Claims Specialist | Remote

Key Responsibilities

• Design realistic scenarios involving short- and long-term disability claims and claim duration management.
• Create work products such as claim determinations, benefit calculations, and appeal decisions.
• Write 'golden' reference responses at experienced disability-professional quality.
• Grade AI-generated responses against structured rubrics for accuracy and fairness.
• Identify misapplied definitions and incorrect benefit calculations.
• Provide written feedback to improve model behavior.

Core Requirements

• Strong relevant experience in disability claims adjudication or underwriting.
• Experience with at least one program type, such as group short-term disability or statutory disability.
• Understanding of how contract definitions and offsets determine entitlement and duration.
• Ability to weigh medical, occupational, and financial evidence to articulate a defensible determination.
• Excellent written analysis and high attention to detail.

$800 per task | 10–40 hrs/week | Remote