Insurance Domain Expert – Subject Matter Expert
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Job Description
Insurance Subject Matter Expert evaluating AI models for insurance processes across underwriting, claims, and risk assessment. Collaborating with teams to enhance model accuracy and compliance standards.
Responsibilities:
- Collaborate with AI, data science, and product teams to evaluate AI models used in underwriting, claims processing, risk assessment, and pricing.
- Identify gaps, biases, and limitations in existing models and contribute domain insights for improvement.
- Validate AI outputs against real-world insurance practices, regulatory requirements, and customer experience standards.
- Define key metrics and success criteria to measure model performance and business relevance.
- Support data labeling and annotation by providing insurance-specific context and expertise.
- Assist in designing explainable AI frameworks to enhance model transparency and trustworthiness.
- Stay current with insurance regulations, compliance standards, and emerging AI applications in the sector.
Requirements:
- Bachelor’s or Master’s degree in Insurance, Risk Management, Actuarial Science, Business, or a related field
- 7+ years of experience in the insurance industry (underwriting, claims, risk modeling, or product management)
- Have worked within well-established U.S. Insurance companies, including: UnitedHealth Group, CVS Health (Owner of Aetna), Elevance Health, Centene, The Cigna Group, Progressive, Allstate, Travelers, MetLife, Prudential Financial
- Strong understanding of insurance operations, policy structures, and regulatory frameworks.
- Experience collaborating with cross functional teams.
Benefits:
- Remote work
- Flexible work arrangements
- Professional development opportunities
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