CrawlJobs Logo
AquSag Technologies Logo AquSag Technologies · Insurance

Insurance Claims Expert

India, Noida · Job Posted February 21, 2026
Apply Position
Job Link Share

Job Description

Join our team as a Claims Specialists - AI Trainer and play a pivotal role in shaping the future of insurance claims management through advanced AI solutions. Leverage your expertise in commercial property claims and forensic analysis to train and refine AI systems, ensuring precise policy interpretation and robust claims assessment. This is an exciting remote opportunity for professionals passionate about accuracy, clarity, and innovation in the insurance domain.

Job Responsibility

  • Interpret and analyze complex commercial property insurance policies, including fire, flood, equipment breakdown, and supply chain losses
  • Review and evaluate claims using forensic accounting principles and detailed financial data analysis
  • Draft and refine incident specifications utilizing actual policy language, ensuring AI systems understand nuanced claims scenarios
  • Prepare comprehensive documentation and reports reflecting clear, grammatically correct, and logically organized coverage analysis
  • Collaborate cross-functionally to develop, test, and improve AI prompt engineering, enhancing claims automation and decision support
  • Participate in the creation and maintenance of policy interpretation rubrics and grading systems
  • Provide insights and feedback to continuously improve AI model accuracy and reliability

Requirements

  • Proven experience handling complex claims for fire, flood, equipment breakdown, and supply chain losses
  • Strong expertise in commercial property insurance policy interpretation and claims review
  • Advanced forensic accounting skills, with the ability to analyze financial data for claim evaluation
  • Demonstrated excellence in English report writing, with strong grammar and communication skills
  • Experience preparing detailed policy documentation and incident specifications
  • Ability to write and interpret coverage analyses using actual policy language
  • Highly developed written and verbal communication abilities, with a focus on clarity and precision

Nice to have

  • Background in prompt engineering, chain-of-thought prompting, or experience designing grading/rubric systems
  • High typing speed (WPM) and exceptional comfort with electronic documentation
  • Experience in educational, academic, or legal training settings with exposure to claims, insurance law, or financial analysis
AquSag Technologies - All Job Offers

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Suggested Tags: Frontend Developer Secretary Talent Manager Salesforce Administrator Data Analyst
Similar Jobs for

Insurance Claims Expert

8 matching positions

Personal Injury Paralegal

A leading regional law firm is looking to appoint a motivated Personal Injury Pa...
Location
Location
United Kingdom , Reading
Salary
Salary:
30000.00 - 32000.00 GBP / Year
https://brandonjames.co.uk Logo
Brandon James
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Previous paralegal or legal assistant experience
  • Experience within personal injury would be advantageous
  • A genuine interest in claimant personal injury work
  • Strong academics and excellent attention to detail
  • Experience assisting with case preparation, correspondence, bundles, medical records and/or client updates
  • Strong communication and client care skills
  • A compassionate, professional, and organised approach
  • The confidence to liaise with clients, experts, insurers, and counsel
  • The ability to manage deadlines and support a busy caseload effectively
Job Responsibility
Job Responsibility
  • Assisting with case preparation
  • Drafting correspondence
  • Reviewing medical records
  • Preparing bundles
  • Liaising with clients, experts, insurers, and counsel
  • Supporting fee earners throughout the claims process
What we offer
What we offer
  • Competitive salary
  • High-quality personal injury work
  • Excellent training and professional development
  • Direct exposure to experienced lawyers
  • Supportive and collaborative team culture
  • Strong Reading-based platform
  • Hybrid working
  • Opportunity to build a long-term career within personal injury law
  • Pension
  • Healthcare
  • Fulltime
Read More
Arrow Right
New

Senior Property Manager

Senior Block Property Manager - Leading Brand - Croydon / Hybrid ... We're partn...
Location
Location
United Kingdom , Richmond upon Thames
Salary
Salary:
55000.00 - 60000.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
July 18, 2026
Flip Icon
Requirements
Requirements
  • Proven experience in Residential Block Management, with demonstrable post-qualification experience
  • Property qualification desirable, e.g., IRPM, RICS, or ATPI/MTPI
  • Deep understanding of property law and relevant legislation
  • Exceptional communication skills, interpersonal skills, and customer focus
  • Proven problem-solving, organisation skills, time management, and ability to prioritise workload
  • Self-motivated team player capable of working under pressure
  • Proficiency in property management software (e.g., Propman, Qube, Tramps, Dwellant)
Job Responsibility
Job Responsibility
  • Portfolio Management: Oversee diverse, high rise residential blocks
  • Service Charge Budgets: Prepare, manage, and explain accounts
  • Compliance: Ensure adherence to RICS, ARMA, Landlord & Tenant legislation, Building Safety Act, Health & Safety, Fire Risk Assessments
  • Section 20: Expert drafting and execution for major works
  • Stakeholder Engagement: Build strong relationships with RMC Directors, leaseholders, contractors
  • Site Inspections: Regular visits, property maintenance, contractor performance monitoring
  • Insurance Management: Claims, renewals, revaluations
  • Arrears Management: Service charge and ground rent collection
  • Financial Management: Invoice processing, expenditure monitoring
  • Meetings: Organise and attend AGMs/EGMs, minute taking
What we offer
What we offer
  • Plus benefits
  • Plus bonus
  • Plus pension
  • Unrivalled Development Programs
  • Comprehensive Package
  • Professional Subscriptions
Read More
Arrow Right

Patient Financial Specialist Lead - Patient Financial Services

The associate is responsible for the duties and services that are of a support n...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • HS Diploma or equivalency required
  • Post HS education preferred
  • 5-7 years of experience preferred
  • Demonstrated success working in a team environment focused on meeting organization goals and objectives required
  • Experience in role requirements as outlined in job description for specific area of responsibility preferred
  • College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience
  • Must have an understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred
  • Experience working within a multi-facility hospital business office environment preferred
  • None required
Job Responsibility
Job Responsibility
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Functions as a subject matter expert in support of other PFS team members and other departments/facilities within the CHRISTUS Health network
  • Provide on-the-job training as needed and provide a source of knowledge for staff inquiries
  • Demonstrates a strong understanding of payer benefits requirements, on-line claims status, submission, billing, cash application, and reconciliation procedures
  • Approve or deny requested adjustments and refunds within role thresholds
  • Adapt to process and procedure evaluations and improvements, support continuous change, and willingly manage special projects in addition to normal workload and other duties as assigned
  • Remain flexible if duties are reassigned, which may involve transferring to a more appropriate unit in order to best serve PFS and CHRISTUS Health
  • Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution while maintaining account integrity and compliance with payer and/or government regulations
  • Ensures quality and productivity standards are met or exceeded
  • Appropriately documents patient accounting host system or other systems utilized by Patient Financial Services in accordance with policy and procedures
  • Fulltime
Read More
Arrow Right
New

Senior Property Manager

Senior Block Property Manager - Leading Brand - Croydon / Hybrid. ... We're part...
Location
Location
United Kingdom , Croydon
Salary
Salary:
50000.00 - 60000.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
July 14, 2026
Flip Icon
Requirements
Requirements
  • Proven experience in Residential Block Management, with demonstrable post-qualification experience
  • Property qualification desirable, e.g., IRPM, RICS, or ATPI/MTPI
  • Deep understanding of property law and relevant legislation
  • Exceptional communication skills, interpersonal skills, and customer focus
  • Proven problem-solving, organisation skills, time management, and ability to prioritise workload
  • Self-motivated team player capable of working under pressure
  • Proficiency in property management software (e.g., Propman, Qube, Tramps, Dwellant)
Job Responsibility
Job Responsibility
  • Portfolio Management: Oversee diverse, high rise residential blocks
  • Service Charge Budgets: Prepare, manage, and explain accounts
  • Compliance: Ensure adherence to RICS, ARMA, Landlord & Tenant legislation, Building Safety Act, Health & Safety, Fire Risk Assessments
  • Section 20: Expert drafting and execution for major works
  • Stakeholder Engagement: Build strong relationships with RMC Directors, leaseholders, contractors
  • Site Inspections: Regular visits, property maintenance, contractor performance monitoring
  • Insurance Management: Claims, renewals, revaluations
  • Arrears Management: Service charge and ground rent collection
  • Financial Management: Invoice processing, expenditure monitoring
  • Meetings: Organise and attend AGMs/EGMs, minute taking
What we offer
What we offer
  • Unrivalled Development Programs
  • Comprehensive Benefits Package
  • Professional Subscriptions
  • Bonus scheme
  • Pension
  • Fulltime
Read More
Arrow Right
New

Project Manager/Business Analyst (Technical Insurance)

ABOUT THE JOB Gather, analyze, and document business and system requirements Col...
Location
Location
Thailand , Bangkok
Salary
Salary:
Not provided
amaris.com Logo
Amaris Consulting
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's Degree in Computer Engineering, Computer Science, Business Administration, Management Information Systems, Information Technology, or a related field
  • Minimum 3-5 years of experience as a Business Analyst, or Project Management professional
  • Strong experience in business requirement gathering and system analysis
  • Experience working with cross-functional teams including developers, QA, architects, and business stakeholders
  • Excellent analytical and problem-solving skills
  • Ability to understand complex business processes and translate them into practical solutions
  • Strong communication, presentation, and stakeholder management skills
  • Professional proficiency in spoken and written English
  • Experience within the Insurance industry is highly preferred
  • Knowledge of insurance products, policy administration, claims, underwriting, or related domains is a strong advantage
Job Responsibility
Job Responsibility
  • Gather, analyze, and document business and system requirements
  • Collaborate with business users and stakeholders to understand needs and propose suitable solutions
  • Translate business requirements into functional and technical specifications
  • Conduct impact analysis and identify opportunities for process improvements
  • Work closely with developers, QA teams, architects, and subject matter experts throughout the project lifecycle
  • Support system design discussions and ensure alignment between business objectives and technical solutions
  • Facilitate workshops, requirement gathering sessions, and stakeholder meetings
  • Participate in testing activities, UAT support, and solution validation
  • Monitor project progress and support successful project delivery
  • Ensure documentation is maintained and updated throughout the project lifecycle
What we offer
What we offer
  • Global Diversity
  • Trust and Growth
  • Continuous Learning
  • Vibrant Culture
  • Meaningful Impact
Read More
Arrow Right
New

Health Pro

As a Health Pro, you can expect the following: When you start, you will receive ...
Location
Location
United States of America , Virtual
Salary
Salary:
50000.00 USD / Year
alight.com Logo
Alight Solutions
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 years billing/insurance experience, or 3 years’ experience in a billing/insurance/benefits related role
  • Ability to work effectively in a remote team environment
  • Strong problem solving, critical thinking, and analytical skills – ability to comprehend a member’s needs and determine the steps required to complete their request
  • Exceptional written communication skills – can convey complex concepts in writing for members that are not benefits experts
  • Strong ability and desire to learn continually in a changing environment
  • Ability to efficiently organize work activities to meet deadlines
  • Passion to provide the highest level of client satisfaction
  • Ability to receive and immediately apply constructive feedback
  • Proficiency in MS Office suite
Job Responsibility
Job Responsibility
  • Be an advocate for members requiring guidance across the health benefits environment by helping them navigate questions about their benefits, identify the highest quality and cost-effective providers, understand benefit claims, and be an advocate for the employee across the health ecosystem
  • Gather a full understanding of the members’ needs and own the resolution of the customer’s request
  • Gathering information about the reason the customer is seeking support or care
  • Educating members on benefit programs provided by clients
  • Translating complex benefit details (e.g., deductibles, coverage limits, prior authorizations) into clear, actionable guidance members can understand and use
  • Delivering provider recommendations, referral guidance, and connections to clinical or employer‑sponsored programs to support informed care decisions
  • Completing cost estimates and communicating out‑of‑pocket responsibility, claim results, denials, appeals, and escalation outcomes with accurate expectations and timelines
  • Explaining prescription formulary options, prescription alternatives, prior authorization outcomes, and available cost‑saving opportunities
  • Proactively identifying unmet clinical needs and owning the connection to appropriate clinical support and care resources
  • Connecting members to company sponsored health and benefits programs for specialized care
What we offer
What we offer
  • Health, dental and vision coverages starting Day One
  • Wellbeing programs
  • Retirement plans with contribution matching
  • Generous time off
  • Parental leave
  • Continuing education
  • Career growth opportunities
  • Flexible working arrangements
  • Fulltime
Read More
Arrow Right
New

SiU Investigator

Location
Location
United States , Chicago
Salary
Salary:
27.00 - 32.00 USD / Hour
aus.com Logo
Allied Universal®
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Must possess one or more of the following: Bachelor's degree in Criminal Justice
  • High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
  • Ability to be properly licensed as a Private Investigator as required by the state where work Is completed
  • Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
  • Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
  • Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area
  • Proficient in utilizing laptop computers and cell phones
  • Special Investigative Unit (SIU) Compliance knowledge
  • Ability to type 40+ words per minute with minimum error
  • Flexibility to work varied and irregular hours and days including weekends and holidays
Job Responsibility
Job Responsibility
  • Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability
  • Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
  • Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
  • Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
  • Run appropriate database indices if necessary and verify the accuracy of results found
  • Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor
What we offer
What we offer
  • Auto Allowance and Company Credit Card for fuel and travel
  • Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
  • Seven paid holidays annually, sick days available where required by law
  • Vacation time offered at an initial accrual rate of 3.08 hours biweekly
  • Fulltime
Read More
Arrow Right
New

Personal Injury Paralegal

We are looking for an experienced Personal Injury Paralegal to join a growing le...
Location
Location
United States , Springfield
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 2 years of relevant experience, with prior personal injury paralegal work strongly preferred
  • Working knowledge of personal injury claims, litigation procedures, and case progression from intake through resolution
  • Experience analyzing and organizing medical records, billing statements, and related supporting documents
  • Familiarity with insurance claims handling, settlement documentation, and litigation support processes
  • Strong written and verbal communication skills for interacting with clients, attorneys, and outside contacts
  • Excellent organizational abilities with close attention to detail and accuracy
  • Ability to balance multiple deadlines and priorities in a fast-paced legal setting
  • Proficiency with Microsoft Office and case management software, along with the ability to work independently and collaboratively.
Job Responsibility
Job Responsibility
  • Oversee personal injury matters throughout the life of each case, from initial client intake through settlement or litigation support
  • Interview new clients, collect key background information, and provide timely updates so clients remain informed about case progress
  • Obtain, review, and organize medical documentation, billing records, accident reports, and other materials needed to support claims
  • Prepare requests for records and evidence, ensuring case files include complete and accurate supporting documentation
  • Draft legal and case-related documents such as correspondence, pleadings, discovery materials, demand packages, and settlement submissions
  • Communicate with insurers, healthcare providers, expert consultants, opposing counsel, and other parties involved in active matters
  • Monitor filing dates, discovery timelines, and other critical deadlines while maintaining well-documented and current case files
  • Support attorneys with litigation activities, including document production, discovery coordination, deposition preparation, and trial readiness
  • Arrange depositions, mediations, hearings, and meetings by coordinating calendars and confirming logistics with all participants
  • Contribute to the continued development of the firm's personal injury practice through dependable case support and strong day-to-day execution.
What we offer
What we offer
  • Medical insurance
  • Vision insurance
  • Dental insurance
  • Life and disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right