Remote VA Claims Expert for AI Training

Crossing Hurdles; United States; Remote; CAD 117,000 - 165,000; Part time

Job summary

Crossing Hurdles is seeking a detail-oriented Veterans Service Representative to review AI-generated disability claims on a remote contract. The role emphasizes thorough evidence evaluation, strict regulatory adherence, and precise documentation to support AI training.

You will assess medical documentation, perform claim ratings, and participate in higher-level review simulations using VBMS. Strong QA experience and familiarity with federal processes are essential.

Qualifications

• Experience reviewing disability claims and determining entitlement.
• Familiarity with federal/VA guidelines and evidence standards.
• Ability to synthesize complex information into concise decisions.

Responsibilities

• Review AI-generated disability claims for completeness and accuracy.
• Assess AI medical documentation and its impact on determinations.
• Document reasoned benefit determinations for AI training.
• Conduct QA reviews of AI-driven decisions per VA standards.
• Access and update claim files using VBMS or equivalent systems.
• Simulate higher-level review decisions to support appeals processes.
• Provide clear written/verbal feedback to improve AI model training.

Skills

Evidence gathering

Regulatory knowledge

Claims evaluation

Attention to detail

Tools

VBMS

Job description

Crossing Hurdles is seeking a detail-oriented Veterans Service Representative to review AI-generated disability claims on a remote contract. The role emphasizes thorough evidence evaluation, strict regulatory adherence, and precise documentation to support AI training.

You will assess medical documentation, perform claim ratings, and participate in higher-level review simulations using VBMS. Strong QA experience and familiarity with federal processes are essential.