Senior Claim Benefit Specialist Jobs

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

Senior Manager, Logistics Security Description - At HP, we create technology that helps people and businesses bring their ideas to life. Our global supply chain plays a vital role in that mission, moving high-value products safely and reliably to customers around the world. We are looking for a collaborative and solutions-oriented Senior Manager, Logistics Security to help protect our logistics network, strengthen transportation risk programs, and lead efforts that reduce loss, improve carrier performance, and support a secure customer experience. Core responsibilities Own logistics security strategy for HP's transportation network. Manage loss, theft, damage, shortage and mis-delivery incidents across carriers, warehouses and distribution partners. Lead transportation claims management, including investigation, documentation, recovery and settlement. Manage relationships with major LSPs, carriers, freight forwarders and 3PLs. Investigate high-value shipment incidents and identify root causes. Develop controls to prevent cargo theft, fraud, unauthorized access and product diversion. Establish security standards for transportation lanes, warehouses and high-risk locations. Track claims and losses using KPIs such as: Claim $ / shipment Loss rate Damage rate Theft incidents Recovery % Claim cycle time Carrier performance Partner with Supply Chain, Logistics, Finance, Legal, Compliance, Security and Insurance teams. Lead corrective/preventive actions with logistics service providers. Review carrier contracts and ensure appropriate liability and insurance coverage. Establish escalation processes for major incidents. Conduct risk assessments of logistics providers and distribution locations. Use dat

We are looking for a Senior Partner Solutions Architect to lead technical engagement with independent software vendors (ISVs) and strategic technology partners. You will help partners build, embed, deploy, validate, and go to market with MongoDB-based solutions that create repeatable customer value and accelerate MongoDB adoption. This role combines enterprise architecture, partner engineering, technical pre-sales, solution assurance, and go-to-market enablement. You will work across the complete partner lifecycle—from opportunity discovery and business-value alignment through architecture, validation, design wins, launch readiness, and post-launch reuse. You will be successful in this role if you can move fluidly between a partner’s product architecture, a customer’s business problem, MongoDB’s technical capabilities, and the field motion needed to scale the outcome. We're looking to speak with candidates based in Mexico City for our hybrid working model. What you will do Serve as the senior technical advisor for strategic ISV and technology-partner engagements, including embedded software, SaaS, BYOA/BYO-EA, AI, and agent products Lead technical discovery and architecture reviews that clarify the partner’s workload, adoption path, deployment model, customer segment, success criteria, and MongoDB value proposition Guide partners through a repeatable technical validation and solution-assurance process covering architecture, deployment, security, compliance, performance, scale, resilience, operability, upgrades, support ownership, and lifecycle management Establish evidence-based readiness gates and partner maturity assessments; distinguish clearly between tested, supported, recommended, and go-to-market-approved claims Design reference architectures, integration patterns, sizing guidance, deployment blueprints, quickstarts, demos, troubleshooting guidance, and partner-facing documentation Help partners build MongoDB into shipped products, SaaS platforms, AI applicat

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! About the team: Engineers on this team build the application our customers and internal teams use to configure, operate, manage, and visualize complex incentive compensation workflows. This role sits within Forma’s ICM Operations platform, spanning areas such as Core Services, Business Intelligence, workflows, automation, APIs, claims management, next-generation reporting, and data exploration capabilities. There are many complex and difficult areas across the product, especially across frontend architecture and user experience, because of high data volumes, wide configurability, complex business logic, and mission-critical operational workflows. The work is not just about building screens; it is about helping users understand, act on, and trust complex compensation data and operational processes. We are low on meetings and high on accountability. Most of the team is in the EST timezone, with some teammates in PST and Central. We are far from maintenance or simple progressive evolution in many areas; there is a lot of room to make a meaningful impact on the overall user experience, product architecture, and frontend design patterns. What you'll be doing: Reporting to the VP of Engineering the Senior Frontend Engineer will play a key role in building, evolving, and scaling Forma’s customer-facing and internal operations experiences. You’ll work closely with product, design, engineering, operations, and leadership partners to deliver intuitive, performant, an

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. We are hiring a Senior Solution Engineer dedicated to one of Snowflake's most strategically important healthcare customers. This is a named-account role: your entire focus will be a single global healthcare organisation, whether a payer, provider, life sciences company, or health technology platform. You will own the full technical relationship, drive use case expansion across the organisation's clinical, operational, and research functions, and act as the go-to trusted advisor to CTO, CDO, and engineering leadership within the account. This is a senior-level, high visibility role with global scope and direct exposure to Snowflake's leadership. AS A SENIOR SOLUTION ENGINEER AT SNOWFLAKE, YOU WILL : Own the end-to-end technical relationship for a single strategic Global Account in healthcare, from discovery and technical qualification through proof of concept, technical close, and ongoing expansion Build and deliver compelling demonstrations, solution architectures, and executive presentations that connect Snowflake's platform capabilities to the account's clinical, operational, and research data priorities Design and lead proof of concept engagements covering healthcare use cases including clinical data interoperability, population health analytics, claims and payer data pr

Job Title Senior Clinical Development Scientist, Ultrasound &EI Job Description In this role, you have the opportunity to Be a member of the medical and clinical affairs team in Greater China. Medical and Clinical affairs team is an integral part of global Chief Medical Office. The Clinical Development Scientist is responsible for executing evidence-generation processes, clinical development and market access strategies for New Product Introduction (NPI) projects and post-market activities. The role is responsible for analyzing clinical trial protocols and studies, ensuring alignment with regulatory standards and business objectives, and contributes to the study designs. The role drafts comprehensive Clinical Evaluation Reports (CERs), Clinical Study Reports (CSRs), and regulatory submissions, ensuring accuracy and compliance with regulatory requirements. The role maintains data integrity and accuracy throughout studies and performs rigorous literature searches and critical reviews to support evidence-generation processes, providing insights for strategic decision-making. You are responsible for Assesses clinical trial protocols and studies, ensuring alignment with regulatory standards and business objectives, and contributing to the development and refinement of study designs as needed, working under direct supervision. Executes clinical development and market access strategies for assigned New Product Introduction (NPI) projects and post-market activities, integrating inputs from stakeholders such as Marketing/BU Claims, regional/market needs, Health Economics, Market Access, and Post Market Surveillance (PMS). Crafts comprehensive and compliant Clinical Evaluation Reports (CERs), Clinical Study Reports (CSRs), and clinical sections of regulatory submissions, employing meticulous attention to detail and adherence to regulatory standards.<

At ClickUp, we're building the future of work: the first truly converged AI workspace unifying tasks, docs, chat, calendar, and enterprise search, all supercharged by context-driven AI. We are an AI-native company. Every team member is expected to leverage AI daily, and we evaluate AI fluency as part of our hiring process. Join us and help redefine what's possible. 🚀 ClickUp is looking for a Senior Partner Sales Support Specialist based in the Philippines. This role is a critical enablement function supporting our Enterprise Partner Managers worldwide. You’ll be the operational backbone that keeps our partner sales motion running smoothly, helping Enterprise Partner Managers close deals faster by handling sales support activities across all regions. This is a high-impact, globally-scoped role that sits at the intersection of partner operations, sales enablement, and deal support. The candidate will be customer and partner-facing (on Zoom). The role: Provide day-to-day partner support to Enterprise Partner Managers across all regions (AMER, EMEA, APAC, LATAM), including deal registration processing, pipeline management, and opportunity tracking. Own and process smaller partner-sourced deals end-to-end, managing them through internal systems to ensure fast, accurate closure. Manage internal system administration (Salesforce, deal desk, CPQ) to remove friction from the partner deal cycle, including quote generation, order processing, and approval routing. Coordinate and manage partner onboarding logistics, ensuring new partners are set up in systems, trained on tools, and equipped to transact effectively. Maintain partner CRM data hygiene, ensuring accurate pipeline inputs, deal stage progression, and timely reporting for leadership. Act as the internal point of contact for partner deal escalations, liaising with Deal Desk, Legal, Finance, and RevOps to unblock and accelerate closures. Process MDF (Market Development Fund) submissions, track claims, and ensure timely

PagerDuty (NYSE:PD) is a leader in Digital Operations Management. In an always-on world, organizations of all sizes trust PagerDuty to help them deliver a perfect digital experience to their customers, every time. Teams use PagerDuty to identify issues and opportunities in real time and bring together the right people to fix problems faster and prevent them in the future. Over 13,000 organizations (including 60 of Fortune 100) rely on PagerDuty to succeed with Digital Transformation, Cloud Migration, and DevOps Modernization. Notable customers include GE, Cisco, Genentech, Electronic Arts, Cox Automotive, Netflix, Shopify, Zoom, DoorDash, Lululemon and more. We are expanding rapidly as a platform for Digital Operations Management using AI/ML and Automation and growing our adoption by Development, IT, Customer Service, Security, and other teams across the organization. The Senior Competitive Intelligence Manager will build and run PagerDuty’s competitive intelligence program that serves as the internal authority on competitive dynamics, equipping sales teams with sharp differentiation, timely insights and effective strategies to win. You will report directly to the Senior Director of PMM Operations and will partner tightly with product marketing, product management, marketing, field enablement and sellers. Key Responsibilities Define, execute, optimize the competitive intelligence program through feedback and engagement with cross-functional teams, stakeholders, and the field. Equip sales team with key positioning and messaging - via battlecards, bulletins, internal training and enablement - to successfully navigate competitor activity as part of the sales process Uncover competitive differentiation and have thorough knowledge of Win/Loss and competitor capabilities and claims Monitor and assess competitor activity and report back to stakeholders and/or field in a timely manner Train field teams regularly on latest competitor intelligence and strate

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 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

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 CVS Health has a powerful purpose – “Bringing our heart to every moment of your health.” To enable this purpose, we have several initiatives, existing and new, that are re-inventing pharmacy and enabling better health outcomes. In the Merchandising Organization, we support our company’s purpose and our Pharmacy and Consumer Wellness vision to be America’s most trusted health, wellness, and pharmacy care partner, delivering differentiated omnichannel experiences and meeting consumers where they are. As the Associate Manager of Category Promo & Coupon Planning & Execution, you will use your interpersonal skills to build strong relationships with partners to influence and execute strategies that positively impact the company. As an Associate Manager you will partner with your leader to execute and report on the promotional strategies for our divisional merchandising teams, partnering closely with other leaders in Category Promo & Coupon Planning & Execution and Promotion Optimization. You will impact our business in the following ways: Support your leader in participating in the building and execution of category-level bi-weekly promotional plans deliver on event criteria, themes/claims, or strategically pre-defined category promo KPIs, as established based on the impact promotion has

The Ops Sup Lead Analyst is a senior-level operations professional responsible for managing transaction exception processing, including payment network claims, adjustments, disputes, settlement exceptions, and reconciliation activities for internal Citi business partners. The role is accountable for ensuring the accurate and timely resolution of operational exceptions, maintaining a strong control environment, and overseeing third-party vendors that support these functions. This individual serves as the primary liaison between Operations, Business, Technology, Risk & Control partners, payment networks, and external vendors to ensure operational issues are resolved effectively, controls are maintained, and processes continue to evolve to support business growth and regulatory expectations. The successful candidate will act as a subject matter expert in payment network operations, transaction routing, settlements, reconciliations, and exception management. Responsibilities Lead the end-to-end management and resolution of transaction exceptions, including payment network claims, adjustments, disputes, settlement discrepancies, and other operational exceptions. Oversee settlement and reconciliation processes to ensure the timely identification, investigation, and resolution of breaks, variances, and outstanding items. Monitor operational performance and service level adherence, ensuring all activities are completed accurately, timely, and in compliance with applicable policies and procedures. Serve as the primary operational liaison with internal Citi business partners, Technology, Risk & Control, Compliance, Finance, payment networks, and third-party vendors. Manage vendor relationships supporting claims, adjustments, settlement, and reconciliation functions, including performance monitoring, issue escalation, service delivery oversight, and process improvements. Act as the b

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Leads and manages the QA team by setting strategic objectives and ensuring the implementation of effective quality assurance processes. Collaborates with cross-functional teams to define testing requirements, develop test plans, and ensure timely and thorough testing of software products. Analyzes testing metrics, provides reports to stakeholders, and drives continuous improvement in QA practices to deliver high-quality and reliable software solutions. Required Qualifications 5-7 years work experience in a claims or claims audit position. Adept at execution and delivery (planning, delivering, and supporting) skills Adept at business intelligence Adept at problem solving and decision making skills Adept at collaboration and teamwork Adept at growth mindset (agility and developing yourself and others) skills Preferred Qualifications 5&#43;years of quality management, audit, compliance or operational quality experience Adept at growth mindset (agility and developing yourself and others) skills Demonstrated experience using quality metrics, KPIs, dashboards, and business intelligence tools to identify trends and present recommendations to senior leadership Experience leading root-cause analysis, corrective and preventive action (CAPA), risk mitigation, and co

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 Lead, Senior Decision Scientist serves as a strategic analytics and ideation leader supporting Payment Integrity Affordability initiatives with a primary focus on Fraud, Waste & Error (FWE) and Special Investigations Unit (SIU) programs. This role provides leadership and guidance to a team of Decision Scientists while driving the development, evaluation, and implementation of innovative opportunities that improve affordability outcomes and strengthen Payment Integrity capabilities. The Lead Decision Scientist is responsible for establishing analytical frameworks, managing ideation pipelines, defining success metrics, and identifying cross-functional opportunities that create enterprise value across Payment Integrity programs. Required Qualifications 7&#43; years of experience in healthcare analytics, Payment Integrity, Fraud, Waste & Error (FWE), Special Investigations, or related healthcare operations. 5&#43; years of experience leading analytical projects or providing technical leadership within a healthcare environment. Demonstrated experience working with healthcare claims platforms including ACAS, QNXT, HRP, or comparable systems. Experience using SAS, SQL, Python, R, or other analytical and statistical programming languages. Experience performing advanced data analysis, opportunity identification, trend analy

About the Company: Sigmoid enables business transformation using data and analytics, leveraging real-time insights to make accurate and fast business decisions by building modern data architecture using cloud and open-source technologies. Some of the world’s largest data producers engage with Sigmoid to solve complex business problems. Sigmoid brings deep expertise in data engineering, predictive analytics, artificial intelligence, and DataOps. Offices: New York | Dallas | San Francisco | Lima | Bengaluru. The role below is for our Bengaluru office. Why Join Sigmoid? Sigmoid provides the opportunity to push the boundaries of what is possible by seamlessly combining technical expertise and creativity to tackle complex business problems and convert them into straightforward data solutions. You will work in a fast-paced, high-impact environment and help shape data, analytics, and AI-led transformation for leading global insurance enterprises. About the Role: Sigmoid is looking to board a Leader for our Insurance Consulting Practice who can bridge the gap between high-level strategy and granular operational reality. A true expert in the insurance space must understand the interconnectedness of insurance products, claims ecosystems, underwriting dynamics, customer journeys, regulatory requirements, and operational processes. In this role, you will drive strategic initiatives, foster innovation, and provide visionary direction to our insurance practice with a strong focus on insurance analytics and AI-led transformation. The role requires a strong portfolio leader responsible for managing strategic accounts across new business development and account growth, while partnering with senior client stakeholders to define analytics use cases across Data Engineering, Data Science, Product Engineering, and Consulting. Roles and Responsibilities: Strong understanding of Insurance sub sectors operating model, value drivers and underlying mechanics Insurance Operations - Ability to