Disability Claims & Underwriting Specialist

Weekday Ai; New Zealand; On-site; NZD 60,000 - 90,000; Part time

Job summary

Weekday Ai is hiring a Disability Claims & Underwriting Specialist NZ to design impairment scenarios, evaluate AI outputs against industry standards, and shape disability definitions and evidence usage. The role targets claims adjudication, underwriting, vocational rehabilitation, and absence management within carriers, TPAs, and employer programs.

Ideal candidates have 2+ years in related fields, familiarity with multiple program types, and strong ability to justify determinations using

Qualifications

• 2+ years of professional experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management.
• Experience with at least one program type (e.g., group short-term/long-term disability, individual disability income, statutory disability, or life waiver of premium).
• Ability to weigh medical, occupational and financial evidence with a documented rationale.

Responsibilities

• Design realistic scenarios for disability claims, elimination periods, definitions, and duration management.
• Create determinations, benefit calculations, and evidence summaries.
• Write expert-quality responses and rubrics for AI assessment.
• Grade AI outputs for definitional accuracy, evidentiary support, and fairness.
• Identify misapplied definitions, offsets, and incorrect benefit calculations.
• Provide feedback to improve model behavior.
• Participate in onboarding hours and calibration sessions.

Skills

Disability claims adjudication

Disability underwriting

Vocational rehabilitation

Leave and absence management

Job description

We are partnering with a leading AI lab to train frontier models on high-quality insurance reasoning data. We're hiring Disability Claims & Underwriting Specialists to design realistic disability adjudication and risk-selection scenarios, evaluate model outputs against established industry standards, and help shape how the next generation of AI reasons about disability definitions, medical and vocational evidence, and benefit entitlement.

We welcome group and individual disability claims examiners, disability underwriters, vocational rehabilitation professionals, return-to-work and absence-management specialists, and appeals reviewers from carriers, TPAs and employer-side programs.

Requirements

What You'll Do

• Design realistic scenarios involving short- and long-term disability claims, elimination periods, own-occupation and any-occupation definitions, residual and partial disability, offsets, recurrent disability and claim duration management
• Create work products such as claim determinations, benefit calculations, medical and vocational evidence summaries, transferable-skills analyses, return-to-work plans and appeal decisions
• Write "golden" reference responses at experienced disability-professional quality
• Grade AI-generated responses against structured rubrics for definitional accuracy, evidentiary support, benefit-calculation correctness and procedural fairness
• Identify misapplied disability definitions, unsupported functional conclusions, missed offsets, incorrect benefit math, and failures to document the administrative record
• Provide written feedback the research team uses to improve model behavior
• Participate in onboarding office hours and calibration sessions

You're a Good Fit If You

• Have 2+ years of professional experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management
• Have worked with at least one program type, such as group short-term disability, group long-term disability, individual disability income, statutory disability, or life waiver of premium
• Understand how contract definitions, elimination periods, offsets, pre-existing-condition provisions and maximum benefit periods determine entitlement and duration
• Can weigh medical, occupational and financial evidence and articulate a defensible determination with a documented rationale
• Demonstrate excellent written analysis, balanced judgment and high attention to detail
• Can distinguish claim adjudication from treating-provider clinical decisions and from formal legal advice

Bonus Qualifications

• CRC, CDMS, CCM, CPDM, RN, or comparable clinical or vocational credential
• Experience with ERISA administrative records, appeals or litigation support
• Individual disability income underwriting, including occupation class and financial underwriting
• Social Security, workers compensation or other-income offset coordination experience
• Experience with FMLA, state leave programs or ADA accommodation interaction

Role Highlights

• Minimum 20 hours per week (ideally 40+)
• Role starts immediately, applications reviewed on a rolling basis

We consider all qualified applicants without regard to legally protected characteristics and provide reasonable accommodations upon request.

Create a job alert for this search

Disability Claims & Underwriting Specialist NZ