Senior Claims Examiner - Multiline
Core
Design realistic claims scenarios and grade AI-generated responses against structured rubrics for factual accuracy and policy application to improve model behavior.
Role type
Senior IC claims examiner (AI training)
Builds
AI training data and evaluation rubrics for claims handling models
Domain
Insurance / Artificial Intelligence
Deliverable
production ML models
Required skills
P&C claims handling, policy language application, claim lifecycle management, damage evaluation, negotiation, settlement, subrogation, written analysis, judgment
Preferred skills
AIC, CPCU, SCLA designations, multiline/multistate experience, catastrophe/litigation/subrogation exposure, supervising adjusters, active adjuster license
Technologies
Structured rubrics, AI evaluation platforms
Responsibilities
Design realistic claims scenarios involving first notice of loss, coverage verification, investigation, documentation, reserving, damage evaluation, negotiation, settlement, subrogation, salvage, and closure; Create work products such as claim action plans, coverage analyses, investigation requests, evaluation summaries, settlement recommendations, and insured communications; Write "golden" reference responses at experienced claims-professional quality; Grade AI-generated responses against structured rubrics for 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 loss; Provide written feedback the research team uses to improve model behavior.