Social Insurance Specialist

Micro1; United States; À distance; USD 83 000 - 117 000; Temps partiel

Résumé du poste

Micro1 seeks a Social Insurance Specialist contractor to review AI-generated Social Security benefit claims and determine eligibility in retirement, survivors, disability, and income programs. You will document detailed determinations and rationales for AI training, ensuring accuracy and compliance.

Role requires expertise in eligibility determination, evidence gathering, and familiarity with relevant regulatory guidelines.

Qualifications

• Proven expertise in evaluating social insurance benefit claims and eligibility.
• Familiarity with statutory and regulatory guidelines governing benefits.
• Ability to assess complex evidence and document rationales clearly.
• Experience with federal or state claims processing environments is a plus.

Responsabilités

• Review and analyze AI-generated social insurance benefit claims per guidelines.
• Assess AI-generated eligibility determinations for retirement, survivors, disability, and income programs.
• Complete detailed benefit determinations and write clear rationales for AI training.
• Conduct QA reviews of AI-generated decisions, flag inconsistencies per policy.
• Use claims systems to access, update, and manage claim files and docs.
• Provide feedback to improve AI model training accuracy.

Connaissances

Fraud Detection

System Operations

Adjudicate Claims

GS-0105

Description du poste

Pay: $60 - $85/hour

Required Skills

• Fraud Detection
• System Operations
• Adjudicate Claims
• GS-0105
• About micro1
• micro1 is a data lab that helps AI labs & Enterprises train foundational models and agents. We provide frontier evaluations and reinforcement learning environments to improve LLM capabilities, as well as contextual evaluations to monitor and improve AI agents in enterprise settings.

Our AI recruiting agent sources and vets domain experts for our data platform that enables rapid production of high-quality training data. Our research spans high-value, specialized domains (legal, medical, finance, coding, etc.), where expert-level data is the hardest to produce and most valuable for advanced model performance. Our pipeline performance system ensures both quality and velocity.

Role Title: Social Insurance Specialist

Role Type: Contractor

Location: United States, Remote

micro1 is engaging Social Insurance Specialists to participate in an impactful project supporting our customer's needs. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters.

Scope of Work

• Review and analyze AI-generated social insurance benefit claims, ensuring comprehensive evaluation of evidence and adherence to established statutory and regulatory guidelines.
• Assess AI-generated eligibility and entitlement determinations for retirement, survivors, disability, and supplemental income programs, weighing complex evidence accurately.
• Complete detailed benefit determinations and computations, and document rationales with clarity and precision for AI training.
• Conduct quality assurance reviews of AI-generated claims decisions, pinpointing inconsistencies or errors according to agency policy and program standards (e.g., POMS).
• Utilize specialized claims and records systems to access, update, and manage claim files and supporting documentation.
• Simulate higher-level review decisions, providing expertise on reconsiderations, appeals, and overpayment or underpayment processes for AI training.
• Deliver constructive written and verbal feedback to enhance AI model training accuracy and effectiveness.

Preferred Qualifications

• Proven expertise as a Social Insurance Specialist or equivalent, with strong experience in eligibility determination, benefit entitlement, and evidence gathering.
• Familiarity with GS-0105: Social Insurance Administration functions, or related series such as GS-0996: Veterans Claims Examining and GS-0512: Internal Revenue Agent.
• Demonstrated skill evaluating benefit claims and applying program rules in a regulated environment.
• Experience using claims processing and case management systems, such as SSA’s MCS and MSSICS, or similar platforms.
• Background in quality assurance for claims or similar processes within federal, state, or related agencies.
• Ability to synthesize complex information and present informed decisions for higher-level review processes.

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