Sedgwick is a leading claims management services company that values a caring culture and work-life balance. They are seeking an Applied & Agentic AI Engineer to architect and deploy AI solutions that enhance claims processing and operational workflows through advanced technologies like LLMs and agentic systems.
Responsibilities:
- Architect and deploy LLM-powered and agentic AI solutions that transform claims intake, policy interpretation, fraud detection, and resolution workflows
- Design end-to-end retrieval-augmented generation (RAG) systems leveraging enterprise knowledge bases, policy documents, SOPs, and historical claims data
- Build autonomous and semi-autonomous agents capable of reasoning, planning, and executing multi-step claims processes
- Develop stateful workflow orchestration layers that manage context, memory, and task sequencing across interactions
- Implement planning and reflection loops that decompose complex claims scenarios into structured subtasks
- Enable dynamic tool use through function calling and secure API integrations with claims systems, CRM platforms, document repositories, and analytics tools
- Develop document intelligence pipelines using LLMs for summarization, entity extraction, classification, validation, and timeline reconstruction
- Design structured prompt frameworks that enforce deterministic outputs and domain-aware reasoning
- Build multi-agent systems that coordinate document review, coverage analysis, compliance checks, and decision support
- Implement human-in-the-loop checkpoints for escalation, review, and override of AI-driven decisions
- Develop guardrails, output validation layers, and hallucination mitigation strategies
- Enforce structured outputs using schemas, type validation, and deterministic post-processing logic
- Optimize token consumption, inference latency, and cloud infrastructure costs
- Deploy scalable AI microservices using containerization and cloud-native architectures
- Implement monitoring for model drift, retrieval quality degradation, reasoning failures, and workflow breakdowns
- Maintain detailed audit logs of model decisions, agent reasoning steps, and tool executions
- Develop evaluation frameworks to test reasoning accuracy, workflow completion rates, and system reliability
- Collaborate with data engineering to build embedding pipelines, feature stores, and vector indexing strategies
- Ensure compliance with Responsible AI standards, data privacy regulations, and enterprise governance policies
- Partner with claims operations leadership to embed AI capabilities directly into adjuster and supervisor workflows
- Measure business impact through cycle-time reduction, automation coverage, fraud detection lift, and operational efficiency gains
Requirements:
- Bachelor's or Master's degree in Computer Science, Artificial Intelligence, Engineering, or related field
- 5+ years of experience building production-grade AI or advanced software systems
- 2–4+ years of hands-on experience with LLM-powered applications and orchestration layers
- Strong expertise in retrieval-augmented generation architectures and vector search systems
- Experience designing and implementing multi-agent systems and workflow orchestration engines
- Deep understanding of planning loops, contextual memory, and tool-augmented LLM reasoning
- Strong proficiency in Python and API-driven system design
- Experience integrating enterprise platforms and building secure connectors
- Familiarity with Azure OpenAI or similar enterprise LLM environments
- Experience deploying containerized services and managing CI/CD pipelines
- Understanding of distributed systems, microservices, and event-driven architectures
- Experience implementing guardrails, access controls, and auditability mechanisms
- Strong knowledge of evaluation methodologies for LLM reliability and agent performance
- Ability to translate complex operational workflows into scalable, AI-driven autonomous systems
- Experience in insurance, claims, healthcare, or other regulated industries