Claims Associate

Claims Associate (Remote)

We are seeking an experienced Insurance Claims and Policy Processing Clerk, a Claims Associate, to support insurance operations while contributing domain expertise to AI training initiatives. In this remote role, you will apply your knowledge of claims processing and policy workflows to help improve AI systems designed for insurance operations. This position combines hands-on insurance processing expertise with structured feedback to enhance AI accuracy, compliance, and real-world applicability.

Key Responsibilities

• Prepare and review insurance claim forms and related documentation for accuracy and completeness
• Calculate claim amounts in accordance with policy terms, coverage limits, and internal guidelines
• Maintain detailed claim files, ensuring proper documentation and regulatory compliance
• Submit claims for payment or escalate for investigation following established workflows
• Communicate with policyholders and relevant parties to gather additional required information
• Provide structured written feedback on AI-generated claims and policy outputs
• Review and validate insurance-related AI content for terminology accuracy and workflow alignment
• Collaborate with cross-functional teams to improve AI training datasets and documentation standards
• Ensure adherence to insurance regulations and company compliance requirements

Required Skills and Qualifications

• Proven experience in insurance claims processing and policy administration
• Strong understanding of insurance workflows, documentation standards, and regulatory compliance
• Excellent written and verbal communication skills
• High attention to detail and strong analytical abilities
• Proficiency with insurance software and document management systems
• Experience using digital collaboration tools in remote work environments
• Strong organizational and time management skills
• Customer service orientation with professional communication skills

Preferred Qualifications

• Experience contributing to AI, automation, or process improvement initiatives
• Background in claims investigation or advanced policy analysis
• Familiarity with structured documentation or technical content review
• Experience working in remote, distributed teams

Key skills/competency

• Insurance Claims Processing
• Policy Administration
• AI Training
• Regulatory Compliance
• Documentation Standards
• Workflow Management
• Data Validation
• Analytical Skills
• Digital Collaboration
• Customer Communication