Domain Expert
Davies Davies · davies-group.com
PuneOn-siteLead / Manager5–10 yrs
Subscribers got this job on 5 October 2026.
New jobs reach them at 8 am and 6 pm, 5 days before they open here. Get the next one first
The job in short
US life and health insurance domain expert overseeing claims processing teams.
InsuranceUnderwritingCompliance
Details
- Found
- 20 d ago · posted 2026-10-05
- Location as listed
- Viman Nagar – Pune, Maharashtra, Pune
- Role
- Operations (other)
- Source
- The company’s own careers site
Full description
We are looking for a proactive and detail-oriented Domain Expert – Life & Health to oversee the multiple teams responsible for processing L&H & US Insurance. The role will involve domain management, trainings, quality monitoring, process compliance, and liaising with stakeholders to process claims, team productivity, and alignment with client-specific requirements. The Domain Expert will support coaching, reporting, escalations, and operational improvement initiatives.
Key Responsibilities
• Provide expert guidance on Life & Health products: Term/Whole/UL Life, Group Health, Medicare/Medicaid, ACA plans, Disability, Critical Illness, Supplemental Health.
• Interpret and apply U.S. regulatory frameworks including NAIC, HIPAA, ACA, ERISA, state‑specific rules. Improve end‑to‑end processes: new business, underwriting, policy issuance, servicing, billing, claims, renewals.
• Define and validate business requirements for system enhancements, automation, and digital transformation.
• Collaborate with actuarial, compliance, operations, IT, and product teams to ensure alignment.
• Analyze operational and claims data to identify trends, risks, and improvement opportunities.
• Review policy forms, customer communications, and process documentation for accuracy and compliance.
• Provide training, domain knowledge sessions, and SME support for cross‑functional teams.
Skills, Knowledge & Expertise
• 5–10+ years of experience in U.S. Life & Health insurance.
• Strong understanding of underwriting, claims, product structures, and regulatory compliance.
• Experience with policy administration, underwriting, or claims systems.
• Ability to translate business needs into clear functional requirements.
• Strong analytical, documentation, and communication skills.
• Bachelor or Masters Preferred GB and Lean certified
• Insurance certification
• Deep domain expertise and regulatory awareness.
• Process optimization and problem‑solving ability.
• Cross‑functional collaboration and stakeholder management.
• High attention to detail and strong business acumen
Operations (other) jobs in Pune · Operations (other) jobs in India · All Davies Davies jobs