Insurance Claims Reasoning Evaluator

AI Trainer Jobs; United States; Remote; USD 96,000 - 124,000; Full time

Job summary

AI Trainer Jobs seeks an Insurance Claims Reasoning Evaluator for a remote review track across insurance workflows. Reviewers grade calculations, narrative reasoning, and policy adherence; flag compliance issues; document the corrected treatment so the modeling team can train on it.

You will re-perform insurance calculations, audit logic, and assess risk and regulatory standards. This is a contractor, remote position with hourly compensation, US eligibility, and independence to manage tasks

Qualifications

• Direct working experience with insurance on real engagements, transactions, or audits.
• CPA, CFA, or ACA credential (or comparable) considered.
• Clear written reasoning that cites standards, regulations, or firm policy.
• Reliable async availability for at least 10 hours per week.

Responsibilities

• Review AI outputs against current insurance standards, regulations, and firm policy for Insurance Claims Reasoning Evaluator assignments.
• Re-perform calculations and flag rounding, classification, or treatment errors.
• Tag compliance, reconciliation, and disclosure issues with structured severity scores.
• Capture the corrected workpaper or narrative so the modeling team can train on it.

Skills

Financial analysis

Audit-grade review

Regulatory standards

Risk assessment

Insurance

Audit review

Risk reasoning

Claims

Education

CPA / CFA / ACA

Tools

AI-assisted audit tools

Job description

Insurance Claims Reasoning Evaluator is a remote review track for evaluating AI outputs across insurance workflows. Reviewers grade calculations, narrative reasoning, and policy adherence; flag compliance and reconciliation issues; and document the correct treatment so the modeling team can train on it.

Category: Finance, Accounting & Economic AI · Pay: $70–$90 / hr · Location: Remote — US-eligible · Contractor

Insurance Claims Reasoning Evaluator is a remote review track for evaluating AI outputs across insurance workflows.

About the role

Insurance Claims Reasoning Evaluator is a remote review track for evaluating AI outputs across insurance workflows. Reviewers grade calculations, narrative reasoning, and policy adherence; flag compliance and reconciliation issues; and document the correct treatment so the modeling team can train on it.
Insurance workflows leave no room for fuzzy reasoning. AuraOne uses experienced finance-and-risk professionals to grade AI outputs the way an audit reviewer would — with citations, severity tags, and the corrected calculation alongside the original.
Review financial reasoning and accounting treatment. Audit logic and risk work too.

Responsibilities

• Review AI outputs against current insurance standards, regulations, and firm policy for Insurance Claims Reasoning Evaluator assignments.
• Re-perform calculations and flag rounding, classification, or treatment errors.
• Tag compliance, reconciliation, and disclosure issues with structured severity scores.
• Capture the corrected workpaper or narrative so the modeling team can train on it.

Role details

Track Finance & risk review Work model Remote · Independent specialist contractor Compensation Hourly rate confirmed after the interview process. Eligible from US

What you should bring

• Direct working experience with insurance on real engagements, transactions, or audits for Insurance Claims Reasoning Evaluator work.
• A CPA, CFA, or ACA. A comparable credential or equivalent applied experience also works.
• Comfort applying multi-page rubrics consistently across long batches.
• Clear written reasoning that cites standards, regulations, or firm policy.
• Reliable async availability for at least 10 hours per week.

Example tasks

• Re-perform a insurance calculation produced by a model and flag any rounding or classification errors.
• Grade a model's narrative reasoning on a complex transaction and rate the citation quality.
• Adjudicate a disputed treatment between two reviewers using current standards.
• Audit a 25-row batch for rubric consistency and report drift to the program lead.

Useful experience

• Big Four, bulge-bracket, or in-house controller / risk experience.
• Familiarity with AI-assisted close, audit, or risk tooling and its failure modes.
• Bilingual experience for cross-jurisdiction reviews.

Compensation and schedule

Hourly rate confirmed after the interview process.
Expected arrangement: contractor , with program-defined task volume and review pacing. Placement depends on current program demand and reviewer confirmation.

Skills used in matching

• Financial analysis
• Audit-grade review
• Regulatory standards
• Risk assessment
• Insurance
• Audit review
• Risk reasoning
• Claims