner sites globally, ensuring consistent application of QA processes and frameworks. Lead root cause analysis on systemic failures, translating QA findings into product, process, and policy recommendations that go beyond agent-level coaching. Define sample selection, alignment thresholds, root cause review, and evaluator-level remediation processes. Ensure evaluations close with a documented coaching action; build the tracking mechanisms to measure whether coaching is translating into performance improvement over time. Insight