Insurance Document Reviewer

Crossing Hurdles; Remote; GBP 30,000 - 45,000; Full time

Job summary

A reputable insurance firm in the United Kingdom seeks an experienced insurance specialist. You will review and validate insurance documentation for accuracy and provide recommendations to improve dataset quality for AI training. The ideal candidate has strong experience in insurance roles, a deep understanding of credentialing processes, and the ability to interpret complex policies. This role requires strong analytical skills and the capability to work independently in a remote setting.

Qualifications

• Strong experience as an insurance specialist or in a closely related role.
• Deep understanding of credentialing processes and denial prevention strategies.
• Proven ability to interpret complex health insurance policies.

Responsibilities

• Review and validate insurance-related documentation for accuracy.
• Evaluate content related to credentialing workflows and benefits administration.
• Provide expert recommendations to improve dataset quality.

Skills

Analytical skills

Attention to detail

Documentation skills

Independent work

Job description

Responsibilities

• Review and validate insurance-related documentation for technical accuracy and policy alignment.
• Evaluate content covering credentialing workflows, provider network management, and benefits administration.
• Assess accuracy of materials related to Medicaid coordination and secondary coverage processes.
• Ensure clarity and correctness in explanations of reimbursement structures for lifelong conditions.
• Provide expert, structured recommendations to improve dataset quality used for AI training and evaluation.
• Work independently to complete reviews within defined timelines.

Requirements

• Strong experience as an insurance specialist, benefits manager, senior claims analyst, or in a closely related role.
• Deep understanding of credentialing processes and denial prevention strategies.
• Expertise in Medicaid coordination, reimbursement logic, and secondary insurance coverage.
• Proven ability to interpret and assess complex health insurance policies and documentation.
• Strong analytical, documentation, and attention-to-detail skills.
• Ability to work independently in a remote, asynchronous environment and meet short deadlines.

Application Process (Takes 20 Min)

• Upload resume
• Interview based on your background (15 min)