Disability Claims & Underwriting Specialist

Great Value Hiring; United States; On-site; USD 680 - 920; Part time

Job summary

Great Value Hiring is seeking a Disability Claims & Underwriting Specialist to design realistic disability adjudication scenarios, evaluate model outputs, and help shape how AI reasons about disability definitions, medical and vocational evidence, and benefit entitlement.

Role requires 2+ years of professional experience in disability claims adjudication or underwriting, with knowledge of elimination periods and offsets.

Qualifications

• 2+ years of professional experience in disability claims adjudication or related fields.
• Experience with programs such as short-term disability, long-term disability, or life-related waivers.
• Understand how elimination periods and definitions affect entitlement and duration.
• Ability to weigh medical, occupational and financial evidence with a defensible rationale.
• Strong written analysis, balanced judgment and high attention to detail.
• Distinguish adjudication from clinical decisions and from formal legal advice.

Responsibilities

• Design realistic disability scenarios including definitions, offsets, and durations.
• Create determinations, benefit calculations, medical and vocational evidence summaries, and return-to-work plans.
• Write gold-standard reference responses at experienced disability-professional quality.
• Grade AI-generated responses against rubrics for accuracy and fairness.
• Identify misapplied definitions, incorrect benefit math, and missing records.
• Provide feedback to the research team to improve model behavior.
• Participate in onboarding hours and calibration sessions.

Skills

Disability claims adjudication

Underwriting

Analytical writing

Job description

Disability Claims & Underwriting Specialist [$800 per task] 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 Role Responsibilities

• 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

Good Candidature

• 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