Disability Claims & Underwriting Specialist

Weekday 1; United States; Remote; USD 91,000 - 129,000; Full time

Job summary

Weekday 1 is partnering with a leading AI lab to hire Disability Claims Underwriting Specialists to design disability adjudication scenarios, evaluate AI outputs, and help shape how disability definitions, medical evidence and benefit entitlement are reasoned.

You will create determinations and return-to-work plans, grade AI-generated responses against rubrics, and provide written feedback to improve model behavior.

Qualifications

• 2+ years in disability claims adjudication, underwriting, or related fields.
• Experience with group/individual disability programs and ERISA processes.
• Ability to weigh medical, occupational and financial evidence.
• Strong written analysis and attention to detail.

Responsibilities

• Design realistic disability scenarios including definitions and durations.
• Create determinations, benefit calculations, evidence summaries, and return-to-work plans.
• Write reference responses at expert disability-professional quality.
• Grade AI outputs against rubrics for accuracy and fairness.
• 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

Education

CRC/CDMS/CCM/CPDM/RN credentials

Tools

ERISA records handling

Appeals support experience

Job description

This role is for one of our clients

Compensation: $80 per hour

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 YouHave

• 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 accommoda