We are sharing a specialised part-time consulting opportunity for professionals experienced in insurance claims handling, claims operations, coverage review, claims documentation, and structured claims workflow analysis.
This role supports current and upcoming remote consulting opportunities focused on structured claims review, insurance workflow analysis, documentation assessment, scenario development, and high-quality project execution. Selected professionals will apply their claims expertise to review realistic claims scenarios, evaluate documentation requirements, prepare structured written outputs, and support accurate, evidence-based claims workflow tasks.
Key Responsibilities
Professionals in this role may contribute to:
Claims Intake & Triage Review
- Review claims scenarios involving FNOL intake, required-field checklists, routing rules, coverage questions, and claim assignment workflows
- Assess claims documentation for completeness, accuracy, and alignment with defined handling requirements
- Support structured review of claim intake materials, triage decisions, and assignment logic
- Identify required information, missing details, documentation gaps, and expected next steps
Coverage, Reserving & Adjudication Support
- Review coverage analysis materials, policy interpretation notes, reserve memos, adjuster notes, settlement letters, and denial letters
- Evaluate claim handling scenarios involving reserve setting, settlement review, denial decisions, and documented claim outcomes
- Prepare clear written explanations for claims decisions based on provided materials and defined criteria
- Support structured review of adjudication workflows across property, casualty, workers compensation, specialty, or related insurance lines
Specialized Claims Workflow Review
- Review scenarios involving subrogation screening, SIU referrals, fraud indicators, litigation file management, and required-document lists
- Evaluate claims files against documented rules, handling standards, and workflow expectations
- Create structured review criteria based on verifiable claim facts and source materials
- Maintain accuracy, consistency, and professional judgment across submitted work
Ideal Profile
Strong candidates may have:
- 3+ years of experience as a claims adjuster, claims operations specialist, claims examiner, claims supervisor, or related insurance claims professional
- Experience with one or more claim types such as auto, property, general liability, workers compensation, medical, specialty lines, or related coverage areas
- Strong understanding of claims i