Disability Claims & Underwriting Specialist

Help improve AI reasoning for disability insurance by creating and evaluating realistic claims and risk-selection scenarios. This role applies practical expertise in disability definitions, medical and vocational evidence, and benefit entitlement to produce high-quality reference material and assess model outputs against established industry standards.

• Develop scenarios covering group short-term and long-term disability claims, elimination periods, own-occupation and any-occupation definitions, residual and partial disability, offsets, recurrent disability, and claim-duration management.
• Create claim determinations, benefit calculations, medical and vocational evidence summaries, transferable-skills analyses, return-to-work plans, and appeal decisions.
• Write expert-quality reference responses for disability insurance scenarios.
• Evaluate AI-generated work using structured rubrics for definitional accuracy, evidentiary support, benefit-calculation accuracy, and procedural fairness.
• Identify incorrect disability definitions, unsupported functional conclusions, missed offsets, benefit-calculation errors, and gaps in administrative-record documentation.
• Provide written feedback to support improvements in model behavior.
• Take part in onboarding office hours and calibration sessions.

• At least 2 years of professional experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management.
• Experience with at least one of the following: group short-term disability, group long-term disability, individual disability income, statutory disability, or life waiver of premium.
• Working knowledge of how contract definitions, elimination periods, offsets, pre-existing-condition provisions, and maximum benefit periods affect entitlement and duration.
• Ability to evaluate medical, occupational, and financial evidence and document a defensible determination with clear rationale.
• Excellent written analysis, sound judgment, and strong attention to detail.
• Ability to distinguish claims adjudication from treating-provider clinical decisions and formal legal advice.

• CRC, CDMS, CCM, CPDM, RN, or a comparable clinical or vocational credential.
• Experience with ERISA administrative records, appeals, or litigation support.
• Individual disability income underwriting experience, including occupation-class and financial underwriting.
• Experience coordinating Social Security, workers compensation, or other-income offsets.
• Experience with FMLA, state leave programs, or ADA accommodation interactions.

• Remote, open to candidates located in the United States, Canada, or the United Kingdom.
• Per-task engagement.
• Minimum commitment of 20 hours per week, with 40 or more hours per week preferred.
• Start date is immediate. Applications are reviewed on a rolling basis.

• Compensation is 800 per task.

Submit an application for consideration. Applications are reviewed as they are received.