Claims Operations Specialist

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Role: Insurance Expert (Claims and Operations)

Engagement Type: Freelance, Remote, Long-Term

Compensation: $100-125/hour (USD)

Commitment: Minimum 10+ hours/week (20+ hours/week preferred)

Start: Immediate | Fast onboarding within ~24 hours

Key Responsibilities

  • Translate real-world Insurance workflows into structured tasks for AI systems
  • Evaluate AI-generated outputs for accuracy, logical reasoning, and domain correctness
  • Work on use cases including claims review, underwriting analysis, policy administration, and risk evaluation
  • Analyze claims data, policy documents, and risk reports to identify trends, risks, and opportunities
  • Clearly document assumptions, thought processes, and decisions
  • Provide feedback to improve AI performance and outputs

Required Qualifications

  • Strong experience in Insurance Operations, Claims Management, Underwriting, or Risk
  • Proven experience in claims adjudication, underwriting, policy administration, subrogation, risk analysis (at least three of these)
  • 5-10 years of relevant experience (flexible for strong candidates)
  • Strong analytical and problem-solving skills
  • Excellent attention to detail and communication skills

Work Style and Expectations

  • Work is primarily asynchronous, allowing for flexible scheduling
  • Minimal required meetings (typically optional office hours 1-2x per week)
  • Day-to-day collaboration happens via Slack and internal tools
  • Candidates are expected to engage consistently and proactively communicate progress

#J-18808-Ljbffr”, “datePosted”: “2026-05-06”, “hiringOrganization”: { “@type”: “Organization”, “name”: “Crossing Hurdles”, “sameAs”: “https://uk.whatjobs.com/pub_api__cpl__424705957__4861?utm_campaign=publisher&utm_medium=api&utm_source=4861” }, “jobLocation”: { “@type”: “Place”, “address”: { “@type”: “PostalAddress”, “addressLocality”: “” } } }
Company: Crossing Hurdles
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Job Description:

Role: Insurance Expert (Claims and Operations)

Engagement Type: Freelance, Remote, Long-Term

Compensation: $100-125/hour (USD)

Commitment: Minimum 10+ hours/week (20+ hours/week preferred)

Start: Immediate | Fast onboarding within ~24 hours

Key Responsibilities

  • Translate real-world Insurance workflows into structured tasks for AI systems
  • Evaluate AI-generated outputs for accuracy, logical reasoning, and domain correctness
  • Work on use cases including claims review, underwriting analysis, policy administration, and risk evaluation
  • Analyze claims data, policy documents, and risk reports to identify trends, risks, and opportunities
  • Clearly document assumptions, thought processes, and decisions
  • Provide feedback to improve AI performance and outputs

Required Qualifications

  • Strong experience in Insurance Operations, Claims Management, Underwriting, or Risk
  • Proven experience in claims adjudication, underwriting, policy administration, subrogation, risk analysis (at least three of these)
  • 5-10 years of relevant experience (flexible for strong candidates)
  • Strong analytical and problem-solving skills
  • Excellent attention to detail and communication skills

Work Style and Expectations

  • Work is primarily asynchronous, allowing for flexible scheduling
  • Minimal required meetings (typically optional office hours 1-2x per week)
  • Day-to-day collaboration happens via Slack and internal tools
  • Candidates are expected to engage consistently and proactively communicate progress

#J-18808-Ljbffr…

Posted: May 6th, 2026