Domain Expert
- Pune, India
- On-site
- Senior Level
- Posted
Responsibilities
- Provide expert guidance on: 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
Key Responsibilities
Life & Health products
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
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