Claims Architect
sri techMinneapolis (MN)
About the role
Job ID: SRJ_8919
Posted: 2026-07-20
Location: Minneapolis, MN - Remote, United States
Employment Type: C2C, Full Time
Industry: Computer Software
Client: Wipro
Contact: Meghana Gorusu
Company: SRI Tech Solutions
Claims Architect:
Minneapolis, MNSenior Claims Domain Consultant with deep expertise in Healthcare Payer Claims Operations and working knowledge of Generative AI tools such as Claude, Copilot, ChatGPT, or similar LLM-based platforms. The consultant will work closely with business, operations, technology, product, and client stakeholders to assess current claims processes, identify improvement opportunities, and define AI-enabled solutions that enhance claims accuracy, reduce manual effort, improve first-pass adjudication, and accelerate operational efficiency. The ideal candidate should have strong understanding of medical claims, prior authorization, claim edits, denials, rework, provider/member data, payment integrity, and regulatory compliance, along with the ability to leverage GenAI tools like Claude for requirements analysis, process documentation, knowledge summarization, workflow optimization, and solution ideation. Preferred
Qualifications:
Experience in claims transformation, claims modernization, or payer platform migration programs.
Experience with Facets, QNXT, HealthRules, or similar payer platforms.
Experience in AI-led healthcare transformation projects.
Exposure to automation tools, analytics platforms, or process mining tools.
Experience in consulting-led engagements, client workshops, and solution shaping.
Understanding of payer data models and claims data structures.
Certification in healthcare domain, business analysis, Agile, or AI/GenAI would be an added advantage. SRI Tech Solutions is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national origin or citizenship status or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
More like this