Remote Social Insurance Claims Reviewer (AI Training)

OpenTrain AI, Inc.; États-Unis; À distance; USD 83 000 - 117 000; Temps partiel

Résumé du poste

OpenTrain AI, Inc. seeks a remote Social Insurance Specialist (Claims Review) to join as a part-time contractor in the United States. You will review AI-generated social insurance claims, verify evidence, assess eligibility, and confirm benefit calculations in line with program rules.

You’ll document clear rationales for decisions and contribute to model improvement. Daily work involves using claims systems and providing written feedback to improve AI accuracy, with compensation in the remote

Qualifications

• Knowledge of eligibility decisions, benefit entitlement, evidence gathering, and regulated program rules.
• Experience with claims processing or case management systems such as SSA tools.
• Ability to synthesize complex records and explain decisions clearly for higher‑level review.

Responsabilités

• Review AI-generated social insurance claims and benefit decisions for accuracy.
• Assess evidence, eligibility, entitlement, and benefit computations.
• Complete or verify determinations and document rationales.
• Perform QA against agency policies and standards, including POMS.
• Access and manage case files in claims systems and respond to reconsiderations.

Connaissances

Claims processing

Evidence gathering

Policy compliance

Eligibility decisions

Written communication

Outils

SSA MCS

MSSICS

Description du poste

OpenTrain AI, Inc. seeks a remote Social Insurance Specialist (Claims Review) to join as a part-time contractor in the United States. You will review AI-generated social insurance claims, verify evidence, assess eligibility, and confirm benefit calculations in line with program rules.

You’ll document clear rationales for decisions and contribute to model improvement. Daily work involves using claims systems and providing written feedback to improve AI accuracy, with compensation in the remote