An opportunity is available for a Social Insurance Specialist to support AI development and evaluation projects. There are currently 10 openings available.
Job Responsibilities
- Review and analyze AI-generated social insurance benefit claims, ensuring comprehensive evaluation of evidence and adherence to established statutory and regulatory guidelines.
- Assess AI-generated eligibility and entitlement determinations for retirement, survivors, disability, and supplemental income programs, weighing complex evidence accurately.
- Complete detailed benefit determinations and computations, and document rationales with clarity and precision for AI training.
- Conduct quality assurance reviews of AI-generated claims decisions, pinpointing inconsistencies or errors according to agency policy and program standards (e.g., POMS).
- Utilize specialized claims and records systems to access, update, and manage claim files and supporting documentation.
- Simulate higher-level review decisions, providing expertise on reconsiderations, appeals, and overpayment or underpayment processes for AI training.
- Deliver constructive written and verbal feedback to enhance AI model training accuracy and effectiveness.
Compensation: $60 - $85/hr.
Location / Region: United States, Remote.
Relevant skills include:
- Fraud detection
- System operations
- Adjudicate claims
- Gs-0105
Pamper Me Network provides this concise opportunity summary for discovery. Review the official job listing for complete qualifications, availability, current terms and any additional responsibilities before applying.
