Develop complex underwriting and claims scenarios to train AI models for insurance-related applications.
Evaluate AI-generated decisions on risk assessment, policy interpretation, and claims adjudication.
Work remotely from anywhere in India with flexible scheduling and task-based compensation.
This role is with a partner company developing AI models for insurance applications, using expert input to improve underwriting and claims accuracy. The work is fully remote and project-based, with flexible scheduling and a focus on high-quality independent contributions.
Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies. - Research auto accident details to determine responsible payers and submit bills and documentation. - Follow up on denied or incorrect payments and support team with reports, audits, and overall assistance.
Revecore helps hospitals recover earned revenue so they can continue serving patients and communities. Trusted by over 1,300 hospitals across 48 states, the company offers a supportive, innovative culture where employees are trusted to do their best work.
Lead the development and scaling of an AI evaluation function for commercial insurance workflows, managing a team of ~10 domain experts.
Establish quality standards, audit rubrics, and calibration procedures to ensure accuracy across P&C insurance lines.
Collaborate with product and ML engineering teams to translate domain insights into actionable AI improvements.
The company is a partner organization building AI-driven solutions for enterprise commercial insurance workflows. It is establishing a new evaluation team to ensure AI output quality, with a focus on operational excellence and professional development.
Act as the insurance workflow expert, representing the independent agent and shaping what PolicyLift builds next.
Onboard new agencies, configure PolicyLift to their stack, and train their teams for success.
Provide first-line support for insurance-specific issues and drive adoption across accounts.
PolicyLift is an AI-native growth engine for independent P&C agencies, providing one platform that drives growth and consolidates point solutions. The VC-backed team, with experience from Google, Meta, and Qualia, serves 1,000+ agents and manages over $1B in premium.
Verify insurance eligibility, coverage, and behavioral health benefits for new and existing patients.
Coordinate prior authorizations, referrals, and coverage resolution with insurance carriers and internal teams.
Manage high-volume requests through EHR systems with strong attention to detail and problem-solving.
Blackbird Health is a clinician-founded provider of virtual and in-person mental health services for children across Pennsylvania, Virginia, New Jersey, and Maryland. The team is collaborative, supportive, and innovative, taking a whole-child approach to care.
Build AI agents and LLM-assisted workflows to triage, enrich, and resolve security alerts.
Develop and maintain security data pipelines that collect, normalize, and route telemetry.
Collaborate with Cyber Operations to automate manual steps and document decision paths.
HealthEquity empowers healthcare consumers by providing HSAs and related financial solutions. The company fosters a collaborative, purpose-driven culture and values authenticity and innovation.
Process enrollment and billing tasks through multiple channels while managing an assigned caseload.
Develop a comprehensive understanding of Oscar's enrollment and billing processes, tools, and regulations.
Monitor work-in-progress, escalate issues, and support process improvement initiatives.
Oscar is a health insurance company built around a full-stack technology platform and a relentless focus on serving its members. Founded in 2012, Oscar behaves like a doctor in the family, and fosters a culture where people can be their most authentic selves.
Help members navigate US health insurance, including billing questions, denied claims, and appeals.
Coordinate with providers, insurers, and members to resolve coverage issues and prior authorizations.
Translate complex insurance benefits into clear guidance and identify trends to improve the member experience.
This company provides a global safety net for remote workers, offering health, income, and travel coverage. It operates as a remote-first organization with a culture of empathy, integrity, and a mission to improve access to healthcare worldwide.
Manage respiratory product catalog and insurance coverage criteria rules engine on Parachute platform.
Translate complex insurance coverage criteria into flowcharts for product eligibility determination.
Collaborate cross-functionally to optimize catalog content and support business growth strategies.
Parachute Health is the leading digital ordering platform for medical equipment and supplies, connecting health systems, plans, and suppliers to deliver life-saving products to patients at home. The company has connected 300,000+ clinicians and 3,000+ supplier locations across all 50 states, helping 15M+ patients, and maintains a remote-first culture.
Own implementation projects end to end, managing stakeholders and phase gates from handoff to go-live.
Map current-state workflows on site and translate findings into agent configuration and routing rules.
Run kickoff, UAT, training, and post-go-live reviews with honest expectations and data.
Basata builds AI-powered tools that automate repetitive administrative tasks for healthcare practices, helping staff spend more time with patients. We are a small, fast-moving team focused on building smart systems and simple, intuitive experiences.
Evaluate, negotiate, and settle low to high complexity bodily injury claims to prevent unnecessary exposure.
Investigate and analyze medical records, law enforcement reports, and witness statements to determine liability and damages.
Coordinate settlement, mediation, and arbitration with attorneys, ensuring compliance with state laws and regulations.
Mercury Insurance helps people reduce risk and overcome unexpected events, providing insurance products and claims services for more than 60 years. They emphasize a collaborative, inclusive culture where team members are encouraged to grow, have fun, and make a meaningful impact.
Process medical claims and appeals accurately and timely, following health plan policies and procedures.
Maintain detailed notes, research claim issues, and communicate outcomes with claimants and teams.
Support customer success teams, escalate operational issues, and help improve claims processes.
Sana is a health plan solution built for small and midsize businesses, with integrated primary care services to make healthcare easy. Founded in 2017, the company is remote-first with a fully distributed team across the U.S., and values curiosity, ownership, and speed.
Manage end-to-end case activities for insurance verification, authorization, and reimbursement.
Serve as the single point of contact among patients, providers, payors, and internal teams.
Prioritize competing demands to ensure timely patient access to therapy.
PRO-Spectus supports patient services programs by navigating patient access from benefit verification through claims and reimbursement resolution. The company fosters a supportive, teamwork-driven culture focused on improving patients' lives.
Verify insurance eligibility and coverage for patients using online systems and phone calls.
Input and update insurance information, identify primary and secondary coverage, and manage COB order.
Obtain pre-authorizations and communicate necessary information to Utilization Management.
Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents across 29 counties. The culture emphasizes excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for patients and each other.
Process referrals and prior authorizations, ensuring accurate and timely documentation.
Collaborate with clinical teams, physician offices, and insurance companies to resolve authorization issues.
Monitor denial reports, manage referral tracking, and communicate decisions to providers, staff, and patients.
Baystate Health is an integrated healthcare system serving western Massachusetts. With 12,000 employees and a community-focused culture, it includes five hospitals and offers career growth.
Lead competitive intelligence programs for Oscar's operating geographies and products.
Monitor market trends, competitor strategies, and regulatory developments.
Partner with product and market leadership to translate insights into recommendations.
Oscar is a health insurance company built around a full stack technology platform focused on serving its members. The company emphasizes authenticity and belonging, with a mission to change health care.
Serve as primary operational contact for clients, managing relationships and service delivery.
Monitor operational metrics, resolve escalations, and implement process improvements.
Use AI-enabled tools to enhance reporting, analysis, and workflow effectiveness.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies through objective, skill-based reviews. It uses artificial intelligence to streamline the application process and promote fair hiring.
Resolve denied claims by reviewing supporting documentation, calculating benefits due, and composing appeal letters.
Analyze claims to determine validity of denial/recovery options and draft convincing correspondence to effect reimbursement.
Build relationships with insurance carriers, patients, attorneys, and employers while documenting all actions to resolution.
Xsolis is an AI-driven technology company reducing administrative waste in healthcare by enabling smarter collaboration between providers and payers. Recognized on the Inc. 5000 and Deloitte Technology Fast 500 lists, it is one of the fastest-growing privately-held companies in North America with a passionate, fast-moving culture.
Conduct investigations and inspections to assess damage, estimate costs, and determine settlement amounts.
Analyze medical, financial, and job information to determine eligibility for benefits based on statutory criteria.
Settle claims in accordance with standards and negotiate with all parties involved to ensure smooth processing.
Desjardins Group is the largest cooperative financial group in North America, offering a full range of financial products and services. With over 52,000 employees and named one of Canada's top employers, they foster a people-first culture and are committed to equity, diversity, and inclusion.
Research and resolve premium payment exceptions and discrepancies in premium reports.
Process premium payments through approved electronic systems, including E-Pay and Virtual Terminal.
Communicate with insureds, producers, and internal departments to support accurate and timely premium administration.
Protective helps protect customers against life's uncertainties by providing insurance and financial protection. It fosters a culture focused on employee wellbeing, offering comprehensive benefits and an inclusive workplace.