Domain Expert

Department: Business Support

Employment Type: Permanent - Full Time

Location: Pune

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