Disability / Casualty Claims Subject Matter Expert (SME Consultant) - AI SaaS

EvolutionIQ • New York, NY

31d

About The Position

EvolutionIQ is developing a cutting-edge Artificial Intelligence (AI) based product designed to enhance efficiency and accuracy for Disability Examiners/ Worker’s Comp Adjusters/ Auto Casualty Adjusters. We are seeking highly experienced, Subject Matter Experts (SMEs) to partner with our Product and Engineering teams in the development of that product. The primary role of the SME will be to provide expert validation, feedback, and real-world context on the product's features, user experience, and the quality/relevance of the AI-generated outputs.

Requirements

• Professional Experience: Ideally 5+ years of recent, hands-on experience as a Disability Examiner (for Short-Term or Long-Term), Worker’s Compensation Adjuster, or an Auto Casualty Adjuster (Bodily Injury/Liability focus).
• Technical Aptitude Comfortable working with computers and learning new software applications. Familiarity with data labeling tools or natural language processing (NLP) is a plus but not required.
• Critical Thinking: Exceptional ability to review complex documentation (medical, legal, financial) and critically evaluate the key pieces of information buried within and relevance.
• Communication Skills: Excellent written and verbal communication skills, with the ability to articulate feedback clearly to a non-claims audience (product and engineering team).
• Attention to Detail: Meticulous attention to detail and a commitment to accuracy in evaluation and validation of output.

Nice To Haves

• Experience in training, mentoring, or process improvement roles within a claims environment.
• Specific experience using AI or automation tools in a professional setting.

Responsibilities

• AI Output Validation: Critically assess the accuracy, relevance, completeness, and practical utility of the AI-generated summaries, recommendations, and data extractions against source medical documents (e.g., Provider Visit Notes, Attending Physician Statements, Medical Bills, etc.)
• Product Evaluation: Actively use and evaluate pre-release versions of the product’s features, leveraging your knowledge of claims handling and decision-making processes that [examiners/ adjusters] have.
• Data Labeling: Accurately and consistently label medical information within insurance claims data. This includes identifying key medical facts, diagnoses, treatments, and other relevant details.
• Workflow Insight: Provide detailed feedback on how the product integrates into existing daily claims management workflows, identifying pain points and opportunities for improvement.
• User Experience (UX) Input: Offer constructive criticism on the product's user interface and overall user experience to ensure it is intuitive for claims professionals.

Benefits

• Competitive hourly rate based on experience.
• This is a contract role with an expectation of working hours 5-10 weekly.
• Hours may increase depending on the needs of the business.
• This role offers a unique opportunity to work with a rapidly scaling AI Insurtech SaaS company.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed