Auto Liability & General Liability Subject Matter Expert (Consultant)

About Us: EvolutionIQ’s mission is to improve the lives of injured and disabled workers and enable them to return to the workforce, saving billions of dollars in avoidable costs and lost productivity to the US and global economies and make insurance more affordable for everyone. We are currently experiencing massive growth and to accomplish our goals, we are hiring world-class talent who want to help build and scale internally, and transform the insurance space. We’re backed by First Round Capital, FirstMark Capital, Foundation Capital, Brewer Lane Ventures, and have been named as Inc.’s top places to work! 

We're the leading AI Guidance Platform company in the insurance industry today, working with some of the largest insurance companies in the US and expanding globally. We are growing incredibly fast and believe we have a unicorn path ahead. Our technology has already helped tens of thousands of people and is helping more every single day.

Your Impact: As a Senior Workers' Comp Claims Examiner at our dynamic and rapidly expanding company, your impact will be pivotal in driving the efficient handling of complex workers' compensation claims. Your seasoned expertise will empower our team to navigate intricate claims processes, ensuring timely resolution while upholding regulatory compliance. By leveraging your depth of knowledge, you'll play a key role in enhancing operational excellence, refining claims strategies, and fostering collaborative relationships with stakeholders. Your contributions will directly influence the company's growth trajectory, reinforcing our commitment to innovation and customer-centric solutions within the insurance landscape.

Responsibilities:

• Review and analyze workers’ compensation claims, applying your knowledge and experience to advise on the best course of action.
• Collaborate with our AI development team to train and refine our expert AI software, guiding it towards making optimal claim decisions.
• Utilize specialized tools to examine claims and provide recommendations on the actions to be taken.
• Help educate the AI system in recognizing nuances and complexities of workers’ compensation claims.
• Help ensure the AI software adheres to the highest standards of accuracy, efficiency, and ethical considerations.
• Stay abreast of the latest developments in workers’ compensation regulations and guidelines to ensure compliance and relevance in training the AI.

Required Experience:

• 15-20 plus years as a workers' compensation claims examiner within a top 100 US Carrier or a TPA.
• The ability to work within Google Sheets to complete proper labeling and share relevant notes.
• Must be able to dedicate anywhere from 20-25 hours a week to the role. EIQ can offer very flexible hours. 
• Act as a Workers' Comp Subject Matter Expert (SME) to our executive team. 
• Proficiency in using various software and technology tools for claims management. Working knowledge of Guidewire solutions is a plus.
• Strong analytical and decision-making skills, with an ability to interpret complex claim details.

Compensation & Perks: This is a long term contract role with an expectation of working hours to flux between 20-25 a week. Hours may increase depending on the needs of the business. The target hourly pay rate is $47/hr with flexibility. 

This role offers a unique opportunity to be at the forefront of AI innovation in workers’ compensation claims management. Join us in shaping the future of claim handling while making a tangible difference in the lives of injured workers.    

EvolutionIQ appreciates your interest in our company as a place of employment. EvolutionIQ is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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