Claims Scenario Author
virtual vocationsDenver, CO
Claims Scenario Author
L5
virtual vocationsDenver, COtoday
Occupations
Claims Adjusters, Examiners, and InvestigatorsInsurance Claims and Policy Processing ClerksInsurance Appraisers, Auto DamageIndustries
Claims AdjustingAll Other Insurance Related ActivitiesDirect Property and Casualty Insurance CarriersSeeking 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
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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