Claims Trainer Jobs

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. At Datadog, we place value in our office culture - the relationships and collaboration it builds, and the creativity it brings to the table. We operate as a hybrid workplace to ensure our Datadogs can create a work-life harmony that best fits them. 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, an

Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. Join Micron at a transformative time as we expand our advanced manufacturing footprint across Asia Pacific. This is a high-impact role where you will act as a strategic legal partner to large-scale capital projects, supporting the development and delivery of complex industrial and manufacturing facilities. You will work closely with cross-functional teams and senior stakeholders, driving commercially practical solutions across multiple APAC jurisdictions. What You’ll Do Lead end-to-end legal support for major capital projects across APAC, from early development and procurement strategy through contracting, execution, claims, and closeout Draft and negotiate complex agreements, including EPC/EPCM, design-build, construction management, consulting, procurement, and supply contracts Advise on project risks and strategy, including delay exposure, change orders, performance security, defects/warranty, and dispute avoidance/resolution Partner with business stakeholders (procurement, engineering, project teams) to structure tenders, manage risk, and develop contracting templates and playbooks Support regional project development matters, including land, permitting, and regulatory coordination with local counsel Manage external counsel across APAC, ensuring pragmatic, high-quality advice aligned to business objectives Track legal/regulatory developments and translate them into practical guidance for project

Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. Key Responsibilities 1) Value Realization & Capacity Release (Outcome Ownership) Owns end-to-end benefits realization for Accounting COE initiatives—converting productivity claims into sustained capacity release that can be redeployed to higher-value work and/or enable scalability. Establishes a practical approach to validate savings (run-rate vs one-time), prevent “benefit leakage,” and ensure improvements are embedded into standard operations and operating rhythms. (Recommended design; no additional source) Drives measurable improvement in COE operational outcomes (cycle time, productivity, stability, quality), aligned to COE strategic direction and efficiency ambitions. 2) Global Accounting COE Operational Performance (Run &#43; Scale) Accountable for global operational health across Accounting COE services—ensuring stable delivery, scalable operating models, and consistent execution across regions. Ensures COE service commitments are translated into operating discipline, including SLA adherence, performance visibility, and corrective actions when service levels are at risk. Partners with functional leaders to reinforce standardization, operational readiness, and execution consistency that supports best-in-class performance. 3) Enterprise Advisory, Negotiation & Influence (E2E Beyond Accounting) Serves as the principal accounting advisor<

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: 50581

Job Title: Junior Revenue Cycle Management (RCM) Specialist Location: Remote - United States Employment Type: FT W2 Compensation: $35 per hour CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations. About the Role We’re looking for a Junior RCM Specialist to support the full revenue cycle — from billing and credentialing through claims processing, payment posting, and accounts receivable follow-up. This is an ideal role for someone early in their medical billing or healthcare administration career who has a solid grasp of the insurance workflow and wants to grow in a fast-paced virtual care environment. The ideal candidate understands how claims move through the insurance lifecycle, has exposure to provider credentialing, and is comfortable managing accounts receivable. You’re organized, analytical, proactive, and at ease working across billing systems, payer portals, and cross-functional teams. Schedule: Monday - Friday Days What You’ll Do • Support claim submission to ensure timely, accurate billing • Monitor claim status and follow up on unpaid or denied claims • Assist with provider credentialing and payer enrollment, keeping documentation and records current • Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances • Support denial management by identifying issues, documenting trends, and escalating complex cases • Post payments, adjustments, and remittance information accurately • Reconcile billing discrepancies and resolve account issues • Verify patient eligibility, insurance information, and benefits as part of the insurance workflow • Maintain documentation of billing activity, follow-up efforts, and account status • Communicate with payers, vendors, and internal teams on claim issues and payment delays • Help track key R

Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. Join Micron at a transformative time as we expand our advanced manufacturing footprint across Asia Pacific . This is a high-impact role where you will act as a strategic legal partner to large-scale capital projects —supporting the development and delivery of complex industrial and manufacturing facilities. You will work closely with cross-functional teams and senior stakeholders, driving commercially practical solutions across multiple APAC jurisdictions. What You’ll Do Lead end-to-end legal support for major capital projects across APAC, from early development and procurement strategy through contracting, execution, claims, and closeout Draft and negotiate complex agreements , including EPC/EPCM, design-build, construction management, consulting, procurement, and supply contracts Advise on project risks and strategy , including delay exposure, change orders, performance security, defects/warranty, and dispute avoidance/resolution Partner with business stakeholders (procurement, engineering, project teams) to structure tenders, manage risk, and develop contracting templates and playbooks Support regional project development matters , including land, permitting, and regulatory coordination with local counsel Manage external counsel across APAC , ensuring pragmatic, high-quality advice aligned to business objectives</

Opportunity Overview: We are seeking a Healthcare Analytics Analyst to join our Analytics team. In this role, you will conduct analyses that drive our strategy, inform product performance, and provide insights critical to the development of new clinical intervention strategies and product enhancements. You'll partner closely with cross-functional teams and clients to optimize auto-decisioning performance and deliver increased value. This is an opportunity to directly impact company growth and assist patients at a critical time in their healthcare journey. What you’ll do: Research, build, execute and optimize auto-decisioning strategy for new client implementations Work with multiple types of healthcare data to build and maintain analytical and reporting solutions to support strategy and program decision making Identify optimization opportunities based on analyses to improve auto-decisioning performance and drive increased value for clients Perform quantitative analysis of health care cost, operational performance and clinical outcomes using claims and authorization data Track cost, utilization and industry trends to inform stakeholders of solution performance and provide insights around opportunities to optimize clinical value for patients, providers and payers Prepare information for clients, build reports, data visualization and self-service solutions for internal and external stakeholders Develop, review, and analyze detailed data sets leveraged for client reporting/analytics Collaborate with IPA team on rule refinement and metric tracking What you’ll need: 2+ years of experience working in an analyst role 1+ years experience building and/or maintaining dashboards and self-service business intelligence tools such as Tableau or PowerBI Demonstrated expertise in conducting complex analyses and identifying opportunities to drive enhanced value Proficiency with statistical analysis tools (such as SQL, R, or SAS) to extract insights from complex healthcare data sets,

The Enterprise Account Executive (Financial Services) will report to the Director of Enterprise GTM and own revenue growth across a portfolio of Scale AI’s most strategic financial services customers and prospects. This role is focused on selling complex, agentic AI solutions -autonomous workflows powered by LLMs and human-in-the-loop systems - into large banks, insurers, asset managers, and fintechs. You will operate as a strategic partner to senior executives across the business, technology, and risk organizations - helping them reimagine core workflows (e.g., underwriting, fraud detection, KYC, claims, research, and operations) through AI agents. This is a highly consultative, technical enterprise sales role requiring deep domain fluency, executive presence, and the ability to navigate regulatory, security, and multi-stakeholder complexity. You will own the full customer lifecycle - from origination through close, deployment, and expansion - while acting as the quarterback across Solutions Engineering, Product, Research, and Delivery teams to land and scale high-impact AI programs. You Will: Own and expand relationships with the largest financial services institutions (banks, insurers, capital markets, fintech), focusing on high-impact, multi-year AI transformations Sell agentic AI solutions by mapping Scale’s capabilities to mission-critical workflows (e.g., underwriting, fraud, compliance, customer ops, investment research) Build trusted relationships with executive stakeholders (CIO, CTO, Chief Data/AI Officer, Heads of Risk/Operations/Lines of Business) and guide enterprise AI strategy Develop and execute multi-threaded account plans that drive net-new revenue, expansion, and long-term platform adoption Lead complex deal cycles, including business case development, ROI modeling, and mutual close plans across new business, renewals, and expansions Partner deeply with Solutions Engineering to shape and land technically credible pilots, POVs, and production depl

About Forma.ai: Forma.ai is a Series B startup that's revolutionizing how sales compensation is designed, managed and optimized. We handle billions in annual managed commissions for market leaders like Edmentum, Stryker, and Autodesk. Our growth has been fuelled by our passion for fundamentally changing and shaping how companies use sales intelligence to drive business strategy. We’re welcoming equally driven individuals who are excited about creating something big! The Role Forma is hiring a Product Manager to lead key initiatives across our ICM Operations platform , spanning Core Services and Business Intelligence (BI). This includes workflows, automation, APIs, claims management, and next - generation reporting and data capabilities. This role is for someone who can take full ownership of a product area, not just manage a backlog. We’re looking for a strategic product leader who starts with the business problem, understands the user workflow end to end, and partners cross - functionally to define the right solutions. Success in this role requires strong product judgment, a deep understanding of operational processes and user pain points, and the ability to balance strategic thinking with practical execution. What You’ll Do Reporting to the VP of Engineering, you will own a portfolio of platform capabilities end to end. You’ll work closely with engineering, operations, and leadership to identify the most important problems to solve, shape requirements, and prioritize high - imp act investments. We’re looking for someone who brings strong product thinking and operational awareness to help evolve how internal teams and customers interact with mission - critical systems — from approvals and ticketing to policy engines and data exploration. Strong expertise in data visualization and business intelligence tools. This person should be comfortable working with dashboards, with a keen ability to select and articulate the most effective visualiza

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 We're looking for a Senior Data Scientist to join the Scientific Data Intelligence (SDI) team at Formation Bio to help transform Real World Data (RWD)—spanning electronic health records, claims, and other longitudinal patient data sources—into structured, analytics-ready assets. In this role, you'll be partnering closely with our Data Science team not only to model and transform data, but also to actively analyze it: answering research questions, generating evidence, and supporting scientific decision-making across our drug portfolio. This position

Business Analyst – Commercial and Specialty Insurance Location: London (Hybrid) | Practice Area : Insurance | Type: Permanent Deliver strategic and technology-enabled transformation across Commercial & Specialty Insurance. The Role Capco is seeking a Business Analyst with strong Commercial and Specialty Insurance expertise to join our growing Insurance practice. This role focuses on business analysis, requirements engineering, and supporting the delivery of complex transformation programmes across the insurance value chain. You will work closely with stakeholders across leading insurers in Property, Liability, Marine, Energy, and other Specialty lines to analyse business processes, define requirements, and support the design and implementation of target solutions. From early discovery and impact assessment through to delivery and benefits realisation, you will play a key role in enabling effective change across underwriting, claims, and policy administration functions. What You’ll Do Lead and support business analysis activities across Commercial & Specialty Insurance transformation initiatives, from discovery through to implementation Elicit, analyse, and document business, functional, and non-functional requirements using structured techniques Conduct current state analysis, including process mapping, gap analysis, and impact assessment across underwriting, claims, and policy administration Support the design of target operating models and future state processes aligned to business objectives Facilitate workshops and stakeholder engagement sessions to gather requirements and validate solutions Translate business needs into clear delivery artefacts, including user stories, process flows, and acceptance criteria Support delivery activities including backlog management, testing, UAT coordination, and change impact assessment Identify opportunities for process optimisation, digital enablement, and operational efficiency improvements What We’re Lo

Management Consultant – Insurance – London Markets Location: London (Hybrid) | Practice Area : Insurance, Business Consulting | Type: Permanent Shape the future of the London Market with Capco. The Role We’re seeking experienced London Market Consultants to join our growing Insurance practice. You’ll work across transformational projects with leading Lloyd’s and Companies Market participants, helping to modernise processes, implement digital platforms, and unlock the value of data. From market modernisation initiatives to regulatory compliance and data strategy, you’ll bring insight and delivery excellence to some of the sector’s most complex challenges. What You’ll Do Support client engagements and proposal development for London Market transformation initiatives Deliver consulting services including business analysis, project management, and data strategy Lead cross-functional Capco-client teams and manage senior stakeholder expectations Contribute to thought leadership and market insight activities within the London Market Drive collaboration across underwriting, claims, reinsurance, and technology teams What We’re Looking For Experience working with London Market entities such as syndicates, reinsurers, brokers, and MGAs Demonstrated success in leading large-scale transformation programmes within insurance Strong understanding of both business and IT functions - underwriting, claims, e-trading, policy admin Expertise in London Market processes and initiatives (e.g. Future at Lloyd’s, RPA, e-trading) Solid understanding of the project lifecycle from strategy to implementation and delivery Bonus Points For Experience in data governance, modelling, or analytics within insurance Exposure to agile methodologies and digital change frameworks Ability to identify areas for operational improvement and deliver continuous improvement strategies Effective collaboration with third-party vendors and external partners Prior consulting experience or strong internal transf

Job Title: Benefit Services Sales Manager Reports To: Practice Leader, SISCO Position Summary: As our Benefit Services Sales Manager, you’ll lead a high‑performing team that sells an integrated solution—SISCO(medical TPA), HealthCheck360 (wellness & advocacy), medical management, and BCC (HRIS/consolidated billing). Your charter: grow a sales team, build broker relationships coast‑to‑coast, win complex business and scale a connected platform that lowers claims cost, boosts engagement, and simplifies administration. You’ll hire, coach, and elevate sales executives, set strategy, and partner with executive leadership on product and marketing to accelerate new business and retention. Essential Functions: Supervise all sales executives, including setting activity metrics, holding regular sales meetings, and ensuring that the sales team has the necessary resources to succeed. Accompany sales executives on calls as necessary to close business. Train and develop new sales executives; implement formal development plans and ensure comprehensive training. Define sales territories to avoid overlap and inefficiency. Develop policies and procedures for handling incoming leads from national portals, conferences/events, and web-generated opportunities. Formulate strategies to increase penetration and engagement with top brokers in the US. Provide feedback to the Practice Leader on product and pricing requirements to remain competitive. Collaborate with the Practice Leader on marketing budget, priorities, and conference attendance; suggest new target verticals and distribution channels. Become an expert in the company’s products and differentiation; ensure all sales executives understand and can articulate these differences. Complete other duties as assigned by the Practice Leader Metrics of Success: New business generated each year Business retention rates Number of successful sales executives Significant penetration of new brokers Education: Four-year de

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

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