Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS

Job Description

Worker's Compensation SME - EvolutionIQ

Job Position: Subject Matter Expert (AI Validation)

Company: EvolutionIQ

Location

• New York, NY
• On-site / Remote

Job Overview

EvolutionIQ is seeking highly experienced Subject Matter Experts (SMEs) to partner with Product and Engineering teams in developing a cutting-edge Artificial Intelligence (AI) product for Workers' Compensation Adjusters. The SME's role involves providing expert validation, feedback, and real-world context on the product's features, user experience, and the quality of AI-generated outputs.

Key Responsibilities

• AI Output Validation: Critically assess the accuracy, relevance, completeness, and utility of AI-generated summaries and recommendations against source medical documents (e.g., Provider Visit Notes, Physician Statements, Medical Bills).
• Product Evaluation: Actively use and evaluate pre-release versions of the product, leveraging claims handling knowledge to assess decision-making processes.
• Data Labeling: Accurately label medical information within insurance claims data, identifying key facts, diagnoses, and treatments.
• Prompt Editing: Edit Large Language Model (LLM) prompts to leverage claims-handling expertise.
• Workflow Insight: Provide feedback on product integration into daily claims management workflows, identifying pain points and improvement opportunities.
• User Experience (UX) Input: Offer feedback on the user interface to ensure it is intuitive for claims professionals.

Required Qualifications

• Experience: 1-5+ years of recent, hands-on experience as a Worker's Compensation or Lost Time Claims Adjuster (Bodily Injury/Liability focus).
• Technical Aptitude: Comfortable with computers and learning new software; familiarity with data labeling tools or NLP is a plus.
• Critical Thinking: Ability to review complex medical, legal, and financial documentation to evaluate key information.
• Communication: Excellent written and verbal skills to articulate feedback clearly to non-claims teams (Product and Engineering).
• Attention to Detail: Meticulous attention to detail and commitment to accuracy in validation.

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.

Compensation & Terms

• Type: Paid user research project focused on Workers' Compensation claims expertise.
• Compensation: Varies based on participation level, experience, and scope of involvement.
• Hours: May increase depending on business needs.