AI Claims Specialist — Shape Workflows & Adjudicate

Brighterway; United States; Remote; USD 70,000 - 110,000; Full time

Job summary

Brighterway builds AI-native claims software focused on casualty claims, starting with workers' compensation medical-legal review. The team is small, highly technical, and backed by Y Combinator, with a culture of shipping and direct access to customers.

The role involves adjudicating claims on our platform, shaping how it works, and training the system by correcting AI summaries. You will own a caseload, define workflows, and support customers through onboarding and transitions.

Qualifications

• Experience adjudicating casualty claims.
• Ability to encode workflows and claims processes.
• Comfort with onboarding customers and transitions.

Responsibilities

• Manage caseload from intake to resolution.
• Define claims practices encoded into workflows.
• Support customers during onboarding and transitions.

Skills

Claims adjudication

Workflow design

Customer onboarding

Job description

Brighterway builds AI-native claims software focused on casualty claims, starting with workers' compensation medical-legal review. The team is small, highly technical, and backed by Y Combinator, with a culture of shipping and direct access to customers.

The role involves adjudicating claims on our platform, shaping how it works, and training the system by correcting AI summaries. You will own a caseload, define workflows, and support customers through onboarding and transitions.