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Claims Scenario Author

L5

virtual vocationsDenver, COtoday
Seeking experienced claims professionals, the part-time contract Claims Scenario Author will develop realistic scenarios for training AI agents, focusing on claims evaluation, medical evidence review, and decision-making processes.
Key responsibilities: Develop realistic claims scenarios that require AI agents to investigate and evaluate under fictional carrier policies Define expected outcomes, including liability determinations and settlement recommendations Create fictional claim files and write evaluation criteria to ensure accuracy and consistency across scenarios
Required qualifications: At least 3 years of hands-on experience handling bodily injury, casualty, or liability claims Experience reviewing medical records and identifying discrepancies in billing and clinical documentation Ability to interpret records from various medical specialties, including emergency care and orthopedics Experience valuing claims and negotiating settlements Excellent written English skills, with the ability to explain reasoning step by step
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Apply now (opens in a new tab)

Level

SeniorL5

Location

Denver, CO

Occupation

Claims Adjusters, Examiners, and Investigators

Industry

Claims Adjusting

Posted

today

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