Claims Operations Specialist | Remote

What You Will Do

• Review and assess AI-generated outputs related to claims handling, coverage decisions, and operational workflows
• Identify errors, gaps, or misalignments in AI reasoning against real-world insurance standards
• Provide expert written feedback to help train and refine AI models
• Evaluate scenarios involving claims investigation, documentation, reserving, and resolution
• Flag compliance or procedural issues based on your professional experience

Domain Focus

• Property and casualty claims operations
• Liability and subrogation processes
• Claims documentation and reserving
• Coverage interpretation and policy analysis
• Regulatory compliance in claims handling

What We Are Looking For

• 5 or more years of experience in insurance claims or operations
• A background in roles such as Claims Manager, Claims Analyst, Insurance Operations Analyst, Subrogation Specialist, or similar
• CPCU, ARM, ACAS, or FCAS designation is a strong plus
• A solid understanding of claims lifecycle, coverage analysis, and industry best practices
• Strong written communication skills and ability to give structured, clear feedback
• Comfortable working independently in a remote, asynchronous environment

Work Style and Expectations

• This is a remote, self-managed engagement
• You will complete evaluation tasks on your own schedule within agreed weekly hour targets
• No meetings-heavy workflow
• Onboarding is fast, typically within 24 hours of acceptance
• The company values quality of feedback over volume, so attention to detail and professional rigor matter here

Compensation

• Compensation Rate: $100-125/hr (USD)
• Paid via Deel, fortnightly
• Commitment: 15-20+ hours/week (minimum 10+ hours/week)
• Type: Long-term engagement, retainer opportunities for strong performers