Insurance Claims Adjuster
Job Description
The opportunity
Help AI reason through insurance claims using the discipline of a documented claim file. Assignments follow your experience in property and casualty or life and health claims, with the relevant policy language, jurisdiction and available evidence specified for each exercise.
What you will work on
• Review synthetic claim files to identify the reported loss, relevant coverage provisions, exclusions, limits and information needed before a coverage conclusion can be supported.
• Create investigation scenarios that distinguish established facts from allegations, missing records and conflicting evidence about causation or the amount of loss.
• Evaluate AI explanations of valuation, deductibles, recoveries and settlement reasoning, checking arithmetic and consistency with the supplied policy and facts.
• Write feedback on claim communications, escalation decisions and documentation quality, including whether the model overlooks uncertainty or reaches a conclusion before necessary evidence is available.
Relevant qualifications
• Practical claims-adjusting knowledge covering coverage analysis, investigation and settlement in the insurance lines you know. Describe your relevant line-of-business and claim-file experience.
• Ability to interpret policy wording, organize evidence and explain the reasoning behind a claim assessment clearly. Work should stay within your demonstrated insurance and jurisdictional knowledge.
Deliverables
Illustrative claim files, evidence checklists, worked loss calculations and annotated model responses. Provide a traceable explanation of coverage questions and unresolved facts; the exercise produces training and evaluation material rather than decisions on an actual claimant’s file.
Engagement and pay
Remote expert content and AI evaluation work. Advertised pay: $80 • $95/hr USD. The agreed rate, assignment scope, schedule and expected hours will be confirmed before work starts. Use public, synthetic or explicitly authorized material. Keep employer information and client records confidential; assignments do not include live client transactions.