Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS

Key Responsibilities

• Ai Output Validation: Critically assess the accuracy, relevance, completeness, and practical utility of the AI-generated summaries, recommendations, and data extractions against source medical documents (e.g., Provider Visit Notes, Attending Physician Statements, Medical Bills, etc.)
• Product Evaluation: Actively use and evaluate pre-release versions of the product’s features, leveraging your knowledge of claims handling and decision-making processes that [examiners/ adjusters] have.
• Data Labeling: Accurately and consistently label medical information within insurance claims data. This includes identifying key medical facts, diagnoses, treatments, and other relevant details.
• Prompt Editing: Leveraging claims-handling expertise to edit LLM prompts (no technical experience required for this).
• Workflow Insight: Provide detailed feedback on how the product integrates into existing daily claims management workflows, identifying pain points and opportunities for improvement.
• User Experience (UX) Input: Offer constructive criticism on the product's user interface and overall user experience to ensure it is intuitive for claims professionals.

Required Qualifications

• Professional Experience: Ideally 1-5+ years of recent, hands-on experience as a Worker’s Compensation, Lost Time Claims Adjuster (Bodily Injury/Liability focus).
• Technical Aptitude: Comfortable working with computers and learning new software applications. Familiarity with data labeling tools or natural language processing (NLP) is a plus but not required.
• Critical Thinking: Exceptional ability to review complex documentation (medical, legal, financial) and critically evaluate the key pieces of information buried within and relevance.
• Communication Skills: Excellent written and verbal communication skills, with the ability to articulate feedback clearly to a non-claims audience (product and engineering team).
• Attention to Detail: Meticulous attention to detail and a commitment to accuracy in evaluation and validation of output.

Preferred Qualifications

• Experience in training, mentoring, or process improvement roles within a claims environment.
• Specific experience using AI or automation tools in a professional setting.

Compensation & Perks

Compensation will vary based on participation level, experience, and scope of involvement. Hours may increase depending on business needs. This project offers a unique opportunity to collaborate with a rapidly scaling AI Insurtech SaaS company.

EvolutionIQ appreciates your interest in our company as a place of employment. EvolutionIQ is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.