Claims Director | Remote
CapitexAI · United States · 1 mo ago
RemoteRemoteSalesContract
Key Responsibilities
- Design realistic scenarios involving disputed coverage, reservations of rights, excess exposure, and high-severity settlement strategy.
- Create work products such as complex claim strategies, coverage-position analyses, and litigation-management plans.
- Write 'golden' reference responses at senior technical claims quality.
- Grade AI-generated responses against structured rubrics for policy analysis and strategic judgment.
- Identify claim-handling positions that are internally inconsistent or operationally unrealistic.
- Provide written feedback to improve model behavior.
Core Requirements
- Have strong relevant experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims.
- Have evaluated coverage issues and developed claim strategies involving multiple parties, layers, policies, or jurisdictions.
- Understand insurer duties, reservation-of-rights practices, and litigation management.
- Can distinguish an operational coverage position from formal legal advice.
- Demonstrate exceptional written reasoning, defensible judgment, and high attention to detail.
$800 per task | 10–40 hrs/week | Remote