Remote Subject Matter Expert - Veterans Claims & AI QA

Crossing Hurdles; United States; Remote; GBP 61,000 - 87,000; Full time

Job summary

Crossing Hurdles is seeking a veteran services representative to review and analyze AI-generated disability compensation claims, ensuring evidence is complete and aligned with established regulatory guidelines. The role focuses on accurately weighing medical documentation and claim data to produce sound determinations.

You will document rationales for training AI models, perform quality assurance of decisions against VA standards, and use VBMS or similar systems to access and update files.

Qualifications

• Proven expertise as a Veterans Service Representative or equivalent in benefits determinations.
• Experience gathering and evaluating evidence for disability claims.
• Familiarity with federal benefit programs and regulatory guidelines.
• Experience with VA claim processes and related systems.

Responsibilities

• Review and analyze AI-generated disability claims for completeness and regulatory compliance.
• Assess AI-generated medical documentation and its effect on claims outcomes.
• Prepare detailed benefit determinations with clear rationales for AI training.
• Conduct quality assurance reviews of AI-driven decisions per VA standards.
• Access and manage claim files using VBMS or similar systems.
• Provide feedback to improve AI model accuracy for appeals and reviews.

Skills

VSR experience

VBMS experience

Evidence gathering

Regulatory compliance

QA for claims

Tools

VBMS

Job description

Crossing Hurdles is seeking a veteran services representative to review and analyze AI-generated disability compensation claims, ensuring evidence is complete and aligned with established regulatory guidelines. The role focuses on accurately weighing medical documentation and claim data to produce sound determinations.

You will document rationales for training AI models, perform quality assurance of decisions against VA standards, and use VBMS or similar systems to access and update files.