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Claims Expert for AI Research Project

Key Facts

Remote From: 
Fixed term
Senior (5-10 years)
English

Other Skills

  • Investigation
  • Communication
  • Critical Thinking
  • Detail Oriented

Roles & Responsibilities

  • 5–8+ years handling PC claims — as an adjuster, examiner, claims specialist, or claims manager
  • Experience making coverage decisions and setting reserves
  • AIC, CPCU, SCLA, or equivalent (preferred, not required)

Requirements:

  • Design realistic claims tasks: claim intake, investigations, coverage determinations, reserve-setting decisions, and claim resolution scenarios
  • Write evaluation rubrics reflecting how experienced claims professionals reason through coverage, liability, reserves, settlement decisions, and recovery opportunities
  • Review AI-generated work and flag issues regarding coverage, reserves, and investigations
  • Build reference claim files and adjudication materials that set the benchmark for model testing

Job description

About Aptura

Aptura works with leading foundational AI labs to bring institutional finance expertise directly into AI model development. Founded by ex-Lazard and Partners Group professionals, we operate from London and San Francisco.

The Opportunity

You’ve built deep expertise in insurance claims, investigations, coverage decisions, reserving, or claim resolution, and produced work that drives real decisions. Now that expertise has a new application: shaping how frontier AI models reason through complex insurance problems.

What you'll do

  • 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.

Compensation

 

$80–$200 per hour, aligned with expertise, scope, and impact; exceptional or highly specialised expertise can go higher. Ongoing engagements are typically structured as a monthly retainer rather than on an hourly basis.

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