Complex Claims & Coverage Director designing complex insurance-claim scenarios and evaluating AI outputs. Training frontier models on coverage analysis, litigation strategy, and major-loss resolution.
Write “golden” reference responses at senior technical claims quality
Grade AI-generated responses against structured rubrics for policy analysis, strategic judgment, factual support, stakeholder awareness, and escalation discipline
Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional
Provide written feedback to improve model behavior
Participate in onboarding office hours and calibration sessions
Train frontier AI models using high-quality insurance reasoning data
Requirements
2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims
Experience evaluating coverage issues and developing claim strategies involving multiple parties, layers, policies, or jurisdictions
Understanding of insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel
Ability to distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required
Exceptional written reasoning, defensible judgment, and high attention to detail
Comfortable reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps
CPCU, AIC, SCLA, ARM, or comparable insurance designation is a bonus qualification
Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines is a bonus qualification
Experience managing mediations, trials, coverage disputes, or extra-contractual exposure is a bonus qualification
Home-office technical claims or claim-governance experience is a bonus qualification
Experience overseeing TPAs, independent adjusters, experts, or panel counsel is a bonus qualification
Law degree or license to practice law is not required
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