Senior Data Scientist (Bodily Injury Claims)

1. About Our Client: The organization operates in the insurance claims analysis sector, focusing on Bodily Injury claims within Workers' Compensation, General Liability, and Auto Liability. It addresses the challenge of effectively comparing and analyzing complex claims data to improve benchmarking and fraud detection. By developing advanced data-driven platforms, the organization enables scalable, reliable analysis that integrates clinical, legal, and financial information for better decision-making and operational efficiency. 2. About the Opportunity: The Senior Data Scientist is responsible for leading the design and development of a core Claim Clustering Platform that groups Bodily Injury claims by clinical, legal, and financial attributes. This role is essential in transitioning experimental models into production-grade systems, collaborating with cross-functional teams to ensure scalability, reliability, and integration with downstream applications. The position drives the technical framework and advanced data representation methods to support critical business tools and processes. 3. Responsibilities: • Design and maintain the mathematical and technical framework for a scalable claim clustering engine • Collaborate with Machine Learning Engineers to convert prototypes into optimized production systems • Work with MLOps to implement automated retraining, monitoring, and model lifecycle management • Define APIs and data contracts with Data and Application Engineering teams to support internal benchmarking and fraud detection tools • Develop representations of claims using structured and unstructured data sources • Serve as a subject matter expert aligning data science initiatives with system architecture and production standards 4. Requirements: • 4-7 years of Data Science experience with proven model deployment in production • At least 4 years of hands-on experience with Bodily Injury claims in Workers' Compensation or General Liability • Strong knowledge of claim lifecycles, medical billing codes (ICD/CPT), litigation, and reserve dynamics • Proficiency in Python and software engineering fundamentals including system design, CI/CD, and API development • Expertise in unsupervised learning (clustering, dimensionality reduction) and NLP techniques (transformers, embeddings, LLM-based methods) • Demonstrated ability to lead cross-functional projects involving Data Science, Engineering, DevOps, and Product teams 5. Pay Range and Compensation Package: • Salary plus bonus • The pay range and compensation package will be determined based on the candidate's experience, skills, and other relevant factors 6. Benefits & Perks: • Generously subsidized health insurance • Employer-paid ancillary benefits • Flexible or unlimited paid time off • Fully remote work option • 401k plan with company match Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company's career page or ATS.