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Claims Trainer Jobs

746 active opportunities · Updated for October 2026

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Sureify
📍 Canada• Remote
5mo ago

The Role We’re looking for a Senior DevOps Engineer to help scale and operate the infrastructure behind our platform. This is a hands-on individual contributor role focused on cloud infrastructure, automation, and reliability. You’ll partner closely with engineering teams to improve system performance, strengthen security, and enable fast, reliable deployments. What You’ll Do Design and operate scalable AWS infrastructure. Build applications with containerization technologies such as Docker and orchestration tools like Kubernetes. Implement robust monitoring and logging tools (e.g., NewRelic, DataDog, Grafana, etc). Build and manage infrastructure as code using Terraform Improve CI/CD pipelines (Jenkins and GitHub Actions) to accelerate delivery Troubleshoot production issues and lead root cause analysis Build and work in complex SDLC environments Collaborate with engineering teams to streamline development and deployment workflows What You Bring 6–10 years in DevOps, SRE, or infrastructure engineering Strong hands-on experience with AWS in production environments Experience with Kubernetes and containerized systems Proficiency with Terraform (or similar IaC tools) CI/CD experience (GitHub Actions, Jenkins, or equivalent) Scripting skills (Bash, Python, or similar) Solid Linux/Unix fundamentals Why Sureify Build systems that support millions of users Work in a high-growth, engineering-driven SaaS company Remote-first across the Americas Competitive compensation, equity, and flexible PTO Our Guiding Principles Our products are for nothing if their creators are not fulfilled in their work. We want our employees to flourish at Sureify. We do not fawn over status or titles, instead, we honor effort and intelligence. The best idea wins no matter which colleague proposed it. We do not shortcut our mission with overblown claims or false promises. Sticking to the truth is both a strategy and a principle for us. Sureify is an Equal Opportunity Employer committed to div

REMOTEpythonawsdocker
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Why Jencap? We are one of the largest wholesale insurance intermediaries in the United States with expertise in wholesale brokerage, binding authority, and program management. The common thread woven throughout our success story is our collaborative and driven team of people. Our teams are empowered and work together to find solutions. We have a passion culture – with teamwork, collaboration and a focus on growing individuals and giving them the tools & development opportunities to have a successful career. Position Summary The Underwriting Assistant provides administrative and operational support to the underwriting team and retail agents. This role is ideal for a detail-oriented insurance professional with 3-5 years of experience who is looking to develop underwriting knowledge and build a long-term career in commercial insurance. This role is an in-office position in our Red Bank, NJ office. Key Responsibilities Support retail agents and underwriters by gathering required information and documentation through agency management systems, tasks, reminders, and Outlook. Order, review, and process inspections, including handling discrepancies and underwriting recommendations. Process cancellation and reinstatement notices in a timely and accurate manner. Manage pre-audit correspondence, closed-even audits, and premium-bearing audits. Report claims and provide claim reporting confirmations to agents and insureds. Process policy endorsements and related documentation. Maintain accurate underwriting files and ensure documentation is complete and up to date. Deliver excellent customer service to internal and external business partners. Assist with renewal preparation and gradually learn renewal quoting and underwriting functions to support professional development. Qualifications Bachelor's degree preferred, or equivalent combination of education and relevant work experience. 3-5 years of insurance industry experience, within Commerci

Excelcustomer service
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About Formation Bio Formation Bio is a tech and AI driven pharma company differentiated by radically more efficient drug development. Advancements in AI and drug discovery are creating more candidate drugs than the industry can progress because of the high cost and time of clinical trials. Recognizing that this development bottleneck may ultimately limit the number of new medicines that can reach patients, Formation Bio, founded in 2016 as TrialSpark Inc., has built technology platforms, processes, and capabilities to accelerate all aspects of drug development and clinical trials. Formation Bio partners, acquires, or in-licenses drugs from pharma companies, research organizations, and biotechs to develop programs past clinical proof of concept and beyond, ultimately helping to bring new medicines to patients. The company is backed by investors across pharma and tech, including a16z, Sequoia, Sanofi, Thrive Capital, John Doerr, Spark Capital, SV Angel Growth, and others. You can read more at the following links: Our Vision for AI in Pharma Our Current Drug Portfolio Our Technology & Platform At Formation Bio, our values are the driving force behind our mission to revolutionize the pharma industry. Every team and individual at the company shares these same values, and every team and individual plays a key part in our mission to bring new treatments to patients faster and more efficiently. About the Position As a Senior or Principal Data Scientist on the EHR AI team at Formation Bio, you will build the models that let us learn from real-world data (RWD): electronic health records (EHR) together with claims and other real-world sources. You will work hands-on with longitudinal EHR and claims data to predict how disease progresses, how patients respond to treatment, and which approved drugs change the course of disease. The data spans large-scale, longitudinal EHR from health systems, linked to claims, clinical notes, and imaging, alongside biobank-scale

pythonmachine learningai
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Cohere
📍 Toronto• Full-time
8mo ago

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

pythonawsazure
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Anthropic
📍 New York• $380K – $450K/yr
11mo ago

About Anthropic Anthropic’s mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers, engineers, policy experts, and business leaders working together to build beneficial AI systems. About the role As a Strategic Account Executive (Insurance) at Anthropic, you'll join the foundational team introducing our frontier AI platform to the world's leading insurance carriers and reinsurers. You'll drive adoption of safe, frontier AI by securing strategic, enterprise-scale deals across property & casualty, life & health, and reinsurance organizations. You'll leverage deep insurance sales expertise to grow revenue while becoming a trusted advisor to industry stakeholders — helping them embed AI into underwriting, claims, actuarial, and policy administration workflows, and uncovering its full range of capabilities. Working closely with Product and Marketing, you'll continuously sharpen our value proposition, sales motion, and market positioning for insurance decision-makers. The ideal candidate is energized by building a new category in an established, highly regulated industry — identifying high-potential accounts across insurance carriers and reinsurers, and running the strategies to win them. By driving deployment of Anthropic's emerging products into insurance enterprises, you'll help these organizations unlock new capabilities while advancing the responsible development of AI. Key responsibilities Own a book of strategic, high-value accounts across property & casualty, life & health, and reinsurance organizations, carrying and exceeding an individual revenue target Engage personally with C-level and senior technical stakeholders (CIOs, CTOs, Chief Actuaries, Heads of Data/AI) — building business cases and value narratives, and navigating complex procurement, security, regulatory, and legal review through

awsailogistics
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S
12mo ago

SpaceX was founded under the belief that a future where humanity is out exploring the stars is fundamentally more exciting than one where we are not. Today, SpaceX is actively developing the technologies to make this possible, with the ultimate goal of making life multiplanetary and expanding consciousness to the stars. SpaceXSI is building Super Intelligence to help humanity understand the universe. Our teams are building the full Super Intelligence stack: from our Colossus supercomputers, to Grok models, to our suite of applications, including Grok Bot, Grok Build, Grok Imagine, Grok Voice, and X. We're creating a powerful flywheel where more compute trains better models, better models power more useful products, and what we learn from people using those products shapes what we build next. ABOUT THE ROLE: We are seeking empathetic and dynamic X Money Support Agent to join our fast-paced, customer-centric Payments team at SpaceXSI. In this role, you will be the voice of our brand, resolving customer inquiries with professionalism and care across voice, chat, and email channels. You’ll tackle issues related to accounts, transactions, cards, payments, disputes, and app functionality, while identifying opportunities to enhance the customer experience. Ideal candidates are creative problem-solvers with a passion for delivering exceptional service and driving customer satisfaction in a high-energy, fintech environment. RESPONSIBILITIES: Serve as the first point of contact, embodying X Payments’s commitment to trust and excellence in every customer interaction. Respond to customer inquiries via phone, chat, and email with clarity, empathy, and precision, addressing issues related to login access, card usage, transaction status, transfers, and account settings. Troubleshoot complex customer issues, guiding users through solutions and educating them on product features, policies, and processes. Handle disputes and fraud claims with accuracy, capturing critical details and

recruitmentCRM
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Nuro
📍 United States• Full-time• From $213.5K/yr
12mo ago

Who We Are Nuro believes self-driving vehicles are the most immediate and profound opportunity for AI to drive positive change in the physical world. Safer streets, more time for what matters, and easier access to the world around us, that’s why we’re building a universal autonomy platform: self-driving for all roads and all rides. Founded in 2016, Nuro is a physical AI company developing Level 4 autonomous driving technology for a wide range of vehicles, use cases, and markets. Powered by the Nuro Driver™, our universal autonomy platform enables the global mobility ecosystem to deploy autonomy at scale, from robotaxis and logistics fleets to personal vehicles. With years of real-world deployment experience and a flexible, partner-led business model, Nuro is working toward a future where millions of autonomous vehicles powered by our technology help make everyday life safer, easier, and more connected. Nuro has raised over $2B in capital from Uber, NVIDIA, Google, Softbank, Fidelity, T. Rowe Price, and other leading investors. About the Role As the Autonomous Driving System Safety Lead on the Systems Engineering team, you will own and author safety claims in the forward-facing ADS safety case for onboard and offboard software, a large fraction of which is AI components. You will work closely with the autonomy software, data platform, operations, and legal teams to coordinate system requirements, AI architecture, and evidence in support of these claims. You will be responsible for ensuring that the cross-functional team creates a safety case for onboard and offboard software that is comprehensive and that potential gaps are identified and mitigated. About the Work Manage safety claims by understanding the ADS design, interfaces, and technical capabilities of the system and by working closely with Autonomy Robotics and Software Infrastructure leads. Generate atomic claims through claim decomposition, delegating to the cross-functional teams where appropriate and

pythonailogistics
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Humana
📍 United States• Remote• $48.3K – $65.9K/yr
Just now

Become a part of our caring community The Grievances and Appeals Representative 4 role in the Internal Review Team is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination with clinical and internal Humana partners. Key Responsibilities: Manage Level 1 appeal cases , ensuring accuracy, completeness, and compliance with CMS requirements Review clinical documentation to support appeal determinations and escalation decisions Coordinate with clinical teams and internal partners to finalize appeal outcomes Investigate and resolve member and provider issues with a focus on timely resolution Maintain high productivity and quality standards in a production-driven environment Ensure strict adherence to confidentiality and compliance regulations Independently prioritize and manage multiple high-volume case assignments Proactively embraces change and supports smooth transitions in a dynamic work environment Use your skills to make an impact Required Qualifications: 1+ year of grievance & appeals and/or customer service experience Strong data entry skills Proficiency in Microsoft Office Applications Experience in a production-driven environment Experience prioritizing and delivering multiple assignments Strong commitment to confidentiality and high-quality results Preferred Qualifications: Associate's or Bachelor's degree 2–4 years of grievance and appeals experience Medical claims processing experience Previous inbound call center experience Experience wi

REMOTErecruitmentcustomer service
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C
Cvshealth
📍 Work At Home Connecticut
Just now

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary : This Underwriting role is for Meritain Health, an independent subsidiary of Aetna and CVS, and one of the nation's largest employee benefits administrators. We have the resources of a national carrier coupled with the unique flexibility and devoted service of a third-party administrator (TPA). The Meritain Health underwriting department supports the attainment of organizational goals through the issuance of prospective and existing business quotations and proposals. Including administrative fee pricing, stop loss, RFP questionnaire responses, and plan consultation. This fully-remote position will have the opportunity to work on a diversified book of business including Mid-Market and our Captive/Alternate channels. Responsibilities Include: Provide guidance and consultation to our Sales and Client Management teams on pricing and stop loss strategies Prepares and issues quotations and other financial deliverables for prospective and existing business while meeting established departmental TAT goals. Prepares financial projections on prospects utilizing financial models in Excel and Salesforce. Marketing and placement of stop loss policies, negotiating terms based upon claims data, strategy, relationships. and cost avoidance/reduction efforts. Works with leaders from key functional areas to understand p

salesforceExcel
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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 As the Senior Lead Coordinator you will be responsible for implementing and maintaining comprehensive billing review processes. You will identify and quantify trends/issues and effectively communicate/report them to the appropriate members of the management team and payer business partners along with the potential impact. You will assist leadership in building and maintaining a high performing highly engaged team. In this role you will also provide excellent mentorship and support to your colleagues as well as design and implement training classes. The key responsibilities of the Medical Revenue Cycle Senior Lead Coordinator are: Review and analyze patient profiles, benefits, and prior authorizations to identify potential issues affecting clean claims. Collaborate with clinical and administrative teams to ensure accurate documentation is maintained and available for claims processing. Monitor claims submissions and follow up on pending claims to expedite resolution and payment. Identify trends in claims denials and develop strategies for improvement. Conduct training sessions for staff on best practices for claims submissions and compliance. Maintain up-to-date knowledge of insurance policies, regulations, and healthcare trends that impact claims

AG
23 days ago

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: 52548

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

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