Claims Trainer Jobs

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).

Opportunity Overview: We're seeking a Director, Solutions Architecture to lead our team of Solution Architects within Cohere Health's PaaS Delivery organization. In this player-coach role, you'll set the technical and business standard for how Cohere designs solutions for complex healthcare clients running large, mission-critical platforms like claims systems and utilization management infrastructure. You'll partner closely with Solution Owners, Forward Deployed Engineers, Technical Program Managers, Platform Configuration, and QA to keep solution design in sync with delivery. This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events. What you’ll do: Manage a team of 8 Solution Architects — hiring, coaching, performance management, and career development Set the standard for solution design quality across the team: how SAs guide clients to existing functionality, document the BRD/FRD, and design future-state workflows Foster a culture of engaging with customers where they are — saying yes where we can, and pushing back constructively when we can't Own escalations when a solution design is contested, technically infeasible, or in tension with a commercial commitment Balance workload and account assignments across the team as new implementations continue to ramp up Partner with Solution Owners, FDEs, Platform Configuration, QA, and TPMs across the Delivery org to keep solution design in sync with delivery timelines Represent Solution Architecture in cross-functional planning and with client executive stakeholders on complex or escalated accounts Build repeatable training materials, templates, and playbooks so solution quality doesn't depend on any one architect What you’ll need: 12+ years in solution architecture, technical consulting, or similar client-facing technical roles, including significant healthcare experience 3+ years directly managing a technical team — solution

About the Team OpenAI Presence, part of Enterprise Engineering, builds a platform for reliable AI agents that carry out high-volume business workflows. We focus on specific use cases such as customer support, sales, and insurance claims, helping organizations put agents to work in production. The Presence platform supports the agent development lifecycle, including evaluation, deployment, and improvement through real interactions. It connects agents to company systems and supports voice and chat experiences, with policies, guardrails, and human handoffs to help businesses stay in control. Read the launch announcement . About the Role We’re looking for an engineer to help shape the foundations of Presence and build the systems that make AI agents dependable in everyday business operations. You’ll help set the platform’s technical direction while staying close to the code, taking architecture from early decisions through to systems that perform reliably at scale. You’ll bring deep backend expertise and the product judgment to connect what we build with how businesses use it. The work centers on the services that power Presence and extends across the stack—giving you scope to shape both the underlying systems and the experiences they enable. In this role, you will: Provide hands-on technical leadership, guiding architectural decisions and implementation across the Presence platform. Design and build backend systems for reliable, high-volume agent workflows in support, sales, and other enterprise use cases. Develop platform capabilities that support agent development and learning from real-world use. Identify and address reliability bottlenecks as agent workflows become more complex and usage grows. Work across backend infrastructure and product experiences as needed, collaborating with other engineers to turn evolving requirements into working software. Your background might look something like: 9+ years of professional engineering experience, excluding internships, in

Location: Hong Kong | Practice Area: Insurance | Type: Permanent Lead transformation at the heart of insurance – shaping better operations, stronger customer outcomes, and sustainable business performance. The Role As an Insurance Managing Principal at Capco, you will play a senior leadership role in growing and delivering our Insurance practice in Hong Kong, with a particular focus on insurance operations transformation across claims and underwriting. You will work closely with senior client stakeholders to shape and deliver complex transformation programmes that improve operational effectiveness, customer outcomes and business performance. Bringing deep insurance expertise and consulting experience, you will connect strategy with execution, helping clients rethink operating models, processes and capabilities across the insurance value chain. Alongside client delivery, you will contribute to the continued growth of Capco’s Insurance business by developing trusted client relationships, identifying opportunities and supporting the development of our people and propositions. What You’ll Do Lead complex insurance operations transformation engagements, with particular focus on claims, underwriting and end-to-end operational improvement. Partner with senior insurance executives to define transformation strategies, target operating models, business cases and implementation roadmaps. Shape and deliver programmes that simplify processes, improve customer and employee experiences, strengthen controls and enhance operational performance. Build trusted senior client relationships, identify emerging business challenges and develop opportunities that contribute to the growth of Capco’s Insurance practice. Provide leadership across multidisciplinary teams, supporting colleagues through coaching, knowledge sharing and high-quality delivery. What We’re Looking For Significant experience within insurance consulting, transformation or senior insurance operations roles, with st

Ice Miller is seeking a business litigation associate with 3-6 years of experience to join our Litigation team. The ideal candidate will have experience with sophisticated business disputes involving corporate governance, ownership, fiduciary duties, and transactions. Relevant experience may include disputes arising from mergers, acquisitions, and other corporate transactions, including matters involving purchase agreements, earn-outs, indemnification claims, post-closing adjustments, representations and warranties, valuation issues, or related post-transaction claims. Familiarity with Delaware corporate law or Delaware courts is preferred, but this position can be located in any of the listed offices. In this position, you will: Manage complex matters through all phases of litigation or arbitration, including case strategy, factual development, discovery, motion practice, settlement, and hearing or trial preparation Draft pleadings, briefs, dispositive motions, and other substantive filings Analyze corporate governance documents, transaction agreements, financial records, and other business materials to identify key factual, legal, and damages issues Lead written and fact discovery, coordinate document review and production, prepare witnesses, and take and defend depositions Work directly with clients, financial professionals, and experts to understand business objectives, assess risk, and translate complex corporate and financial issues into practical litigation strategies Prepare for and support trials and arbitrations, including developing exhibits, coordinating witnesses, drafting pre- and post-hearing submissions, and assisting with courtroom or hearing strategy Evaluate corporate transaction documents and develop strategies for disputes involving purchase agreements, earn-outs, indemnification claims, post-closing adjustments, representations and warranties, and related post-transaction matters Requirements: 3-6 years of commercial or business litigation expe

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 Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience. Additional Responsibilities - Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication. - Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures. - Identifies and reports potential overpayments, underpayments, and other claim irregularities. - Performs claim rework calculations as needed. - Trains and mentors as needed to enhance team performance and technical proficiency. - Conducts outbound calls to obtain required information for claims or reconsideration requests. Required Qualifications - Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator. - Proven

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 Profile Summary Leads automation and AI transformation strategy across the Payment Integrity, Revenue Integrity, and Grievances and Appeals COEs. Builds and manages a team to ideate, prioritize, and oversee delivery of automation and agentic AI initiatives that improve claims accuracy, recovery, and appeals outcomes. Partners with COE and business leadership to align automation roadmaps to enterprise priorities, governance standards, and measurable business impact. Job Description A Brief Overview Leads a team to drive automation and AI-enabled transformation across Payment Integrity, Revenue Integrity, and Grievances and Appeals. Sets strategic direction for how automation and intelligent workflow opportunities are identified and scaled across these COEs, and ensures successful, on-time delivery through strong program oversight. Balances delivery accountability with team development, ensuring the group operates as a cohesive practice rather than three disconnected initiatives. What you will do Leads and develops a team, setting priorities, allocating capacity across COEs, and holding the team accountable to delivery and quality standards. Sets the automation transformation strategy for Payment Integrity, Revenue Integrity, and Grievances and Appeals in partnership with COE leadership. <

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: We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers. Our customers include members of our benefit plans, employers that offer benefits, and doctors, hospitals, and other healthcare providers. In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources. This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions. As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction. Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty. Key Responsibilities: Actively listen and be an advocate for customers, understand their needs and provide guidance and support Resolve customer inquiries and issues efficiently while documenting all interactions. Educate customers about available resources and assist them in navigating their options. Anticipate customer needs and provi

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 Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

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 Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

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

This role is responsible for executing operational tasks within the insurance function, ensuring comprehensive coverage for assets, liabilities, and business ventures. This role focuses on managing annual insurance renewals, preparing and issuing RFPs, handling claims, and maintaining accurate policy documentation. By collaborating with internal teams and engaging with insurers, the Team Member ensures seamless insurance operations, compliance with regulatory standards, and effective risk mitigation. Through standardized processes and strong stakeholder management, this role supports the group’s resilience and operational continuity. Source: Adani Group | Job ID: 58504

Role Description Dropbox is hiring a Customer Evidence Manager to own and drive the customer-proof infrastructure that powers our managed sales motion. This is a senior individual-contributor role for a commercially minded, creatively grounded customer marketer who understands that the value of a customer story is not that it gets published — it is that it protects customer trust, gives buyers credible, accurate proof and moves a deal forward. You are the editorial authority on what good looks like, not the person writing every script: execution (writing, video, design) is delivered through agency partners you brief and direct. Enterprise buyers do not decide on brand claims. They decide on credible proof from organizations like theirs: customer stories, ROI evidence, video testimonials, peer reviews, and competitive validation. In this role, you will produce that evidence and ensure it reaches sellers and customers at the moments it can have the greatest commercial impact. You will own the program outcomes and operational rigor — setting the creative and editorial bar for what makes a great customer story, directing the agency partners who produce the work, and deploying that proof into active deals — and measuring evidence's impact on pipeline, win rates, and sales-cycle velocity. You will partner closely with Sales, Customer Success, Campaign Enablement, and product teams to prioritize proof for the full suite of Dropbox products and solutions, including AI capabilities, multi-product platform adoption, and priority vertical workflows. You will get substantial senior Sales and Marketing leadership exposure and a direct, measurable line to revenue during a pivotal shift in how Dropbox goes to market. Responsibilities Identify advocates, coordinate outreach with account teams, manage consent and approvals, record participation preferences, and avoid customer fatigue. Set the creative and editorial direction and maintain the evidence taxonomy, freshness,