This role is for one of our clients
Compensation: $100-$120 per hour (20 hours per week commitment)
Job Type: Part-time / Contract
Location: US, UK, Canada, France, Portugal (remote)
We are seeking a highly motivated and detail-oriented Insurance Claims Management AI Expert to join our growing team. This role sits at the intersection of insurance operations, data science, and artificial intelligence, with a strong focus on optimizing the end-to-end claims lifecycle. The ideal candidate will bring a blend of domain expertise in insurance claims and hands-on experience in deploying AI-driven solutions to enhance efficiency, accuracy, and customer experience.
Requirements
Key Responsibilities:
You will play a critical role in transforming traditional claims processes using AI and advanced analytics. Your primary responsibilities will include designing, implementing, and optimizing intelligent systems across claims intake, investigation, and adjudication workflows. You will work closely with cross-functional teams including underwriting, fraud detection, legal, and IT to ensure seamless integration of AI models into operational environments.
In claims intake, you will develop and refine AI models for automated data extraction, classification, and triaging of claims from multiple sources such as documents, images, and customer submissions. Improving turnaround time and minimizing manual intervention will be a key objective.
For claims investigation, you will leverage machine learning and predictive analytics to identify anomalies, detect potential fraud, and support decision-making. You will contribute to building intelligent workflows that prioritize high-risk claims and assist adjusters with actionable insights.
In adjudication, you will help design AI-assisted decision engines that recommend claim outcomes based on policy coverage, historical data, and risk profiles, ensuring consistency and compliance with regulatory standards.
Core Functional Expertise:
Required Qualifications:
Preferred Skills:
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