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

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Provide expert guidance on Life & Health products: Term/Whole/UL Life, Group Health, Medicare/Medicaid, ACA plans, Disability, Critical Illness, Supplemental Health.

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Interpret and apply U.S. regulatory frameworks including NAIC, HIPAA, ACA, ERISA, state‑specific rules. Improve end‑to‑end processes: current business, underwriting, policy issuance, servicing, billing, claims, renewals.

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Define and validate business requirements for system enhancements, automation, and digital transformation.

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Collaborate with actuarial, compliance, operations, IT, and product teams to ensure alignment.

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Analyze operational and claims data to identify trends, risks, and improvement opportunities.

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Review policy forms, customer communications, and process documentation for accuracy and compliance.

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Provide training, domain knowledge sessions, and SME support for cross‑functional teams.

Skills, Knowledge & Expertise

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5–10+ years of experience in U.S. Life & Health insurance.

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Strong understanding of underwriting, claims, product structures, and regulatory compliance.

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Experience with policy administration, underwriting, or claims systems.

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Ability to translate business needs into clear functional requirements.

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Strong analytical, documentation, and communication skills.

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Bachelor or Masters Preferred GB and Lean certified

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Insurance certification

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Deep domain expertise and regulatory awareness.

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Process optimization and problem‑solving ability.

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Cross‑functional collab

📌 Domain Expert (Viman Nagar)
🏢 Davies
📍 Viman Nagar