aptura - Claims Expert for AI Research Project

• Design realistic claims tasks: claim intake, investigations, coverage determinations, reserve-setting decisions, and claim resolution scenarios. • Write evaluation rubrics that reflect how experienced claims professionals reason through coverage, liability, reserves, settlement decisions, and recovery opportunities. • Review AI-generated work and flag where models miss coverage issues, set inadequate reserves, mishandle investigations, or reach unsupported claim outcomes, explaining why it matters. • Build reference claim files and adjudication materials that set the benchmark models are tested. • Communicate claim decisions and rationale clearly in writing. • How Engagements Work • Fully remote, part-time, and flexible. Work is scoped by project and ranges from short engagements to ongoing collaborations, structured as a contract or a monthly retainer. • You May Be A Good Fit If: • 5–8+ years handling P&C claims — as an adjuster, examiner, claims specialist, or claims manager. • You’ve made coverage decisions, set reserves, or handled claim outcomes that had to withstand scrutiny. • AIC, CPCU, SCLA, or equivalent (preferred, not required). • You can explain why a claim resolves the way it does clearly enough to teach the reasoning, not just the outcome.