Social Insurance Specialist

Frontier AI Lab; United States; À distance; USD 55 000 - 96 000; Plein temps

Résumé du poste

Remotebridge is seeking a Social Insurance Specialist contractor in the United States (Remote). You will review AI-generated social insurance benefit claims, ensure evidence supports determinations, and apply governing rules to retirement, survivors, disability, and supplemental programs.

No AI background required; domain knowledge matters. You will document rationales for AI training and participate in quality assurance, with access to SSA-like systems and case records to support accurate

Qualifications

• Experience as Social Insurance Specialist or equivalent.
• Familiarity with GS-0105/GS-0996/GS-0512 series or related rules.
• Experience in quality assurance for claims.

Responsabilités

• Review and analyze AI-generated social insurance benefit claims, ensuring evidence is complete and compliant with statutory rules.
• Assess eligibility determinations for retirement, survivors, disability, and supplemental programs, weighing complex evidence.
• Prepare detailed benefit determinations with clear rationales for AI training.
• Perform QA reviews of AI-generated decisions, identifying inconsistencies per agency policy.
• Use specialized claims systems to access and manage claim files.
• Simulate higher-level reviews, advising on reconsiderations and appeals for AI training.
• Provide feedback to improve AI model training accuracy.

Connaissances

Eligibility determination

Benefit entitlement

Evidence gathering

Regulatory knowledge

Analytical reasoning

Outils

MCS/MSSICS

Claims processing systems

Description du poste

Role Title: Social Insurance Specialist

Role Type: Contractor

Location: United States, Remote

Our team 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.