7 Insurance Workflows Jobs

Role Overview: You will be the Tech Lead responsible for overseeing the architecture and technical solutioning for GenAI-powered use cases in the insurance industry. Your role will involve collaborating with business teams, designing end-to-end systems, ensuring technical delivery, and serving as the technical face to the client. Key Responsibilities: - Lead the architecture and technical solutioning for GenAI-powered use cases in the insurance industry. - Collaborate with business teams to ideate, assess, and create use cases demonstrating tangible value. - Design end-to-end systems integrating GenAI components, APIs, and cloud infrastructure. - Drive technical delivery to ensure scalability, performance, and alignment with client goals. - Work with engineers, product managers, and QA to deliver production-grade solutions. - Act as the technical point of contact for clients, supporting solution discussions and managing stakeholder expectations. - Evaluate and select appropriate GenAI tools and platforms such as OpenAI, LangChain, and RAG pipelines. - Uphold data privacy, compliance, and security standards in all solutions. Qualifications: - Minimum 10 years of experience in software development/architecture with a strong background in system design and enterprise delivery. - Proven track record in designing AI/ML or GenAI solutions, preferably using tools like OpenAI, Azure OpenAI, LangChain, etc. - Sound knowledge of cloud infrastructure (AWS/Azure/GCP) and integration best practices. - Experience in insurance workflows like underwriting, claims, policy administration, or financial operations. - Ability to create clear technical documentation, architecture diagrams, and engineering playbooks. - Hands-on development experience in Python, Node.js, or similar languages is a plus. - Strong stakeholder management and communication skills. Additional Company Details: The company is a global consulting, technology, and managed services firm supporting insurance organizations worldwide. Specializing in underwriting, claims, policy services, data, and digital transformation, they help insurers improve efficiency and drive growth through tailored solutions leveraging innovation and advanced technologies. Their client-centric approach ensures measurable business outcomes and long-term value creation.,

Walk In Details Walk In Date- 22nd & 23rd August 2025 Walk In Time- 12:00 PM - 5:00 PM IST Venue- TELUS Digital, DLF World Tech Park, 7th Floor, Tower B2 & B3, Sector 30, Gurugram, Haryana 122001 Job Summary We are hiring for Customer Service International Voice Process focused on the US Healthcare domain . You will be responsible for resolving customer queries via calls, assisting with claims, benefits, authorizations, and billing inquiries, while ensuring compliance with US healthcare regulations and delivering an exceptional experience. Role & responsibilities Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility. Assist US-based members and providers with accurate and timely information. Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows. Accurately document customer interactions and transactions in the system. Ensure HIPAA compliance and protect patient privacy at all times. Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT). Collaborate with internal teams for escalation resolution and process improvement. Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor&aposs offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating the member website, and other websites while encouraging and reassure them to become self-sufficient Preferred candidate profile Freshers graduated in 2023, 24 & 25 are eligible to apply for International Voice Process Minimum 6 months to 3 years of experience in international voice process Excellent verbal and written communication skills in English. Strong interpersonal skills with the ability to remain patient and empathetic. Comfortable working night shifts and rotational offs. Basic computer literacy and typing skills. Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations). Graduate in any stream (preferably Life Sciences, Healthcare, or related fields). Undergraduates with relevant BPO experience are eligible to apply Knowledge of billing practices and procedures preferred Proficiency with word processing and spreadsheet software and required Perks & Benefits Paid training and continuous development Cab Facility or Transport Allowance Medical Insurance Life Insurance Show more Show less

As a Quality Assurance Specialist in the healthcare industry, your main responsibility is to evaluate voice and chat interactions regarding patient inquiries, appointment scheduling, insurance claims, billing, and medical service coordination. It is crucial to ensure that these interactions comply with HIPAA regulations or local healthcare guidelines such as QCHP/HAAD for data confidentiality. You will utilize QA scorecards to meticulously audit agent conversations, identifying areas for improvement, training needs, and knowledge gaps. Your role also involves delivering constructive feedback to agents and conducting coaching sessions with team leads. Tracking performance metrics, preparing quality reports, and dashboards are essential tasks to monitor and enhance service quality. Collaboration with Operations, Training, and Compliance teams through calibration sessions is necessary to align processes and ensure consistent quality standards. Participation in process audits and staying updated on healthcare guidelines and regulatory changes are integral parts of this role. To be successful in this position, you are required to have a Bachelor's degree in any discipline, with a background in healthcare or life sciences being advantageous. You should possess a minimum of 3 years of experience as a QA in a healthcare BPO or clinical support process, specializing in voice and chat interactions. Familiarity with healthcare systems like EMR, EHR, insurance workflows, or medical terminologies will be beneficial. Strong communication, analytical, and interpersonal skills are essential for effectively evaluating and providing feedback on agent interactions. Proficiency in MS Office and QA tools is necessary to document findings accurately and prepare quality reports. This is a full-time position with a fixed morning shift schedule. The work location is in person. If you are interested in this opportunity, please contact the employer at +91 9061130033 for further discussions.,

As a Business Analyst for the InsureMO Platform, you will play a crucial role in supporting digital transformation initiatives within the insurance domain. With 6 to 10 years of experience, you will utilize your strong analytical skills to gather, analyze, and document business requirements from stakeholders across various insurance lines. While experience in the Property and Casualty insurance domain is preferred, it is not mandatory for this role. Your responsibilities will include designing and configuring insurance workflows, APIs, and microservices using the InsureMO platform. You will be translating business needs into functional specifications and user stories, conducting gap analysis, and proposing scalable solutions for underwriting, policy administration, claims, and billing processes. Furthermore, you will actively participate in user acceptance testing, collaborate with cross-functional teams, and stay abreast of InsureMO platform capabilities and industry trends to provide innovative solutions. To excel in this role, you are required to have hands-on experience with the InsureMO platform, strong problem-solving skills, familiarity with Agile methodologies and tools such as JIRA, Confluence, and Visio, and excellent communication and stakeholder management abilities. A bachelor's degree in Business, IT, or a related field is essential, while advanced certifications or an MBA would be considered a plus. Preferred qualifications for this position include experience in Property and Casualty insurance, InsureMO certification or formal training, exposure to digital transformation projects and cloud-based insurance platforms, as well as a background in working with global insurance carriers or brokers.,

As a Support Engineer in our AI Enablement team at InfoPark, Cochin, you will be responsible for bridging the gap between AI technology and customer support operations in the homeowners insurance domain. Your role will involve training and deploying AI models to automate support tasks, optimizing intelligent tools for underwriting and claims workflows, and enhancing customer and agent interactions across digital channels while also supporting existing manual tasks. Your key responsibilities will include preparing, labeling, and validating underwriting and claims support data for AI model training, collaborating with AI engineers to automate routine tasks, monitoring AI performance in production, and providing feedback for continuous improvement. You will also act as a liaison between the AI development team and customer support teams, onboard support staff on AI-driven tools, and ensure system maintenance and troubleshooting to support the stability of AI tools across platforms. To be successful in this role, you should have at least 2 years of experience in technical support, customer support, or insurance operations, preferably in homeowners insurance. Additionally, you should possess a basic understanding of AI/ML concepts, particularly Natural Language Processing (NLP), and have experience with support platforms like Zendesk, HubSpot, or Salesforce. Strong analytical, troubleshooting skills, and excellent interpersonal and communication skills are also essential. Preferred qualifications include experience in labeling or training datasets for AI/chatbot models, exposure to tools like chatGPT, Gemini, Copilot, knowledge of data privacy practices, compliance standards in the insurance sector, and basic proficiency in Python or SQL for data handling. Join us to play a central role in transforming the insurance industry with AI, collaborate with global teams, work in a modern, innovation-driven environment at InfoPark, Cochin, and enjoy a flexible, inclusive work culture with growth opportunities in AI and insurance technology. This full-time position in Kochi requires a minimum of 2 years of relevant experience, and you should be ready to relocate to Kochi and work from the office immediately. You will report to the Director of AI Operations / Support Automation Lead. Qualifications: Any Graduates, preferably in finance or IT field.,

As a Quality Assurance Specialist in the healthcare sector, you will be responsible for evaluating voice and chat conversations related to patient queries, appointment scheduling, insurance, claims, billing, and medical service coordination. Your role will be crucial in ensuring compliance with HIPAA (or local healthcare regulations like QCHP/HAAD, if applicable) and data confidentiality protocols. Using QA scorecards, you will audit agent interactions and accurately document your findings. It will be your responsibility to identify training needs, knowledge gaps, and process improvement opportunities, and provide constructive feedback while supporting coaching sessions with team leads. Tracking performance metrics and preparing regular quality reports and dashboards will be essential aspects of your role. You will also conduct calibration sessions with Operations, Training, and Compliance teams, as well as participate in process audits to suggest ways to enhance service quality. Staying updated on healthcare process guidelines and regulatory changes will be crucial to ensure the organization's adherence to industry standards. To qualify for this position, you should have a Bachelor's degree in any discipline, with a background in healthcare or life sciences being a plus. Additionally, you should have at least 3 years of experience as a QA in a healthcare BPO or clinical support process (voice/chat). Familiarity with healthcare systems such as EMR, EHR, insurance workflows, or medical terminologies is preferred. Strong communication, analytical, and interpersonal skills are required for this role, along with proficiency in MS Office and QA tools. This is a full-time position with a fixed morning shift schedule, and the work location is in person. If you are excited about contributing to the quality assurance processes in the healthcare industry, we would love to speak with you. Job Type: Full-time Schedule: Fixed shift Morning shift Work Location: In person For further details, please contact the employer at +91 9061130033.,

Role & responsibilities The Business Analyst External Integrations is a critical role for ensuring seamless integration between the Insurance Marketplace platform and external ecosystem partners such as insurers, government data platforms (like Vahan, Aadhaar, CERSAI), identity verification services (e-KYC, NSDL), and payment gateways. responsibilities Lead integration requirement analysis for all insurer and third-party interfaces (e.g., Vahan, Aadhaar, NSDL, CERSAI, e-KYC, NPCI, payment gateways). Coordinate with insurers and ecosystem partners to gather, document, and validate interface requirements and onboarding processes. Define data schemas, mapping templates, and API specifications; collaborate with developers on integration design. Ensure regulatory and security compliance for sensitive integrations such as Aadhaar, PAN, and KYC flows. Draft and maintain BRDs, FRDs, Interface Control Documents (ICDs), and sequence/process flow diagrams. Collaborate with product managers, tech leads, QA, and infosec teams to ensure end-to-end readiness and traceability. Participate in partner onboarding, technical workshops, and sandbox testing. Support UAT and production release validation with insurers and ecosystem agencies. Troubleshoot integration issues and support resolution in collaboration with support/infra teams. This is an individual contributor role, with cross-functional collaboration across product, technology, operations, and compliance. Maintain an integration tracker, API inventory, and documentation repository Convert business requirements into technical user stories and solution blueprints. Support UAT and drive alignment between business expectations and technology deliverables.