Domain Expert

Davies Shared Services; Pune District; On-site; INR 1,200,000 - 2,400,000; Full time

Job summary

Davies Shared Services in Pune seeks a Domain Expert – Life & Health to oversee teams handling US insurance processes. You will manage domain knowledge, trainings, quality monitoring, and ensure compliance across claims, underwriting, and servicing.

The role requires 5–10+ years in US Life & Health, strong regulatory understanding, and the ability to translate business needs into functional requirements. A hands-on coach, you will drive process improvements and stakeholder engagement.

Qualifications

• 5–10+ years in U.S. Life & Health insurance fields.
• Strong understanding of underwriting, claims and product structures.
• Experience with policy administration and claims systems.
• Ability to translate business needs into clear functional requirements.
• Strong analytical, documentation, and communication skills.
• Regulatory awareness and compliance experience.
• Lean or process-improvement certifications are a plus.

Responsibilities

• Provide expert guidance on Life & Health products and benefits.
• Interpret U.S. regulatory frameworks including NAIC, HIPAA, ACA, ERISA.
• Define and validate business requirements for systems enhancements.
• Collaborate with actuarial, compliance, operations, IT, and product teams.
• Analyze operational and claims data to identify trends and risks.
• Review policy forms, communications, and process documentation for compliance.
• Provide training and SME support for cross-functional teams.

Skills

US Life & Health

Underwriting & Claims

Policy administration

Functional requirements

Analytical skills

Regulatory compliance

Cross-functional collaboration

Process optimization

Attention to detail

Business acumen

Education

Bachelor's or Master's degree in a relevant field

Lean certification

Insurance certification

Job description

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, statespecific rules. Improve endtoend 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 crossfunctional 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 problemsolving ability.
• Crossfunctional collaboration and stakeholder management.
• High attention to detail and strong business acumen