Clinical Reviewer (Remote) — Shape AI-Driven Claims

Brighterway; United States; Remote; USD 120,000 - 160,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Equity

Flexible time off

Job summary

Brighterway is a remote-first company in the United States developing AI-native claims software for casualty claims. The clinical reviewer will audit AI-generated chronologies and summaries, compare them to source records, and help define clinically correct standards used by physicians, attorneys, and adjusters.

You will write clinical review guidelines, identify omissions or inaccuracies, and contribute to the ongoing improvement of customer-facing reviews and quality processes.

Qualifications

• Active RN license and at least 5 years of clinical experience.
• Experience in utilization review, nurse case management, medical-legal review or workers’ compensation.
• Strong written communication and attention to detail.

Responsibilities

• Audit medical summaries, timelines and record classifications against underlying records.
• Write clinical review guidelines and gold-standard examples for the research and engineering teams.
• Flag clinically significant omissions, causation issues and prior-history findings.
• Support customer quality reviews and respond to clinical feedback from evaluators.

Skills

RN license

Clinical experience

Utilization review

Medical-legal review

Strong written communication

Job description

Brighterway is a remote-first company in the United States developing AI-native claims software for casualty claims. The clinical reviewer will audit AI-generated chronologies and summaries, compare them to source records, and help define clinically correct standards used by physicians, attorneys, and adjusters.

You will write clinical review guidelines, identify omissions or inaccuracies, and contribute to the ongoing improvement of customer-facing reviews and quality processes.