Reviewed and quality-checked AI-assisted claim decisions (Senior Auto Claims Adjuster / Examiner)
Evaluated AI-assisted auto insurance claim recommendations for accuracy, liability allocation, and policy application in pilot programs. Identified and documented inaccuracies in liability determinations and coverage rules based on claim details and policy interpretation. Improved downstream decision quality through quality assurance style review and error reduction tracking. • Reviewed and approved or rejected AI-assisted recommendations for auto claims • Conducted investigations to validate coverage and liability outcomes • Measured impacts such as reduced error rates (e.g., 22% reduction) • Collaborated with SIU for suspected fraud resolution support