# Domain Expert

**Company**: Davies
**Location**: Viman Nagar, Maharashtra
**Work arrangement**: onsite
**Experience**: senior
**Job type**: full-time
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://davies.pinpointhq.com/en/postings/07f0f836-0d33-496b-99c0-0232411666d1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_5d64b81d-cb7

## Description

We are seeking a proactive and detail-oriented Domain Expert to oversee multiple teams responsible for processing Life & Health and US Insurance claims. The successful candidate will provide expert guidance on Life & Health products, interpret and apply US regulatory frameworks, and define business requirements for system enhancements.

## Key Responsibilities

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

- Interpret and apply US regulatory frameworks such as NAIC, HIPAA, ACA, ERISA, and state-specific rules to improve end-to-end processes.

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

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

- Analyse 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 US 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 degree preferred.

- GB and Lean certified.

- Insurance certification.

- Deep domain expertise and regulatory awareness.

- Process optimisation and problem-solving ability.

- Cross-functional collaboration and stakeholder management.

- High attention to detail and strong business acumen.

## Skills

### Required
- Life & Health insurance
- US regulatory frameworks
- NAIC
- HIPAA
- ACA
- ERISA
- policy administration
- underwriting
- claims systems
- analytical skills
- communication skills
- regulatory compliance

### Nice to have
- GB and Lean certified
- Insurance certification

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Source: [Apply at davies.pinpointhq.com](https://davies.pinpointhq.com/en/postings/07f0f836-0d33-496b-99c0-0232411666d1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)