Claims Expert for AI Research Project

Aptura works with leading foundational AI labs to integrate institutional finance expertise into AI model development. They are seeking a Claims Expert to design realistic claims tasks and evaluate AI-generated work to ensure accurate coverage and claims handling.

Responsibilities:

• 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