AI Claims Specialist — Shape Workflows & Adjudicate
Brighterway
Brighterway builds AI-native claims software focused on casualty claims, starting with workers' compensation medical-legal review. The team is small, highly technical, and backed by Y Combinator, with a culture of shipping and direct access to customers. The role involves adjudicating claims on our platform, shaping how it works, and training the system by correcting AI summaries. You will own a caseload, define workflows, and support customers through onboarding and transitions. #J-18808-Ljbffr Brighterway
Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the AI Claims Specialist — Shape Workflows & Adjudicate in New York, NY vacancy
- AuraOne, Inc. is seeking an AI Response Adjudicator specialist operations contractor to review AI outputs, grade workflow alignment, policy adherence, and escalation accuracy. The role emphasizes independent work, strong written reasoning, and consistent application of...SuggestedRemote jobFor contractors10 hours per week
- GFUC is hiring a full-time, remote AI Specialist to design and launch smart workflows using existing AI and generative tools. The role requires strong Python... ...position offers a competitive salary and the chance to shape AI-driven solutions from concept to production, with...SuggestedRemote jobFull time
- Naukri Mitra is seeking a Remote Health Insurance Claims Examiner to evaluate and adjudicate claims with HIPAA compliance, accuracy, and compassion. The role supports members nationwide while working from home. You will review claims using ICD-10, CPT, and HCPCS codes,...SuggestedRemote jobWork from home
- ...organization scaling its claims handling operations... ...Brighterway builds AI-native claims software... ...reserving signals, a workflow language, and state... .... As a Senior Claims Specialist you will adjudicate claims on our platform... ...customers, and you will shape how the platform...SuggestedRemote jobFull timeFlexible hours
- AI-native claims software for casualty claims, starting with workers' comp. Small technical... ...by Y Combinator. The Role: Adjudicate claims on our platform and shape how it works. Correct AI... ...Define claims practices encoded into workflows. Support customers during onboarding...SuggestedRemote job
$8 - $65 per hour
History Specialist - Freelance AI Trainer Project United States of America Are you a history expert eager to shape the future of AI? Large‑scale language models are evolving from clever chatbots into powerful engines of academic exploration. With high‑quality training...Remote jobHourly payContract workFor contractorsFreelanceImmediate start- ...Role summary The AI Creative Specialist produces high-quality AI-generated images and video for our... ...the real product accurately: stone shape, color, metal, setting and proportions... ...and follow responsible AI practices. Workflow and collaboration • Work with the Brand...Full timePart timeFixed term contractSeasonal workRemote work
SANDEEP DIAMOND
New York, NY5 days ago $180k - $250k
...AI Engineer – Agentic AI / LLM Systems New York | Series A Startup $180–$250k + Equity In office (5 days) No visa sponsorship... ...just respond, but actually learns and executes real enterprise workflows . The team is developing AI agents that can understand how...Work at officeVisa sponsorshipStott and May
New York, NYa month ago$229.9k - $262.4k
...AI Engineer 5 (AI Foundations: Evaluations and Agentic Workflows) At Capital One, we are creating responsible and reliable AI systems, changing banking for good. For years, Capital One has been an industry leader in using machine learning to create real-time, personalized...Full timePart timeWork at officeLocal areaCapital One
New York, NY1 day ago- New York Life Insurance Co. seeks an experienced GBS AD&D Claim Senior Representative in the Accidental Death and Dismemberment department. You will research, determine financial liability, and process claims for Group Life, AD&D, and related products in collaboration with...Remote jobContract work
- CNA Insurance is seeking a Complex Claim Specialist to handle Private and Not-For-Profit D&O and EPL claims. You will manage a dynamic caseload across multi-state jurisdictions, investigate claims, determine coverage, and coordinate with defense counsel. The role emphasizes...
- ...GROUP PLLC Brooklyn, NY • Lawrence, NY IT Technician / AI Workflow Engineer / Cybersecurity Specialist Full-Time or Part-Time • Hybrid — Lawrence, NY /... ...directly with firm leadership and have the opportunity to shape how RLG and its affiliated entities operate for years...Full timePart timeWork at officeRemote workFlexible hours
- CNA Insurance in New York is seeking a Complex Claim Specialist to handle Private and Not-For-Profit D&O and Employment Practices Liability. You will work with insureds, attorneys, and brokers to manage low to mid-severity claims across multiple states, investigate, determine...
$85 per hour
AI Trainer Jobs seeks an Office and Administrative Domains specialist for a remote review track evaluating AI outputs across office workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk; and document the right next...Remote jobHourly payFor contractorsWork at office10 hours per weekFlexible hours- Insurance Specialist - Freelance AI Trainer Project United States... ...insurance expert eager to shape the future of AI?... ..., and streamline workflows for insurance professionals... ...policy analysis, claims management, risk... ...interpretation, claims adjudication, risk modeling,...Hourly payContract workFor contractorsFreelanceImmediate startRemote work
- ...and branded storytelling. We’re looking for an AI Specialist to lead AI implementation across our video production workflows. This role focuses on identifying... ...Opportunity to build and own AI systems that shape the future of video production Collaborate with...Full timeRemote work
Shadow Light Studios
New York, NY1 day ago - ...New York Life Insurance Co. is seeking a Sr. Associate for AI Enablement & Legal Engineering within the Office of the General Counsel... ...attorneys, business teams, and technology partners to redesign workflows for AI-enabled legal services. You will map current-state...Work at office
New York Life Insurance Co.
New York, NY2 days ago - Machinify's Complex Claims team seeks a detail‑driven candidate to manage document workflows, perform processing and quality assurance, review incoming claims, assign statuses... ...to healthcare cost efficiency using Machinify's AI‑powered platform. Machinify is a healthcare...
- Serotonin is seeking an AI Workflow Engineer to optimize marketing operations through AI and workflow automation. The role focuses on diagnosing bottlenecks in marketing workflows and designing AI-powered solutions to improve efficiency across a 90-person global team. You...
£60k per year
AI Workflow Engineer Salary: £60,000 per annum, plus company benefits Location: Remote Contract: Full Time 37.5 hours per week, Monday - Friday, 9am until 5:30pm with 1 hours unpaid lunch break Work model: Remote Williams Lea seeks an AI Workflow Engineer to join our team...Full timeContract workPart timeFixed term contractRemote workWorldwideMonday to Friday£60k per year
Williams Lea is seeking an AI Workflow Engineer to join our technology team in a remote, full-time role paying £60,000 per year. You will design and deploy AI workflows, integrate with APIs and enterprise systems, and ensure robust guardrails and HITL patterns. The position...Remote jobFull time- AI-powered tools automate repetitive healthcare admin tasks. Small, fast-moving team building simple, intuitive experiences. About the Role: Balance project management and workflow design across concurrent implementations. Translate findings into agent configuration and...Remote job
- Serotonin seeks an AI Workflow Engineer to optimize marketing operations through AI and workflow automation. Ideal candidates are system thinkers with a focus on problem-solving and team collaboration. In this role, you will diagnose bottlenecks in marketing workflows and...
$176k
...Current PhD, AI Engineering Internship Program - Summer 2027 Key Role Details This... ...power customer-facing experiences with GenAI workflows, industry-leading infrastructure, and... ...from day one by building AI systems and shaping ideas key to delivering AI-native experiences...Full timePart timeSummer workInternshipLocal areaCapital One
New York, NY5 days ago- ...Job Description Job Description AI Governance Specialist Onsite, 5 Days onsite, Reston, VA or... ...experienced governance professional ready to shape enterprise-wide AI governance maturity... ...and control libraries, governance workflows, templates, and reusable artifacts to...Contract work
Expert In Recruitment Solutions
New York, NY16 days ago - ...About Build AI for the Built World: Build has created the agentic AI stack for institutional... ...complex development and acquisitions workflows 90% faster than humans to accelerate the... ...venture capital firms. Join us in shaping the future of the Built World and...Full timeLive in
- ConductorAI is seeking a Software Engineer Intern to help build our core web platform for large-scale document search, review, and AI-powered workflows. You’ll contribute to production systems, including document-processing pipelines, and push state-of-the-art LLMs to their...Internship
- Globaltize in the United States is seeking a Tax Preparation & Workflow Specialist to manage tax returns from a fully remote setting, leveraging AI-driven tools to streamline the process. You will prepare individual and business returns, coordinate with clients, review...Remote job
- ...choosing a company where you will be empowered to shape your career in the way you’d like, where you’ll... ...key decisions that follow: capability changes, workflow redesign, platform choices, architecture direction, and where AI belongs in the operating model.Solution and...Full timeLocal area
Capgemini
New York, NY5 hours ago $40k - $65k
GFUC is hiring a full-time, remote AI Specialist to design and launch smart workflows using existing AI and generative tools. The role calls for strong Python... .... Competitive salary ($40-$65k) and the chance to shape AI-driven solutions from concept to production make this...Full timeRemote workWeekday work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to AI Claims Specialist — Shape Workflows & Adjudicate. Be the first to apply!
Related searches
- ai data scientist New York, NY
- ai scientist New York, NY
- claims assistant New York, NY
- claim examiner New York, NY
- general liability claims adjuster New York, NY
- medical claims analyst New York, NY
- remote medical claims processor New York, NY
- senior claims specialist New York, NY
- claims assistant workers compensation New York, NY
- medical insurance claims specialist New York, NY