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. Enterprise Technology 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.