Remote | Insurance Risk & Claims Evaluation Consultant
We are sharing a specialised part-time consulting opportunity for professionals experienced in insurance underwriting, claims review, actuarial analysis, policy interpretation, regulatory compliance, risk assessment, and structured insurance workflow evaluation. This role supports current and upcoming remote consulting opportunities focused on structured insurance review, risk classification, policy language assessment, claims evaluation, actuarial reasoning, regulatory documentation, and high-quality project execution. Selected professionals will apply their insurance expertise to review realistic insurance scenarios, evaluate technical and regulatory outputs, prepare structured written feedback, and support accurate, evidence-based insurance workflow tasks.
Key Responsibilities
Professionals in this role may contribute to:
Underwriting, Risk & Policy Review
• Review insurance scenarios involving underwriting submissions, risk classification, policy language interpretation, coverage analysis, and policy evaluation
• Evaluate insurance outputs against source records, policy terms, underwriting criteria, risk factors, and documented review standards
• Support structured review of commercial lines, personal lines, specialty lines, life, health, benefits, or reinsurance-related materials
• Identify missing information, coverage issues, risk classification gaps, and expected policy review outcomes
Claims, Loss & Coverage Evaluation
• Review claims scenarios involving claims investigations, loss adjustment, coverage disputes, adjudication materials, fraud indicators, and settlement considerations
• Evaluate claims outputs against policy language, claim facts, documentation standards, liability considerations, and industry practices
• Support structured review of property, casualty, liability, workers' compensation, specialty claims, and claims management materials
• Prepare clear written explanations for claims and coverage decisions based on source materials and verifiable criteria
Actuarial, Regulatory & Insurance Data Review
• Review insurance scenarios involving actuarial projections, pricing, reserving, rate filings, capital modeling, regulatory examinations, and compliance materials
• Evaluate outputs against actuarial standards, state DOI requirements, NAIC guidelines, insurance regulations, and industry terminology
• Annotate, label, or validate insurance data across use cases such as loss reserving, fraud detection, policy coverage analysis, and regulatory review
• Maintain accuracy, consistency, and professional judgment across submitted work
Ideal Profile
Strong candidates may have:
• 3+ years of professional experience at an insurance carrier, brokerage, reinsurer, agency, regulatory body, actuarial team, claims organization, or insurance advisory environment
• Background in one or more areas such as underwriting, claims management, actuarial science, pricing, reserving, capital modeling, insurance sales, brokerage, compliance, regulatory affairs, or risk management
• Familiarity with insurance workflows involving submissions, claims files, policy review, rate filings, coverage disputes, loss reserves, fraud review, and regulatory documentation
• Comfort reading and preparing insurance artifacts such as underwriting files, policy forms, claim summaries, reserve analyses, coverage opinions, rate filing materials, and regulatory memos
• Strong analytical thinking and written communication skills
• Ability to translate insurance workflows into clear, structured task documentation
Educational Background
• A degree or professional background in insurance, actuarial science, finance, risk management, business administration, law, accounting, economics, mathematics, or a related field is helpful
• Equivalent practical experience in insurance underwriting, claims, actuarial work, brokerage, compliance, or risk management is also highly relevant
Nice to Have
• Experience with commercial lines, personal lines, specialty lines, P&C, life, health, benefits, workers' compensation, liability, reinsurance, or regulatory insurance work
• Familiarity with state DOI requirements, NAIC guidelines, actuarial standards, rate filings, insurance compliance, claims adjudication, or policy wording review
• Experience preparing or reviewing underwriting submissions, claim files, coverage analyses, reserve materials, actuarial projections, rate filings, or regulatory examination materials
• Professional designations such as CPCU, ARM, FCAS, FSA, AIC, ACAS, AINS, or equivalent insurance credentials are helpful
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Key Responsibilities
Professionals in this role may contribute to:
Underwriting, Risk & Policy Review
• Review insurance scenarios involving underwriting submissions, risk classification, policy language interpretation, coverage analysis, and policy evaluation
• Evaluate insurance outputs against source records, policy terms, underwriting criteria, risk factors, and documented review standards
• Support structured review of commercial lines, personal lines, specialty lines, life, health, benefits, or reinsurance-related materials
• Identify missing information, coverage issues, risk classification gaps, and expected policy review outcomes
Claims, Loss & Coverage Evaluation
• Review claims scenarios involving claims investigations, loss adjustment, coverage disputes, adjudication materials, fraud indicators, and settlement considerations
• Evaluate claims outputs against policy language, claim facts, documentation standards, liability considerations, and industry practices
• Support structured review of property, casualty, liability, workers' compensation, specialty claims, and claims management materials
• Prepare clear written explanations for claims and coverage decisions based on source materials and verifiable criteria
Actuarial, Regulatory & Insurance Data Review
• Review insurance scenarios involving actuarial projections, pricing, reserving, rate filings, capital modeling, regulatory examinations, and compliance materials
• Evaluate outputs against actuarial standards, state DOI requirements, NAIC guidelines, insurance regulations, and industry terminology
• Annotate, label, or validate insurance data across use cases such as loss reserving, fraud detection, policy coverage analysis, and regulatory review
• Maintain accuracy, consistency, and professional judgment across submitted work
Ideal Profile
Strong candidates may have:
• 3+ years of professional experience at an insurance carrier, brokerage, reinsurer, agency, regulatory body, actuarial team, claims organization, or insurance advisory environment
• Background in one or more areas such as underwriting, claims management, actuarial science, pricing, reserving, capital modeling, insurance sales, brokerage, compliance, regulatory affairs, or risk management
• Familiarity with insurance workflows involving submissions, claims files, policy review, rate filings, coverage disputes, loss reserves, fraud review, and regulatory documentation
• Comfort reading and preparing insurance artifacts such as underwriting files, policy forms, claim summaries, reserve analyses, coverage opinions, rate filing materials, and regulatory memos
• Strong analytical thinking and written communication skills
• Ability to translate insurance workflows into clear, structured task documentation
Educational Background
• A degree or professional background in insurance, actuarial science, finance, risk management, business administration, law, accounting, economics, mathematics, or a related field is helpful
• Equivalent practical experience in insurance underwriting, claims, actuarial work, brokerage, compliance, or risk management is also highly relevant
Nice to Have
• Experience with commercial lines, personal lines, specialty lines, P&C, life, health, benefits, workers' compensation, liability, reinsurance, or regulatory insurance work
• Familiarity with state DOI requirements, NAIC guidelines, actuarial standards, rate filings, insurance compliance, claims adjudication, or policy wording review
• Experience preparing or reviewing underwriting submissions, claim files, coverage analyses, reserve materials, actuarial projections, rate filings, or regulatory examination materials
• Professional designations such as CPCU, ARM, FCAS, FSA, AIC, ACAS, AINS, or equivalent insurance credentials are helpful
Apply tot his job
Apply To this Job