About this role
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Role Title: Social Insurance Specialist
Role Type: Contractor
Location:United States,Remote
our partner is engaging Social Insurance Specialists to participate in an impactful project supporting our customer's needs. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters.
Scope of Work
- 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.
Preferred Qualifications
- Proven expertise as a Social Insurance Specialist or equivalent, with strong experience in eligibility determination, benefit entitlement, and evidence gathering.
- Familiarity with GS-0105: Social Insurance Administration functions, or related series such as GS-0996: Veterans Claims Examining and GS-0512: Internal Revenue Agent.
- Demonstrated skill evaluating benefit claims and applying program rules in a regulated environment.
- Experience using claims processing and case management systems, such as SSA’s MCS and MSSICS, or similar platforms.
- Background in quality assurance for claims or similar processes within federal, state, or related agencies.
- Ability to synthesize complex information and present informed decisions for higher-level review processes.
This is a 100% remote contract role. Applicants must be located in: United States.
