Claims Scenario Author

Job Summary

Experienced claims professionals will find a part-time contract opportunity as a Claims Scenario Author, responsible for creating realistic scenarios to train AI agents by developing tasks that require investigation, evaluation, and decision-making based on fictional carrier policies.

Key responsibilities

• Develop realistic claims scenarios that require multi-step tasks for AI agents
• Define expected outcomes, including liability determinations and claim valuations
• Create fictional claim files and write evaluation criteria with clear reference answers

Required qualifications

• At least 3 years of experience handling bodily injury, casualty, or liability claims
• Experience reviewing medical records and identifying discrepancies in billing and clinical documentation
• Ability to interpret records from various medical specialties
• Experience valuing claims and negotiating settlements
• Strong writing skills with the ability to maintain accuracy across multiple documents