Senior P&C Claims Examiner – Remote & Strategist

SaidGig; New York (NY); A distancia; USD 90.000 - 131.000; A tiempo parcial

Descripción de la vacante

SaidGig is seeking a claims professional to help shape how advanced AI models reason through insurance claims, from coverage and investigation to evaluation, settlement, and resolution. You will develop realistic claim-handling scenarios, create high-quality insurance reasoning material, and assess AI responses against established claims standards for a leading AI research lab.

Remote work is available for applicants in the US, Canada, or UK, with an hourly engagement of at least 20 hours per

Formación

• At least 2 years of professional experience handling P&C claims.
• Experience independently handling claims in at least one area (property, auto, etc.).
• Understanding of full claim lifecycle from intake to closure.
• Ability to interpret policy language and escalate when needed.
• Strong written analysis, balanced judgment, and attention to detail.
• Distinguish routine adjudication from complex work.

Responsabilidades

• Develop realistic claims scenarios covering first notice of loss, coverage verification, investigation, documentation, reserving, damage evaluation, negotiation, settlement, subrogation, salvage, and closure.
• Produce claim action plans, coverage analyses, investigation requests, evaluation summaries, settlement recommendations, and communications to insureds.
• Write reference responses that meet the quality standards expected of an experienced claims professional.
• Evaluate AI-generated responses using structured rubrics that assess factual accuracy, policy application, claim-handling judgment, and procedural completeness.
• Identify premature conclusions, missing investigative steps, unsupported valuations, improper communications, and failures to distinguish covered damage from excluded or unrelated losses.
• Deliver written feedback that helps the research team improve model behavior.
• Take part in onboarding office hours and calibration sessions.

Descripción del empleo

SaidGig is seeking a claims professional to help shape how advanced AI models reason through insurance claims, from coverage and investigation to evaluation, settlement, and resolution. You will develop realistic claim-handling scenarios, create high-quality insurance reasoning material, and assess AI responses against established claims standards for a leading AI research lab.

Remote work is available for applicants in the US, Canada, or UK, with an hourly engagement of at least 20 hours per