Workers Comp, Lost Time Claims Subject Matter Expert

About the Company

EvolutionIQ’s mission is to deliver state of the art technology that helps insurance claims teams make claims handling more accurate, fair, and efficient. We have been named one of Inc.’s Best Workplaces 3 years in a row and Built In’s Best Places to work in 2025 and 2026!

Responsibilities

• AI Output Validation: Assess the accuracy and utility of AI-generated summaries and recommendations against source medical documents
• Product Evaluation: Use and evaluate pre-release product features using claims handling knowledge
• Data Labeling: Label medical information within insurance claims data, including diagnoses and treatments
• Prompt Editing: Edit LLM prompts leveraging claims-handling expertise
• Workflow Insight: Provide feedback on product integration into daily claims management workflows
• User Experience (UX) Input: Offer constructive criticism on the user interface to ensure intuitiveness

Requirements

• 1-5+ years of recent, hands-on experience as a Worker’s Compensation, Lost Time Claims Adjuster
• Bodily Injury/Liability focus
• Technical aptitude and comfort learning new software
• Exceptional critical thinking for reviewing complex medical, legal, and financial documentation
• Excellent written and verbal communication skills
• Meticulous attention to detail

Preferred Qualifications

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