Insurance Verification & Benefit Manager
Insurance Verification & Benefit Manager is a remote review track for evaluating AI outputs across insurance workflows. Reviewers grade calculations, narrative reasoning, and policy adherence; flag compliance and reconciliation issues; and document the correct treatment so the modeling team can train on it. Why this role matters Insurance workflows leave no room for fuzzy reasoning. AuraOne uses experienced finance-and-risk professionals to grade AI outputs the way an audit reviewer would — with citations, severity tags, and the corrected calculation alongside the original.
Responsibilities
- Review AI outputs against current insurance standards, regulations, and firm policy for Insurance Verification & Benefit Manager assignments.
- Re-perform calculations and flag rounding, classification, or treatment errors.
- Tag compliance, reconciliation, and disclosure issues with structured severity scores.
- Capture the corrected workpaper or narrative so the modeling team can train on it.
- Adjudicate disputed treatments against published standards or firm guidance.
- Maintain reviewer-quality scores in inter-rater calibration cycles.
Qualifications
- Direct working experience with insurance on real engagements, transactions, or audits for Insurance Verification & Benefit Manager work.
- A CPA, CFA, or ACA. A comparable credential or equivalent applied experience also works.
- Comfort applying multi-page rubrics consistently across long batches.
- Clear written reasoning that cites standards, regulations, or firm policy.
- Reliable async availability for at least 10 hours per week.
Example tasks
- Re-perform an insurance calculation produced by a model and flag any rounding or classification errors.
- Grade a model's narrative reasoning on a complex transaction and rate the citation quality.
- Adjudicate a disputed treatment between two reviewers using current standards.
- Audit a 25-row batch for rubric consistency and report drift to the program lead.
Nice to have
- Big Four, bulge-bracket, or in-house controller / risk experience.
- Familiarity with AI-assisted close, audit, or risk tooling and its failure modes.
- Bilingual experience for cross-jurisdiction reviews.
Skills
- Financial analysis
- Audit-grade review
- Regulatory standards
- Risk assessment
- Insurance
- Eligibility
Work model Remote — US-eligible. Remote · Independent specialist contractor. Employment type: CONTRACTOR. Applicants must be authorized to work from US. Compensation $105 / hr Application process Apply through AuraOne's specialist intake for role-specific routing and review. Final project scope, schedule, and contractor terms are confirmed before placement. Apply To This Job